Senior Manager, Field Reimbursement Operations

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life sciences innovation to real-life impact to build a world in which every patient gets the care they need. Valeris works on behalf of life sciences companies to improve the patient experience so that patients can access and adhere to critical medications. Backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Valeris provides commercialization solutions to more than 500 life sciences customers and has provided access and affordability support to millions of patients. The company is headquartered in Morrisville, North Carolina and Jeffersonville, Indiana. To learn more about Valeris, please visit www.valeris.com.

The Senior Manager, Field Reimbursement Operations serves as the first-line leader for a team of Field Reimbursement Managers (FRMs), providing operational oversight, coaching, performance management, and strategic support while maintaining a limited portfolio of key provider accounts when appropriate. This role is responsible for ensuring the consistent execution of client program objectives, reimbursement excellence, and exceptional customer service across assigned therapeutic areas.

The Senior Manager, Field Reimbursement Operations partners closely with the Senior Director, Operations, Training, Quality, Analytics, and Client Program Leadership to drive program performance, ensure compliance, and deliver best-in-class reimbursement support for healthcare providers.

Team Leadership

Provide day-to-day leadership and oversight for an assigned team of Field Reimbursement Managers.

Coach, mentor, and develop FRMs through regular one-on-one meetings, field observations, ride-alongs, and performance feedback.

·Foster a culture of 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.

Operational Leadership

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 within all CRM platforms.

Support implementation of new initiatives and operational enhancements.

Client Partnership

Serve as an escalation point for complex reimbursement challenges.

Participate in client meetings, business reviews, and strategic planning sessions.

Build strong relationships with client leadership and internal cross-functional partners.

Support implementation of new product launches and program expansions.

Assist with Quarterly Business Reviews (QBRs), monthly reporting, and client presentations.

Field Leadership

Conduct routine field travel with FRMs or virtual as required to provide coaching and ensure execution consistency.

Observe provider interactions and provide immediate developmental feedback.

Identify reimbursement trends impacting provider offices.

Reinforce standardized messaging and approved reimbursement education.

Performance Management

Monitor key performance indicators including: Productivity

CRM documentation quality

Case progression

Provider engagement

Activity metrics

Quality measures

Client-specific KPIs

Develop action plans for performance improvement when needed.

Recognize high-performing employees and share best practices across the organization.

Training & Development

Reinforce reimbursement knowledge across assigned therapeutic areas.

Partner with Training to identify knowledge gaps.

Assist in development of training materials.

Conduct ongoing competency assessments.

Facilitate team meetings and educational sessions.

Cross-Functional Collaboration

Work closely with:

Senior Regional Managers

Program Operations

Client Program Directors

Analytics

Reporting Teams

Training Department

Compliance

Quality Assurance

Recruiting

Human Resources

Compliance

Ensure all activities comply with: HIPAA

OIG Guidelines

FDA regulations

Client SOPs

Company Policies

Privacy requirements

Promote ethical business practices.

Report compliance concerns appropriately.

Minimum Qualifications

Education

Bachelor's Degree or equivalent years of experience in the field reimbursement management and field leadership

Experience in field based teams working in or with pharmaceutical companies

Experience

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 & Skills

Reimbursement Expertise

Medical Benefit

Pharmacy Benefit

Prior Authorization

Appeals

Medicare

Medicaid

Commercial Insurance

Specialty Pharmacy

HUB Operations

Buy-and-Bill

Coding and Billing Fundamentals

Leadership Skills

Team coaching

Performance management

Conflict resolution

Employee development

Change management

Executive communication

Strategic thinking

Decision-making

Problem solving

Technical Skills

CRM platforms (Salesforce, Veeva, Lynk, QuickPath, or similar)

Microsoft Office Suite

PowerPoint

Excel

Reporting dashboards

Virtual meeting platforms

Data interpretation and trend analysis

Core Competencies

Leadership

Accountability

Customer Focus

Strategic Thinking

Collaboration

Emotional Intelligence

Business Acumen

Adaptability

Coaching & Mentoring

Operational Excellence

Communication

Critical Thinking

Relationship Building

Time Management

Travel Requirements

Up to 40–60% travel based on program and client needs.

Ability to travel by automobile and commercial airline.

Overnight travel required.

Physical Requirements

Ability to travel extensively.

Ability to sit and work at a computer for extended periods.

Ability to present to small and large group

Physical Demands & Work Environment

While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit for long periods of time, use hands to type, handle or feel; and reach with hands and arms. Prefer candidates who can type at least 35 words per minute with 97% accuracy.

Although very minimal, flexibility to travel as needed is preferred.

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.

Why Work for Valeris?

We’re committed to supporting the well-being and success of our team members. As part of our organization, full-time employees can expect:

Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs

Additional health support, including telehealth and Employee Assistance Program (EAP) services

Company match on Health Savings Account contributions

Free Basic Life and AD&D coverage equal to your 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% you contribute, with immediate vesting

Paid Time Off (PTO) and Sick Leave to support work-life balance

Team members receive nine paid holidays plus two floating holidays

Opportunities for advancement in a company that supports personal and professional growth

A challenging, stimulating work environment that encourages new ideas

Work for a company that values diversity and makes deliberate efforts to create an inclusive workplace

A mission-driven, inclusive culture where your work makes a meaningful impact

Any offer of employment is contingent upon the successful completion of a background check and, depending on the position, a drug screen in accordance with company standards. Please note that this job description is not intended to be an exhaustive list of all duties, responsibilities, or activities associated with the position. Responsibilities and tasks may be modified at any time, with or without notice.

Our Commitment to Equal Opportunity

At Valeris, we don’t just accept difference – we celebrate it, support it and we thrive on it for the benefit of our employees, our products and our community. Valeris is proud to be an equal opportunity employer.