出海雷达

项目经理 - 现场报销

Program Manager - Field Reimbursement

其他限定地区(需当地身份)
公司Mercalis
薪资未公开
工作地点United States
地域资格限定地区(需当地身份)
时区要求日间重叠约 9 小时,基本正常作息
用工类型Other
发布时间15 天前
数据来源Himalayas
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注意地域限制:该职位明确限定在 United States 招聘。如果你是位于中国大陆的求职者,通常需要当地工作身份才能投递,或需与雇主确认是否接受独立合同(Contractor)形式合作。

概述
Valeris 是一家完全整合的生命科学商业化合作伙伴,提供覆盖整个医疗保健价值链的全面解决方案。由 PharmaCord 和 Mercalis 合并而成,Valeris™ 重新定义了从生命科学创新到实际影响的路径,以构建一个每个患者都能获得所需护理的世界。Valeris 代表生命科学公司工作,以改善患者的体验,使患者能够获得并坚持使用关键药物。依托于行业经验、对患者护理的深刻承诺、最新技术以及杰出的团队成员,Valeris 提供数据和战略洞察、患者支持服务以及医疗保健提供者参与工具,帮助生命科学公司成功实现新产品商业化。Valeris 为超过 500 家生命科学客户提供商业化解决方案,并为数百万患者提供了可及性和负担能力支持。公司总部位于北卡罗来纳州莫里斯维尔和印第安纳州杰斐逊维尔。如需了解 Valeris 的更多信息,请访问 www.valeris.com。
现场报销团队经理领导一支全国性的 FRM(称为虚拟准入教育者)团队,致力于支持患者获得关键疗法。该职位专注于通过合规的虚拟教育,指导、培养和赋能 VAE 解决准入挑战,面向医疗保健提供者(HCP)和支持人员。经理与现场销售、市场准入和患者服务紧密合作,确保零售前置授权(PA)、药房福利流程和准入路径的无缝衔接。
职责
主要职责

  • 领导、指导和辅导一支高绩效的全国 VAE 团队,确保一致地提供高质量的虚拟准入教育和报销支持。
  • 与销售和市场准入领导合作,将报销策略与品牌和区域目标保持一致。
  • 监督 VAE 在零售前置授权流程、药房福利问题解决、保险商要求和申诉路径方面的专业知识。
  • 监控团队在定义的 KPI 上的表现,包括分诊时间、注册效率、案件解决周期时间、文档质量以及 HCP 满意度。
  • 实施标准化流程、最佳实践和合规的工作流程,适用于所有 VAE 互动。
  • 作为内部团队的主要联络人,识别、升级并解决系统性问题
查看英文原文

Overview
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 PharmaCord 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 visit www.valeris.com.
The Field Reimbursement Team Manager leads a national team of FRMs (called Virtual Access Educators) dedicated to supporting patient access to critical therapies. This role focuses on coaching, developing, and enabling VAEs to resolve access challenges through compliant virtual education of healthcare providers (HCPs) and support staff. The Manager partners closely with Field Sales, Market Access, and Patient Services to ensure seamless navigation of retail prior authorizations (PA), pharmacy benefit processes, and access pathways
Responsibilities
Key Responsibilities

  • Lead, coach, and mentor a high-performing national VAE team, ensuring consistent delivery of high-quality virtual access education and reimbursement support.
  • Partner with Sales and Market Access leadership to align reimbursement strategies with brand and territory goals.
  • Oversee VAE expertise in retail prior authorization processes, pharmacy benefit troubleshooting, payer requirements, and appeals pathways.
  • Monitor team performance across defined KPIs, including triage time, enrollment efficiency, case resolution cycle time, documentation quality, and HCP satisfaction.
  • Implement standardized processes, best practices, and compliant workflows for all VAE interactions.
  • Serve as primary liaison across internal teams to identify, escalate, and resolve systemic access barriers.
  • Guide the team in effective virtual engagement techniques, including platform use, presentation skills, and efficient troubleshooting.
  • Ensure all activities adhere to HIPAA requirements, non-promotional standards, and all SOP/BRD policies. Reinforce the compliant use of approved materials and approved talk tracks only.
  • Oversee consistent and accurate CRM documentation, ensuring data quality, completeness, and insights that drive access strategy.

Qualifications
Required Qualifications

  • Proven leadership experience managing remote or field-based teams.
  • 8+ years in the pharmaceutical or healthcare industry, with strong expertise in HCP access, reimbursement, and pharmacy benefits.
  • Demonstrated collaboration with Field Sales, Market Access, and other commercial stakeholders.

Preferred Qualifications

  • Experience leading reimbursement or access teams supporting retail medications.
  • Expertise in managing access complexities, especially for new-to-market therapies.
  • Ability to translate payer insights into actionable coaching for access teams.
  • Strong competency with CRM platforms (e.g., Veeva) and virtual engagement technologies.

Work Environment & Travel

  • Remote role with national scope.
  • Occasional travel for national meetings, training, or field collaboration.
  • Valid driver’s license required.

Physical Demands & Work Environment

  • While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit for long periods of time, use hands to type, handle or feel; and reach with hands and arms. Prefer candidates who can type at least 35 words per minute with 97% accuracy.
  • Although very minimal, flexibility to travel as needed is preferred.
  • This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.

Why Work for Valeris?
We’re committed to supporting the well-being and success of our team members. As part of our organization, full-time employees can expect:

  • Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs
  • Additional health support, including telehealth and Employee Assistance Program (EAP) services
  • Company match on Health Savings Account contributions
  • Free Basic Life and AD&D coverage equal to your 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% you contribute, with immediate vesting
  • Paid Time Off (PTO) and Sick Leave to support work-life balance
  • Team members receive nine paid holidays plus two floating holidays
  • Opportunities for advancement in a company that supports personal and professional growth
  • A challenging, stimulating work environment that encourages new ideas
  • Work for a company that values diversity and makes deliberate efforts to create an inclusive workplace
  • A mission-driven, inclusive culture where your work makes a meaningful impact

Any offer of employment is contingent upon the successful completion of a background check and, depending on the position, a drug screen in accordance with company standards. Please note that this job description is not intended to be an exhaustive list of all duties, responsibilities, or activities associated with the position. Responsibilities and tasks may be modified at any time, with or without notice.
Our Commitment to Equal Opportunity
At Valeris, we don’t just accept difference – we celebrate it, support it and we thrive on it for the benefit of our employees, our products and our community. Valeris is proud to be an equal opportunity employer.
Originally posted on Himalayas

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