Team Lead Field Reimbursement Manager

Valeris•Morrisville, NC

76d

About The Position

The Team Lead Field Reimbursement Manager provides day-to-day leadership and oversight for an assigned team of Field Reimbursement Managers (FRMs). The role coaches and develops team members, supports onboarding and performance management, and fosters accountability, collaboration, professionalism, and continuous improvement. The position ensures consistent execution of client-approved reimbursement services, monitors program activities and workload, reviews reimbursement trends, and partners with Operations to improve workflows. It serves as an escalation point for complex reimbursement challenges, supports client relationships and business reviews, and helps implement product launches and program expansions. The Team Lead conducts field or virtual observations and coaching, monitors performance indicators, develops improvement plans, recognizes strong performance, and reinforces reimbursement knowledge through training and competency assessments. The role collaborates with internal teams and ensures work complies with HIPAA, OIG guidelines, FDA regulations, client SOPs, company policies, and privacy requirements. The position requires up to 40–60% travel based on program and client needs, including overnight travel and travel by automobile and commercial airline. The job operates in a professional office environment and routinely uses standard office equipment. Physical activities include talking or hearing, extended sitting, typing, handling or feeling objects, reaching, and presenting to groups.

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.
Expertise in medical and pharmacy benefits, prior authorization, appeals, Medicare, Medicaid, commercial insurance, specialty pharmacy, HUB operations, buy-and-bill, and coding and billing fundamentals.
Team coaching, performance management, conflict resolution, employee development, change management, executive communication, strategic thinking, decision-making, and problem-solving skills.
Experience using CRM platforms such as Salesforce, Veeva, Lynk, QuickPath, or similar.
Proficiency with Microsoft Office Suite, PowerPoint, Excel, reporting dashboards, virtual meeting platforms, data interpretation, and trend analysis.
Ability to travel up to 40–60% based on program and client needs, including overnight travel, by automobile and commercial airline.
Ability to travel extensively, sit and work at a computer for extended periods, and present to small and large groups.
Ability to talk or hear, sit for extended periods, type, handle or feel objects, and reach with hands and arms.
Successful completion of a background check and, depending on the position, a drug screen in accordance with company standards.

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.
Typing ability of at least 35 words per minute with 97% accuracy.

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 in 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 that require escalation.
Partner with Operations to optimize workflows and improve efficiencies.
Ensure documentation is timely, accurate, and compliant within 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 virtual observations to provide coaching and ensure consistent execution.
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 and share best practices across the organization.
Reinforce reimbursement knowledge 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, with 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 work.