Director – Field Reimbursement

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Oversee, coach, mentor, and nurture the development of Field Reimbursement Managers within designated manufacturer programs.

• Promote accountability, collaboration, patient-focused support, and ongoing improvement.

• Execute field observations, coaching sessions, performance evaluations, and development planning.

• Enhance employee engagement, retention, and succession planning efforts.

• Identify, interview, hire, and integrate field reimbursement professionals.

• Act as a strategic business ally to pharmaceutical manufacturer clients.

• Engage in governance meetings, business reviews, launch preparations, and strategic initiatives.

• Present program performance metrics, trends, insights, and recommendations to leadership and clients.

• Cultivate relationships with client leadership and cross-functional stakeholders.

• Recognize opportunities to enhance customer experience and program outcomes.

• Ensure effective execution of field reimbursement services.

• Track program metrics, workload distribution, productivity, and quality benchmarks.

• Create and execute processes that enhance efficiency and scalability.

• Collaborate with Operations, Quality, Compliance, Technology, and Training teams.

• Ensure compliance with SLAs, KPIs, and contractual commitments.

• Provide expertise in reimbursement, prior authorizations, appeals, benefits investigations, claims processing, coding and billing, payer policies, specialty pharmacy, buy-and-bill, and patient support programs.

• Stay updated on reimbursement trends, payer policy modifications, and access challenges.

• Assist with product launches and lifecycle management.

• Develop strategies for field deployment and territory optimization recommendations.

• Analyze customer insights and market trends.

• Collaborate on resource planning and forecasting.

• Drive ongoing process improvement initiatives.

• Work together with Client Services, Commercial Leadership, Operations, Training, Quality Assurance, Compliance, Human Resources, Analytics, Technology, Project Management, and Medical Affairs.

• Monitor and enhance customer satisfaction, field productivity, case outcomes, provider engagement, quality, compliance, employee performance, client satisfaction, and financial results.

⛳️ Requirements

• Bachelor's degree or equivalent years of leadership experience in Field Reimbursement Management.

• 8+ years of experience in pharmaceutical reimbursement, patient access, market access, or specialty pharmacy.

• 5+ years of experience in a leadership role.

• Proven experience leading field-based teams.

• Strong understanding of healthcare reimbursement and payer processes.

• Experience in supporting pharmaceutical manufacturer programs.

• Exceptional leadership and coaching capabilities.

• Strong skills in presentation and executive communication.

• Ability to analyze data and provide strategic business recommendations.

• Proficient in CRM systems, Microsoft Office, and reporting tools.

• Willingness to travel approximately 50-75% of the time.

• Preferred: experience in supporting multiple therapeutic areas.

• Preferred: experience in product launches.

• Preferred: experience in national account or field leadership roles.

• Preferred: experience managing manufacturer clients.

• Ability to communicate effectively, sit for extended 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 screening may be required.

🏝️ Benefits

• Medical, dental, and vision insurance plans, including HSA- and FSA-eligible options, with Valeris contributing to premium costs.

• Access to Telehealth and Employee Assistance Program (EAP) services.

• Company matching contributions on Health Savings Account deposits.

• Complimentary Basic Life and AD&D insurance equal to annual earnings, with a minimum of $50,000 and a maximum of $300,000.

• Company-sponsored Short-Term Disability coverage, with an option to purchase Long-Term Disability.

• 401(k) Retirement Savings Plan featuring a 100% match on the first 5% contributed, with immediate vesting.

• Paid Time Off (PTO) and Sick Leave available.

• Nine paid holidays and two floating holidays provided.

• Opportunities for advancement and personal as well as professional development.

• A stimulating and challenging work environment that encourages innovative ideas.

• An inclusive, mission-driven culture.

• Equal opportunity employer.