Field Reimbursement Manager

🕒 July 10

🌲 North Carolina – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 43%

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Logo of Valeris

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

• Educate healthcare providers and their staff on approved financial support programs for eligible patients • Provide reimbursement expertise through virtual education engagements on national and regional payer policies, prior authorization criteria, appeals templates, quantity limits, stocking information, and access pathways • Assist healthcare providers with compliantly troubleshooting eligible patients’ retail pharmacy claims • Maintain current knowledge of managed care, reimbursement trends, and healthcare policies and regulations, including Commercial, Medicare, and Medicaid • Work compliantly with field team representatives on engagement requests and communicate interaction outcomes • Communicate access concerns and issues to appropriate internal stakeholders • Operate in compliance with HIPAA and program guidelines • Complete 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

🎯 Requirements

• Remote role based in the United States • Prefer candidates who can type at least 35 words per minute with 97% accuracy • Flexibility to travel as needed is preferred • Ability to talk and hear regularly • Ability to sit for long periods and use hands to type, handle, or feel • Ability to reach with hands and arms • Ability to use standard office equipment such as computers, phones, and photocopiers • Must complete required training deadlines for corporate policies and procedures governing confidential data • Must use approved materials, resources, and talking points only • Must follow all SOPs and BRDs consistently • Successful completion of a background check is required; a drug screen may also be required depending on the position

🏖️ 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 • 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 • Diversity and inclusive workplace • Mission-driven, inclusive culture

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