Senior Manager, Field Reimbursement Operations

Valeris•Remote, North Carolina, NC

About The Position

The Senior Manager, Field Reimbursement Operations is the first-line leader for a team of Field Reimbursement Managers (FRMs). The role provides operational oversight, coaching, performance management, and strategic support, while maintaining a limited portfolio of key provider accounts when appropriate. It ensures consistent execution of client program objectives, reimbursement excellence, and exceptional customer service across assigned therapeutic areas. The Senior Manager partners closely with the Senior Director, Operations, Training, Quality, Analytics, and Client Program Leadership to drive program performance, ensure compliance, and deliver reimbursement support to healthcare providers. The position includes team leadership and development, operational oversight, client partnership, field coaching, performance management, training, cross-functional collaboration, and compliance responsibilities. Travel may reach 40–60% depending on program and client needs, including overnight travel. The role operates in a professional office environment and routinely uses standard office equipment. Valeris is a life sciences commercialization partner formed by the merger of PharmaCord and Mercalis. It provides patient support services, healthcare provider engagement tools, data and strategic insights, and access and affordability support for life sciences companies. The company is headquartered in Morrisville, North Carolina, and Jeffersonville, Indiana.

Requirements

Bachelor's degree or equivalent years of experience in field reimbursement management and field leadership.
Experience with field-based teams working in or with pharmaceutical companies.
At least 5 years of healthcare reimbursement, market access, specialty pharmacy, or field reimbursement experience.
Experience working with manufacturers, specialty pharmacies, and provider offices.
Knowledge of medical and pharmacy benefits, prior authorization, appeals, Medicare, Medicaid, commercial insurance, specialty pharmacy, HUB operations, buy-and-bill, and coding and billing fundamentals.
Leadership capabilities including team coaching, performance management, conflict resolution, employee development, change management, executive communication, strategic thinking, decision-making, and problem solving.
Technical proficiency with CRM platforms such as Salesforce, Veeva, Lynk, QuickPath, or similar; Microsoft Office Suite; PowerPoint; Excel; reporting dashboards; virtual meeting platforms; and data interpretation and trend analysis.
Ability to travel up to 40–60% based on program and client needs, by automobile and commercial airline, with overnight travel required.
Ability to sit and work at a computer for extended periods and present to small and large groups.
Regularly required to talk or hear; frequently required to sit for long periods, type, handle or feel objects, and reach with hands and arms.
Candidates are preferred to be able to type at least 35 words per minute with 97% accuracy.
Completion of a background check and, depending on the position, a drug screen is required for any employment offer.

Nice To Haves

At least 2 years of leadership or team lead experience.
Experience leading remote field teams.
Experience supporting specialty, rare disease, oncology, immunology, neurology, or other complex therapeutic areas.
Flexibility to travel as needed.

Responsibilities

Provide day-to-day leadership and oversight for an assigned team of Field Reimbursement Managers.
Coach, mentor, and develop FRMs through one-on-one meetings, field observations, ride-alongs, and performance feedback.
Foster accountability, collaboration, professionalism, and continuous improvement.
Conduct new-hire onboarding and assist with ongoing development plans.
Assist with interviewing and selecting new team members.
Manage employee performance through recognition, coaching, corrective action, and performance improvement plans.
Promote employee engagement and retention through consistent leadership and communication.
Ensure 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 in CRM platforms.
Support implementation of new initiatives and operational enhancements.
Serve as an escalation point for complex reimbursement challenges.
Participate in client meetings, business reviews, and strategic planning sessions.
Build relationships with client leadership and internal cross-functional partners.
Support new product launches and program expansions.
Assist with Quarterly Business Reviews, monthly reporting, and client presentations.
Conduct routine field travel with FRMs or provide virtual coaching as required.
Observe provider interactions and provide immediate developmental feedback.
Identify reimbursement trends affecting provider offices.
Reinforce standardized messaging and approved reimbursement education.
Monitor productivity, CRM documentation quality, case progression, provider engagement, activity metrics, quality measures, and client-specific KPIs.
Develop performance improvement action plans when needed.
Recognize high-performing employees and share best practices across the organization.
Reinforce reimbursement knowledge across assigned therapeutic areas and partner with Training to identify knowledge gaps.
Assist in developing training materials, conduct competency assessments, and facilitate team meetings and educational sessions.
Collaborate with Senior Regional Managers, Program Operations, Client Program Directors, Analytics, Reporting Teams, Training, Compliance, Quality Assurance, Recruiting, and Human Resources.
Ensure activities comply with HIPAA, OIG guidelines, FDA regulations, client SOPs, company policies, and privacy requirements.
Promote ethical business practices and report compliance concerns appropriately.

Benefits

Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs.
Telehealth and Employee Assistance Program services.
Company match on Health Savings Account contributions.
Free basic life and AD&D coverage equal to annual earnings, with a minimum of $50,000 and a maximum of $300,000.
Company-paid Short-Term Disability coverage and the option to purchase Long-Term Disability.
401(k) Retirement Savings Plan with 100% match on the first 5% contributed and immediate vesting.
Paid Time Off and Sick Leave.
Nine paid holidays plus two floating holidays.
Opportunities for advancement and personal and professional growth.
A challenging, stimulating work environment that encourages new ideas.
An inclusive, mission-driven culture that values diversity and meaningful impact.