Field Reimbursement Manager

This is a fully remote position, open to applicants in Arizona, +3 more states.

📋 Description

• Facilitate patient access to essential therapies by addressing access obstacles through virtual education for healthcare providers and their support teams.

• Inform healthcare providers and staff about approved financial assistance programs for patient support.

• Offer reimbursement expertise regarding payer landscapes, policies, prior authorizations, medical-necessity letters, appeal templates, quantity limits, stocking information, and access pathways.

• Aid healthcare providers in compliantly troubleshooting retail pharmacy claims for eligible patients.

• Keep up-to-date with managed care, reimbursement trends, and healthcare regulations and policies, including those related to Commercial, Medicare, and Medicaid.

• Collaborate compliantly with field team representatives to receive engagement requests and relay interaction outcomes.

• Relay access concerns and issues to the appropriate internal stakeholders.

• Exemplify ethics and integrity while fostering compliance and stakeholder trust.

• Complete various tasks or project assignments as needed.

⛳️ Requirements

• Preference for candidates who can type a minimum of 35 words per minute with 97% accuracy.

• Flexibility to travel when necessary is preferred.

• Adhere to HIPAA regulations within program guidelines.

• Meet training deadlines for corporate policies and procedures concerning access to confidential data.

• Utilize only approved materials, resources, and talking points.

• Consistently follow all Standard Operating Procedures (SOPs) and Business Requirements Documents (BRDs).

• Successful completion of a background check and, if applicable, a drug screening.

🏝️ Benefits

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

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

• Company matching on Health Savings Account contributions.

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

• Company-funded Short-Term Disability coverage, with the 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.

• Nine paid holidays along with two floating holidays.

• Opportunities for career advancement and personal and professional development.

• Engaging and challenging work environment that promotes new ideas.

• An inclusive workplace and mission-driven culture.

• Equal opportunity employer.