Program Manager - Field Reimbursement
Mercalis · United States · 4 wk ago
RemoteRemoteInformation Technology$50k/yrFull-time
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
- 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.