Remote Field Reimbursement Manager

Overview

*** THIS ROLE IS OPEN TO CANDIDATES IN THE CST TIMEZONE ONLY ***

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of Pharma Cord and Mercalis, Valeris™ revolutionizes the path from life sciences innovation to real-life impact to build a world in which every patient gets the care they need. Valeris works on behalf of life sciences companies to improve the patient experience so that patients can access and adhere to critical medications.

Backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Valeris provides commercialization solutions to more than 500 life sciences customers and has provided access and affordability support to millions of patients.

The company is headquartered in Morrisville, North Carolina and Jeffersonville, Indiana. To learn more about Valeris, please

As a Remote Field Reimbursement Manager you will help support patient access to critical therapies by resolving access challenges through virtual education of healthcare provider (HCP) and support staff at sites of care. The VAE will be HCP-facing and serve as the subject-matter expert on regional payer access, prior authorizations, appeals processes, and patient support financial assistance offerings. This role focuses on ensuring timely and effective patient access and is strictly non-promotional and does not involve sales or the provision of clinical care/medical advice.

• Educate HCPs on Patient Support Programs:
  Provide reactive, approved, tailored education to healthcare providers and their staff on available financial support programs for eligible patients
• Provide Reimbursement Expertise:
  Educate HCPs and their office support on the local payer landscape through virtual education engagements, including national and regional payer policies, prior authorization criteria including letter of medical necessity and appeals templates, quantity limits, stocking information, and appropriate access pathways and processes for payers and PBMs
• Address Access Barriers:
  Provide assistance to HCPs to compliantly troubleshoot claims at retail pharmacies for eligible patients who have used patient support financial assistance offerings
• Stay informed on national and regional payer policies:
  Maintain current knowledge of managed care, reimbursement trends, and relevant healthcare policies and regulations (e.g., Commercial, Medicare, and Medicaid).
• Work and compliantly with field team representatives to receive engagement requests and communicate outcome of interactions Role models ethics and integrity in the work that you do to support a culture of compliance and earn trust with external stakeholders
• Communicate access concerns and issues with appropriate internal stakeholders
• Operate in Compliance with HIPAA within program guidelines
• On time adherence to training deadlines for all corporate policies and procedures governing access to confidential data
• Ensures compliant use of approved materials, resources and talking points only
• Ensure all SOPs and BRDs are followed with consistency
• Conducts miscellaneous tasks or projects assigned

Qualifications:

• Bachelor’s degree
• 5+ experience in Case Management Reimbursement Experience; product launch experience is highly desired
• 5+ in the Pharma/Healthcare industry; working with Hubs, Payers, HCP or related area
• Advanced understanding of the U.S. reimbursement landscape, including commercial and government payers, patient access support programs and prior authorization requirements
• Demonstrated ability to conduct virtual access support and education
• Excellent written and verbal communication skills, and presentation expertise to effectively educate diverse stakeholders
• Proven ability to seamlessly address and resolve access barriers to enable patient access and affordability to prescribed…