Senior Manager, Field Reimbursement Operations

🔥 1 minute ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟠 Senior

⚙️ Operations

👻 Ghost score 10%

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Valeris

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

💊 Pharmaceuticals

🏥 Healthcare

🤝 B2B

Pharmaceuticals • Healthcare • B2B

Valeris is a fully integrated life sciences commercialization partner formed by the merger of PharmaCord and Mercalis. The company provides comprehensive solutions across the healthcare value chain to help life sciences companies bring products to market and improve patient access and adherence. Valeris offers data and strategic insights, patient support and access programs, and healthcare provider engagement tools, serving over 500 life sciences customers and supporting millions of patients. Headquartered in Morrisville, North Carolina and Jeffersonville, Indiana, Valeris focuses on enabling commercialization and patient-centric services for pharmaceutical and life sciences organizations.

📋 Description

• 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

• 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

• 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