Director Field Reimbursement

Lead, coach, mentor, and develop a team of Field Reimbursement Managers across assigned manufacturer programs.

Foster a culture focused on accountability, collaboration, patient-centered support, and continuous improvement.

Conduct regular field observations, coaching sessions, performance reviews, and development planning.

Drive employee engagement, retention, and succession planning.

Recruit, interview, hire, and onboard field reimbursement talent.

Serve as a strategic business partner to pharmaceutical manufacturer clients.

Participate in governance meetings, business reviews, launch planning, and strategic initiatives.

Present program performance, trends, insights, and recommendations to internal leadership and external clients.

Build trusted relationships with client leadership and cross-functional stakeholders.

Identify opportunities to improve customer experience and program performance.

Ensure successful execution of all field reimbursement services.

Monitor program metrics, workload distribution, productivity, and quality standards.

Develop and implement operational processes that improve efficiency and scalability.

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

Ensure adherence to service level agreements (SLAs), KPIs, and contractual obligations.

Provide leadership related to:

Medical and pharmacy benefit reimbursement

Prior authorization processes

Appeals support

Benefits investigations

Claims processing

Coding and billing education

Government and commercial payer policies

Specialty pharmacy distribution models

Buy-and-bill and specialty pharmacy pathways

Patient support programs

Financial assistance resources

Remain current on reimbursement trends, payer policy changes, and evolving access challenges.

Support product launches and lifecycle management.

Develop field deployment strategies and territory optimization recommendations.

Analyze customer insights and market trends.

Identify opportunities to improve access and reimbursement support.

Partner on resource planning and forecasting.

Drive continuous process improvement initiatives.

Partner closely with:

Client Services

Commercial Leadership

Operations

Training

Quality Assurance

Compliance

Human Resources

Analytics

Technology

Project Management

Medical Affairs (as appropriate)

Monitor and improve:

Customer satisfaction

Field productivity

Case outcomes

Provider engagement

Quality metrics

Compliance standards

Employee performance

Client satisfaction

Financial performance of assigned programs

Bachelor's degree or equivalent years of FRM leadership experience

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

5+ years of people leadership experience

Experience leading field-based teams

Strong knowledge of healthcare reimbursement and payer processes

Experience supporting pharmaceutical manufacturer programs

Excellent leadership and coaching skills

Strong presentation and executive communication abilities

Ability to analyze data and make strategic business recommendations

Proficiency with CRM systems, Microsoft Office, and reporting platforms

Ability to travel approximately 50-75%

Experience supporting multiple therapeutic areas

Product launch experience

National account or field leadership experience

Experience in managing manufacturer clients

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.

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.

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.