Field Reimbursement Manager

🕒 Agosto 17

🏄 California, Kansas, +3 estados a mais – Remoto

🏄 California – Remote 🌪️ Kansas – Remote 🏰 Missouri – Remote ☕ Washington – Remote 🦬 Wyoming – Remote

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

👻 Score fantasma 10%

O que significa: quão provável esta vaga está aberta sem contratação ativa.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

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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

• Educate healthcare providers and their staff on approved patient support financial assistance programs for eligible patients • Provide virtual education on local, national, and regional payer landscapes, including payer policies, prior authorization criteria, letters of medical necessity, appeals templates, quantity limits, stocking information, and access pathways • Compliantly troubleshoot eligible patients’ claims at retail pharmacies when financial assistance offerings have been used • Maintain current knowledge of managed care, reimbursement trends, and healthcare policies and regulations, including Commercial, Medicare, and Medicaid • Work compliantly with field team representatives to receive engagement requests and communicate interaction outcomes • Communicate access concerns and issues to appropriate internal stakeholders • Operate within HIPAA and program guidelines • Meet training deadlines for corporate policies and procedures governing confidential data • Use only approved materials, resources, and talking points • Follow all SOPs and BRDs consistently • Conduct miscellaneous assigned tasks or projects

🎯 Requisitos

• Ability to educate healthcare providers and office staff on patient support and financial assistance programs • Reimbursement expertise covering commercial, Medicare, and Medicaid payer policies • Knowledge of prior authorization criteria, letters of medical necessity, appeals templates, quantity limits, stocking information, and payer/PBM access pathways • Ability to compliantly troubleshoot retail pharmacy claims • Current knowledge of managed care, reimbursement trends, healthcare policies, and regulations • Ability to work compliantly with field team representatives and internal stakeholders • Knowledge of and ability to operate within HIPAA and program guidelines • Adherence to corporate policies, procedures, SOPs, and BRDs • Compliant use of approved materials, resources, and talking points only • Ability to type at least 35 words per minute with 97% accuracy preferred • Flexibility to travel as needed 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 workplace and mission-driven culture • Background check and, depending on the position, drug screen required as a condition of employment