Senior Manager, Field Reimbursement Operations

Valeris

. Lead and provide operational oversight for an assigned team of Field Reimbursement Managers .

Posted 10/15/2026full-timeRemote • North Carolina • United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare reimbursement management, team leadership, and operational oversight, with a strong focus on compliance, performance improvement, and client engagement. Proficient in developing training materials and conducting competency assessments to enhance team capabilities.

Highest-signal resume keywords

Healthcare Reimbursement ManagementTeam LeadershipCRM Platforms (Salesforce, Veeva)Performance ManagementCompliance with HIPAA and FDA Regulations

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare ReimbursementMarket AccessData InterpretationTrend AnalysisCoding and Billing FundamentalsChange ManagementConflict ResolutionEmployee DevelopmentStrategic ThinkingDecision-Making

Soft Skills

CoachingMentoringExecutive CommunicationProblem SolvingEmployee Engagement

Tools & Technologies

Microsoft Office SuitePowerPointExcelReporting DashboardsVirtual Meeting Platforms

Industry Keywords

Pharmaceutical CompaniesSpecialty PharmacyProvider OfficesPrior AuthorizationMedicareMedicaidCommercial InsuranceHUB OperationsBuy-and-BillRare Disease

About the role

Key responsibilities & impact

Lead and provide operational oversight for an assigned team of Field Reimbursement Managers
Coach, mentor, and develop FRMs through one-on-ones, field observations, ride-alongs, and performance feedback
Conduct new-hire onboarding and assist with development plans
Assist in interviewing and selecting new team members
Manage employee performance, recognition, coaching, corrective action, and performance improvement plans
Promote employee engagement and retention
Ensure consistent execution of client-approved reimbursement services
Monitor daily program activities and workload distribution
Review reimbursement trends and escalate barriers
Partner with Operations to optimize workflows and improve efficiencies
Ensure timely, accurate, and compliant CRM documentation
Support 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
Observe provider interactions and provide 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
Reinforce reimbursement knowledge and partner with Training to identify knowledge gaps
Assist in developing training materials and conducting competency assessments
Facilitate team meetings and educational sessions
Collaborate with Senior Regional Managers, Program Operations, Client Program Directors, Analytics, Reporting, Training, Compliance, Quality Assurance, Recruiting, and Human Resources
Ensure compliance with HIPAA, OIG Guidelines, FDA regulations, client SOPs, company policies, and privacy requirements
Promote ethical business practices and report compliance concerns

Requirements

What you’ll need

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
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 of medical benefit, pharmacy benefit, 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
Experience with CRM platforms such as Salesforce, Veeva, Lynk, QuickPath, or similar
Proficiency with Microsoft Office Suite, PowerPoint, Excel, reporting dashboards, and virtual meeting platforms
Data interpretation and trend analysis skills
Knowledge of HIPAA, OIG Guidelines, FDA regulations, client SOPs, company policies, and privacy requirements
Ability to travel by automobile and commercial airline
Ability to present to small and large groups
Ability to sit and work at a computer for extended periods
Prefer candidates who can type at least 35 words per minute with 97% accuracy
Flexibility to travel as needed preferred
Successful completion of a background check and, depending on the position, a drug screen

Benefits

Comp & perks

Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs
Telehealth and Employee Assistance Program (EAP) 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, with immediate vesting
Paid Time Off (PTO) and Sick Leave
Nine paid holidays plus two floating holidays
Opportunities for advancement and personal and professional growth
Challenging, stimulating work environment that encourages new ideas
Inclusive workplace and mission-driven culture
Background check and, depending on position, drug screen required as a condition of employment