Director – Field Reimbursement

🔥 0 minutes ago

🌲 North Carolina – Remote

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⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 10%

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Valeris

1001 - 5000 employees

💊 Pharmaceuticals

🏥 Healthcare

🤝 B2B

Pharmaceuticals • Healthcare • B2B

Valeris is a fully integrated life sciences commercialization partner formed by the merger of PharmaCord and Mercalis. The company provides comprehensive solutions across the healthcare value chain to help life sciences companies bring products to market and improve patient access and adherence. Valeris offers data and strategic insights, patient support and access programs, and healthcare provider engagement tools, serving over 500 life sciences customers and supporting millions of patients. Headquartered in Morrisville, North Carolina and Jeffersonville, Indiana, Valeris focuses on enabling commercialization and patient-centric services for pharmaceutical and life sciences organizations.

📋 Description

• Lead, coach, mentor, and develop Field Reimbursement Managers across assigned manufacturer programs • Foster accountability, collaboration, patient-centered support, and continuous improvement • Conduct field observations, coaching sessions, performance reviews, and development planning • Drive employee engagement, retention, and succession planning • Recruit, interview, hire, and onboard field reimbursement talent • Serve as a strategic business partner to pharmaceutical manufacturer clients • Participate in governance meetings, business reviews, launch planning, and strategic initiatives • Present program performance, trends, insights, and recommendations to leadership and clients • Build relationships with client leadership and cross-functional stakeholders • Identify opportunities to improve customer experience and program performance • Ensure successful execution of field reimbursement services • Monitor program metrics, workload distribution, productivity, and quality standards • Develop and implement processes improving efficiency and scalability • Collaborate with Operations, Quality, Compliance, Technology, and Training teams • Ensure adherence to SLAs, KPIs, and contractual obligations • Provide leadership on reimbursement, prior authorizations, appeals, benefits investigations, claims processing, coding and billing, payer policies, specialty pharmacy, buy-and-bill, and patient support programs • Remain current on reimbursement trends, payer policy changes, and access challenges • Support product launches and lifecycle management • Develop field deployment strategies and territory optimization recommendations • Analyze customer insights and market trends • Partner on resource planning and forecasting • Drive continuous process improvement • Collaborate with Client Services, Commercial Leadership, Operations, Training, Quality Assurance, Compliance, Human Resources, Analytics, Technology, Project Management, and Medical Affairs • Monitor and improve customer satisfaction, field productivity, case outcomes, provider engagement, quality, compliance, employee performance, client satisfaction, and financial performance

🎯 Requirements

• Bachelor's degree or equivalent years of FRM leadership experience • 8+ years of pharmaceutical reimbursement, patient access, market access, or specialty pharmacy experience • 5+ years of people leadership experience • Experience leading field-based teams • Strong knowledge of healthcare reimbursement and payer processes • Experience supporting pharmaceutical manufacturer programs • Excellent leadership and coaching skills • Strong presentation and executive communication abilities • Ability to analyze data and make strategic business recommendations • Proficiency with CRM systems, Microsoft Office, and reporting platforms • Ability to travel approximately 50-75% • Preferred: experience supporting multiple therapeutic areas • Preferred: product launch experience • Preferred: national account or field leadership experience • Preferred: experience managing manufacturer clients • Ability to talk or hear, sit for long periods, type, handle or feel, and reach with hands and arms • Preferred ability to type at least 35 words per minute with 97% accuracy • Successful completion of a background check and, depending on the position, a drug screen

🏖️ Benefits

• 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 encouraging new ideas • Inclusive, mission-driven culture • Equal opportunity employer

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