Senior Manager, Field Reimbursement Operations

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Lead and oversee the operations of a designated team of Field Reimbursement Managers.

• Coach, mentor, and nurture FRMs through individualized sessions, field observations, ride-alongs, and performance evaluations.

• Facilitate onboarding for new hires and assist in creating development plans.

• Help in the recruitment and selection process of new team members.

• Manage employee performance, recognition, mentoring, corrective actions, and performance improvement initiatives.

• Foster employee engagement and retention.

• Ensure the consistent execution of reimbursement services approved by clients.

• Track daily program activities and workload assignments.

• Analyze reimbursement trends and address barriers as needed.

• Collaborate with Operations to enhance workflows and improve efficiencies.

• Guarantee timely, accurate, and compliant documentation within CRM systems.

• Support the implementation of new initiatives and operational improvements.

• Act as a point of escalation for complex reimbursement issues.

• Engage in client meetings, business reviews, and strategic planning sessions.

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

• Assist with the launch of new products and expansion of programs.

• Contribute to Quarterly Business Reviews, monthly reporting, and client presentations.

• Conduct routine field visits with FRMs or offer virtual coaching support.

• Observe interactions with providers and deliver developmental feedback.

• Identify reimbursement trends that may impact provider offices.

• Reinforce standardized communication and approved reimbursement education.

• Monitor productivity, quality of CRM documentation, case progress, provider engagement, activity metrics, quality measures, and client-specific KPIs.

• Develop action plans for performance improvement and share best practices.

• Strengthen reimbursement knowledge and collaborate with Training to identify knowledge gaps.

• Assist in the creation of training materials and conduct competency assessments.

• Lead team meetings and educational sessions.

• Work in conjunction with Senior Regional Managers, Program Operations, Client Program Directors, Analytics, Reporting, Training, Compliance, Quality Assurance, Recruiting, and Human Resources.

• Ensure adherence to HIPAA, OIG Guidelines, FDA regulations, client SOPs, corporate policies, and privacy requirements.

• Advocate for ethical business practices and report any compliance concerns.

⛳️ Requirements

• Bachelor's Degree or equivalent experience in field reimbursement management and leadership.

• Proven experience with field-based teams in or associated with pharmaceutical companies.

• At least 5 years of experience in healthcare reimbursement, market access, specialty pharmacy, or field reimbursement roles.

• A minimum of 2 years in a leadership or team lead capacity is preferred.

• Strong preference for candidates with experience leading remote field teams.

• Experience in specialty, rare disease, oncology, immunology, neurology, or other complex therapeutic areas is preferred.

• Familiarity with manufacturers, specialty pharmacies, and provider offices.

• Knowledge of medical benefits, pharmacy benefits, prior authorizations, appeals, Medicare, Medicaid, commercial insurance, specialty pharmacy, HUB operations, buy-and-bill, as well as coding and billing fundamentals.

• Skills in team coaching, performance management, conflict resolution, employee development, change management, executive communication, strategic thinking, decision-making, and problem-solving.

• Experience using CRM platforms such as Salesforce, Veeva, Lynk, QuickPath, or similar systems.

• Proficiency in Microsoft Office Suite, PowerPoint, Excel, reporting dashboards, and virtual meeting tools.

• Ability to interpret data and analyze trends.

• Familiarity with HIPAA, OIG Guidelines, FDA regulations, client SOPs, corporate policies, and privacy requirements.

• Capability to travel by car and commercial airline.

• Ability to present information to both small and large audiences.

• Capacity to sit and work at a computer for extended periods.

• Preference for candidates who can type a minimum of 35 words per minute with 97% accuracy.

• Flexibility to travel as required is preferred.

• Successful completion of a background check and, depending on the role, a drug screening is required.

🏝️ Benefits

• Comprehensive medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing towards premium costs.

• Access to Telehealth and Employee Assistance Program (EAP) services.

• Company matching on Health Savings Account contributions.

• Complimentary Basic Life and AD&D coverage equivalent to annual earnings, with coverage ranging from a minimum of $50,000 to a maximum of $300,000.

• Company-funded Short-Term Disability coverage, with the option to purchase Long-Term Disability.

• 401(k) Retirement Savings Plan with a 100% match on the first 5% contributed, featuring immediate vesting.

• Paid Time Off (PTO) and Sick Leave.

• Nine paid holidays plus two floating holidays.

• Opportunities for career advancement and personal as well as professional growth.

• A challenging and stimulating work environment that promotes innovative ideas.

• An inclusive workplace with a mission-driven culture.

• Background check and, depending on the position, drug screening required as a condition of employment.