Field Reimbursement Manager

Valeris

. Resolve complex patient access issues across the Hub and provider offices while communicating with the client field team .

Posted 10/28/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in patient access management, reimbursement processes, and stakeholder engagement within the Pharma and Healthcare industries. Proficient in educating healthcare providers on patient support programs and navigating payer policies.

Highest-signal resume keywords

Patient Access ManagementReimbursement ProcessesPrior Authorization ExperienceStakeholder EngagementBilling And Coding Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

BillingCodingReimbursementPrior AuthorizationMedical Benefit VerificationPayer Policy KnowledgeSpecialty Product ExperienceDocumentationOutcome CommunicationEducation And Training

Soft Skills

Communication SkillsFlexibilityStakeholder Engagement

Tools & Technologies

Patient Support ProgramsWeb-Based Provider Programs

Industry Keywords

PharmaHealthcareSpecialty ProductsHCPsPayersMedicareMedicaidHIPAA ComplianceSOPsBRDs

About the role

Key responsibilities & impact

Resolve complex patient access issues across the Hub and provider offices while communicating with the client field team
Partner with Sales, Payer Teams, Marketing, HCPs, and Specialty Pharmacies to develop strategic reimbursement support approaches
Educate HCPs and office staff on Patient Support Programs and patient journeys
Lead onsite education for HCP offices on program business rules, payer coverage, miscellaneous J-codes, and reimbursement activities
Guide providers through prior authorization and appeals processes, including documentation, payer requirements, and outcome communication
Manage daily activities supporting patient access to client products across relevant sites of care
Review billing and coding, resolve reimbursement issues, and prevent future reimbursement hurdles
Coordinate with patient support services representatives on patient cases and claim issues
Educate office staff on patient assistance and reimbursement support services, including web-based provider programs and tools
Conduct regional payer policy surveillance 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 program guidelines
Complete training deadlines for corporate policies governing confidential data
Follow all SOPs and BRDs consistently

Requirements

What you’ll need

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
Flexibility to travel as needed preferred
Up to 10% travel may be required, plus additional travel for national meetings, training programs, and POAs
Successful completion of a background check and, depending on the position, a drug screen

Benefits

Comp & perks

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 workplace and mission-driven culture
Background check and, depending on the position, drug screen in accordance with company standards