Program Manager - Field Reimbursement

Valeris

$100K — $130K *
US-AnywhereRemote in United States
Pharmaceuticals & Biotech
8 - 10 years of experience
Job Overview by Ladders

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.
  • Experience leading reimbursement or access teams supporting retail medications (preferred).
  • Strong competency with CRM platforms (e.g., Veeva) and virtual engagement technologies (preferred).

Responsibilities

  • Lead, coach, and mentor a national team of Virtual Access Educators (VAEs) to deliver high-quality education and reimbursement support.
  • Partner with Sales and Market Access leadership to align reimbursement strategies with business objectives.
  • Oversee team expertise in retail prior authorization processes and pharmacy benefit troubleshooting.
  • Monitor team performance against defined KPIs and implement necessary improvements.
  • Standardize processes and best practices for VAE interactions, ensuring compliance and quality.
  • Act as the primary liaison with internal teams to resolve systemic access issues.
  • Educate the team on effective virtual engagement techniques and compliance with approved materials.

Benefits

  • Remote work with national reach.
  • Occasional travel for meetings and field collaboration.
  • Comprehensive background check and drug screen as part of employment offer.
Full Job Description
Overview

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.


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.

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