Field Reimbursement Manager

🕒 Novembro 2

🌽 Illinois, New Jersey, +6 estados a mais – Remoto

🌽 Illinois – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🏈 Ohio – Remote 🔔 Pennsylvania – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

👻 Score fantasma 10%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 9 dias.
• As vagas desta empresa costumam ser preenchidas em 21 dias.
• Sem salário divulgado.

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Valeris

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

💊 Farmacêutico

🏥 Saúde

🤝 B2B

Pharmaceuticals • Healthcare • B2B

A Valeris é um parceiro totalmente integrado de comercialização em ciências da vida, formada pela fusão da PharmaCord e da Mercalis. A empresa oferece soluções abrangentes ao longo da cadeia de valor da saúde para ajudar as empresas de ciências da vida a levar produtos ao mercado e melhorar o acesso e a adesão dos pacientes. Valeris oferece dados e insights estratégicos, programas de suporte e acesso a pacientes e ferramentas de engajamento de prestadores de saúde, atendendo a mais de 500 clientes de ciências da vida e apoiando milhões de pacientes. Com sedes em Morrisville, Carolina do Norte, e Jeffersonville, Indiana, a Valeris se concentra em viabilizar a comercialização e serviços centrados no paciente para organizações farmacêuticas e de ciências da vida.

Descrição

• Solve complex patient access issues across the Hub and provider offices, communicating with the client field team • Partner with Sales, Payer Teams, Marketing, HCPs, and specialty pharmacies on strategic reimbursement support approaches • Educate HCPs and office staff on Patient Support Programs, operating policies, and patient journeys • Lead onsite education for HCP offices on program rules, payer coverage, J-codes, and reimbursement activities • Guide healthcare providers through prior authorization and appeals processes • Manage daily activities supporting patient access to client products across relevant sites of care • Review billing and coding, resolve reimbursement issues, and provide education to prevent future hurdles • Coordinate with patient support services representatives on patient cases and claim issues • Educate office staff on patient assistance and reimbursement support services and web-based provider tools • Conduct policy surveillance across regional payers for coding, coverage, and payment • Educate providers on local payer coverage and reimbursement trends through educational programs • Lead sales training related to product reimbursement as appropriate • Communicate reimbursement concerns to internal stakeholders, including Sales and Managed Markets • Monitor national and regional payer trends and changes • Collaborate with Managed Markets to escalate potential payer issues • Operate in compliance with HIPAA and follow applicable SOPs and BRDs • Complete training deadlines for corporate policies and procedures governing confidential data

🎯 Requisitos

• Associate's degree or higher in a related field or equivalent market experience • 3+ years in the pharma/healthcare industry, working with specialty products, Hubs, Payers, HCPs, or a related area • Direct experience with specialty dermatology products preferred • Specific practice management, billing, and/or coding experience for drugs, biologicals, or devices • General payer policy knowledge, including public and private payers • Foundational knowledge of medical benefit verifications and prior authorization/pre-determination requirements • Knowledge of reimbursement processes within various sites of care • Ability to conduct virtual and field-based reimbursement support and education • Experience with prior authorizations, reimbursement billing, coding, and appeals processes • Knowledge of commercial payer, Medicare, and Medicaid structures, systems, and reimbursement processes • Strong stakeholder engagement and communication skills • Valid driver's license when travel is required • Ability to type at least 35 words per minute with 97% accuracy preferred • Successful completion of a background check and, depending on the position, a drug screen

🏖️ Benefícios

• Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs • Telehealth and Employee Assistance Program (EAP) services • Company match on Health Savings Account contributions • Free Basic Life and AD&D coverage equal to annual earnings, with a minimum of $50,000 and a maximum of $300,000 • Company-paid Short-Term Disability coverage, with the option to purchase Long-Term Disability • 401(k) Retirement Savings Plan with 100% match on the first 5% contributed, with immediate vesting • Paid Time Off (PTO) and Sick Leave • Nine paid holidays plus two floating holidays • Opportunities for advancement and personal and professional growth • Challenging, stimulating work environment that encourages new ideas • Inclusive, mission-driven culture • Up to 10% travel; additional travel for national meetings, training programs, and POAs

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