Senior Manager, Field Reimbursement Operations

Valeris, Inc.; Raleigh (NC); Hybrid; USD 110,000 - 170,000; Full time

Benefits offered by this job

Health insurance

401(k) match

Paid time off

Holidays

Job summary

Valeris, Inc. is seeking a Senior Manager, Field Reimbursement Operations to lead FRMs, drive program performance, and ensure compliant, high-quality reimbursement support for healthcare providers. The role partners with senior leadership to guide client programs and launches across therapeutic areas.

The position emphasizes coaching, optimizing workflows, and sustaining excellence in service delivery while traveling to provider sites as needed.

Qualifications

• Bachelor's Degree or equivalent years of experience in field reimbursement management and field leadership.
• Experience leading remote field teams preferred.
• Experience with specialty, rare disease, oncology, or complex therapeutic areas.

Responsibilities

• Provide day-to-day leadership and oversight for FRMs; coach and develop the team.
• Monitor reimbursement program activities and ensure escalation as needed.
• Partner with operations to optimize workflows and improve efficiencies.
• Build relationships with client leadership and cross-functional partners.
• Lead preparation for QBRs, monthly reporting, and client presentations.

Skills

Leadership

Field reimbursement

Coaching & mentoring

Strategic thinking

Project management

Communication

Executive communication

Data interpretation

CRM platforms

Education

Bachelor's Degree or equivalent

Tools

Salesforce

Veeva

Lynk

Job description

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 Senior Manager, Field Reimbursement Operations serves as the first-line leader for a team of Field Reimbursement Managers (FRMs), providing operational oversight, coaching, performance management, and strategic support while maintaining a limited portfolio of key provider accounts when appropriate. This role is responsible for ensuring the consistent execution of client program objectives, reimbursement excellence, and exceptional customer service across assigned therapeutic areas.The Senior Manager, Field Reimbursement Operations partners closely with the Senior Director, Operations, Training, Quality, Analytics, and Client Program Leadership to drive program performance, ensure compliance, and deliver best-in-class reimbursement support for healthcare providers.Team LeadershipProvide day-to-day leadership and oversight for an assigned team of Field Reimbursement Managers.Coach, mentor, and develop FRMs through regular one-on-one meetings, field observations, ride-alongs, and performance feedback.·Foster a culture of accountability, collaboration, professionalism, and continuous improvement.Conduct new hire onboarding and assist with ongoing development plans.Assist in interviewing and selecting new team members.Manage employee performance, including recognition, coaching, corrective action, and performance improvement plans.Promote employee engagement and retention through consistent leadership and communication.Operational LeadershipEnsure consistent execution of client-approved reimbursement services.Monitor daily program activities and workload distribution.Review reimbursement trends and identify barriers requiring escalation.Partner with Operations to optimize workflows and improve efficiencies.Ensure documentation is timely, accurate, and compliant within all CRM platforms.Support implementation of new initiatives and operational enhancements.Client PartnershipServe as an escalation point for complex reimbursement challenges.Participate in client meetings, business reviews, and strategic planning sessions.Build strong relationships with client leadership and internal cross-functional partners.Support implementation of new product launches and program expansions.Assist with Quarterly Business Reviews (QBRs), monthly reporting, and client presentations.Field LeadershipConduct routine field travel with FRMs or virtual as required to provide coaching and ensure execution consistency.Observe provider interactions and provide immediate developmental feedback.Identify reimbursement trends impacting provider offices.Reinforce standardized messaging and approved reimbursement education.Performance ManagementMonitor key performance indicators including:ProductivityCRM documentation qualityCase progressionProvider engagementActivity metricsQuality measuresClient-specific KPIsDevelop action plans for performance improvement when needed.Recognize high-performing employees and share best practices across the organization.Training & DevelopmentReinforce reimbursement knowledge across assigned therapeutic areas.Partner with Training to identify knowledge gaps.Assist in development of training materials.Conduct ongoing competency assessments.Facilitate team meetings and educational sessions.Cross-Functional CollaborationWork closely with:Senior Regional ManagersProgram OperationsClient Program DirectorsAnalyticsReporting TeamsTraining DepartmentComplianceQuality AssuranceRecruitingHuman ResourcesComplianceEnsure all activities comply with:HIPAAOIG GuidelinesFDA regulationsClient SOPsCompany PoliciesPrivacy requirementsPromote ethical business practices.Report compliance concerns appropriately.Minimum QualificationsEducationBachelor's Degree or equivalent years of experience in the field reimbursement management and field leadershipExperience in field based teams working in or with pharmaceutical companiesExperienceMinimum 5 years of healthcare reimbursement, market access, specialty pharmacy, or field reimbursement experience.Minimum 2 years of leadership or team lead experience preferred.Experience leading remote field teams strongly preferred.Experience supporting specialty, rare disease, oncology, immunology, neurology, or other complex therapeutic areas preferred.Experience working with manufacturers, specialty pharmacies, and provider offices.Knowledge & SkillsReimbursement ExpertiseMedical BenefitPharmacy BenefitPrior AuthorizationAppealsMedicareMedicaidCommercial InsuranceSpecialty PharmacyHUB OperationsBuy-and-BillCoding and Billing FundamentalsLeadership SkillsTeam coachingPerformance managementConflict resolutionEmployee developmentChange managementExecutive communicationStrategic thinkingDecision-makingProblem solvingTechnical SkillsCRM platforms (Salesforce, Veeva, Lynk, QuickPath, or similar)Microsoft Office SuitePowerPointExcelReporting dashboardsVirtual meeting platformsData interpretation and trend analysisCore CompetenciesLeadershipAccountabilityCustomer FocusStrategic ThinkingCollaborationEmotional IntelligenceBusiness AcumenAdaptabilityCoaching & MentoringOperational ExcellenceCommunicationCritical ThinkingRelationship BuildingTime ManagementTravel RequirementsUp to 40–60% travel based on program and client needs.Ability to travel by automobile and commercial airline.Overnight travel required.Physical RequirementsAbility to travel extensively.Ability to sit and work at a computer for extended periods.Ability to present to small and large groupPhysical Demands & Work EnvironmentWhile 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 costsAdditional health support, including telehealth and Employee Assistance Program (EAP) servicesCompany match on Health Savings Account contributionsFree Basic Life and AD&D coverage equal to your annual earnings, with a minimum of $50,000 and a maximum of $300,000Company-paid Short-Term Disability coverage, with the option to purchase Long-Term Disability401(k) Retirement Savings Plan with 100% match on the first 5% you contribute, with immediate vestingPaid Time Off (PTO) and Sick Leave to support work-life balanceTeam members receive nine paid holidays plus two floating holidaysOpportunities for advancement in a company that supports personal and professional growthA challenging, stimulating work environment that encourages new ideasWork for a company that values diversity and makes deliberate efforts to create an inclusive workplaceA mission-driven, inclusive culture where your work makes a meaningful impactAny 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 OpportunityAt 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.