[Hiring] Program Manager - Field Reimbursement @Mercalis

Role Description

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

• 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

• 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

• Regularly required to talk or hear.
• 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.
• This job operates in a professional office environment, routinely using standard office equipment such as computers, phones, photocopiers, etc.

Benefits

• 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.

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.