Team Lead Field Reimbursement Manager

Valeris•Morrisville, NC

12d

About The Position

The Team Lead Field Reimbursement serves as 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 Team Lead partners closely with the Senior Director, Operations, Training, Quality, Analytics, and Client Program Leadership to drive program performance, ensure compliance, and deliver reimbursement support for healthcare providers. The role includes team leadership and development, operational oversight, client partnership, field coaching, performance monitoring, training support, cross-functional collaboration, and compliance oversight. The position involves up to 40–60% travel based on program and client needs, including automobile and commercial airline travel and overnight stays. It operates in a professional office environment and routinely uses standard office equipment.

Requirements

Bachelor's degree or equivalent years of experience in field reimbursement management and field leadership.
Experience in field-based teams working in or with pharmaceutical companies.
Minimum 5 years of healthcare reimbursement, market access, specialty pharmacy, or field reimbursement experience.
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 abilities 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 by automobile and commercial airline; overnight travel is required.
Ability to travel extensively, sit and work at a computer for extended periods, and present to small and large groups.
Regular ability to talk or hear; frequent ability to sit for long periods, type, handle or feel, and reach with hands and arms.

Nice To Haves

Minimum 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.
Experience working with manufacturers, specialty pharmacies, and provider offices.
Ability to type at least 35 words per minute with 97% accuracy.
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 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.
Ensure consistent execution of client-approved reimbursement services and monitor program activities and workload distribution.
Review reimbursement trends, identify barriers requiring escalation, and partner with Operations to optimize workflows and improve efficiency.
Ensure timely, accurate, and compliant documentation within CRM platforms.
Support implementation of new initiatives, operational enhancements, product launches, and program expansions.
Serve as an escalation point for complex reimbursement challenges.
Participate in client meetings, business reviews, and strategic planning sessions; assist with QBRs, monthly reporting, and client presentations.
Build relationships with client leadership and internal cross-functional partners.
Conduct field travel or virtual observations with FRMs, observe provider interactions, and provide developmental feedback.
Identify reimbursement trends affecting provider offices and 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, recognize high-performing employees, and share best practices.
Reinforce reimbursement knowledge, 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 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 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.