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Reimbursement Manager Jobs in Raleigh, NC (NOW HIRING)

Coordinate, engage, and partner with multiple cross-functional team members (i.e., Clinical Nurse Educators and Field Reimbursement Managers) to deliver an integrated product experience to customers

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Reimbursement Manager information

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$44.2K

$91.3K

$120K

How much do reimbursement manager jobs pay per year?

As of Sep 5, 2026, the average yearly pay for reimbursement manager in Raleigh, NC is $91,330.00, according to ZipRecruiter salary data. Most workers in this role earn between $76,800.00 and $105,000.00 per year, depending on experience, location, and employer.

What does a reimbursement manager do?

A reimbursement manager works for a medical provider. Your duties in this position focus on getting third-party payment for services related to health care. Your responsibilities may involve using medical records information and medical coding knowledge to facilitate payments from a health insurer, Medicare provider, or government-run healthcare program. This job may include using codes and data to create a cost report and correcting any mistakes to ensure accuracy before submission to the insurer or agency. In a larger facility, you may oversee a staff of reimbursement specialists.

What does a reimbursement manager do?

A Reimbursement Manager oversees the processes related to insurance claims, billing, and payments for healthcare services. They ensure that their organization receives proper payment from insurance companies and government programs by managing claims submissions, resolving denied claims, and staying updated on payer policies. Reimbursement Managers also analyze reimbursement trends, train staff on best practices, and work to maximize revenue while ensuring compliance with regulations.

What are some common challenges faced by reimbursement managers, and how can they effectively address them?

Reimbursement Managers frequently encounter challenges such as navigating complex payer requirements, adapting to changing healthcare regulations, and ensuring accurate and timely claims processing. To address these issues, it's important to stay updated on policy changes, foster strong relationships with insurance providers, and implement robust internal processes for compliance and claims management. Collaborating closely with billing teams, clinical staff, and external payers can also help mitigate denials and improve reimbursement outcomes.

What are the key skills and qualifications needed to thrive as a reimbursement manager, and why are they important?

To thrive as a Reimbursement Manager, you need expertise in healthcare reimbursement processes, knowledge of payer regulations, and a degree in healthcare administration, finance, or a related field. Familiarity with billing software, claims management systems, and regulatory compliance tools is typically required, along with any relevant certifications such as Certified Professional Coder (CPC). Strong analytical skills, attention to detail, and effective communication help you navigate complex reimbursement cases and collaborate with diverse teams. These skills ensure accurate claims processing, maximize revenue, and maintain regulatory compliance for healthcare organizations.

What is the difference between Reimbursement Manager vs Claims Analyst?

AspectReimbursement ManagerClaims Analyst
CredentialsTypically requires a bachelor’s degree in healthcare administration, business, or related field; certifications like Certified Professional Coder (CPC) or Certified Reimbursement Specialist (CRS) are common.Usually holds a bachelor’s degree in healthcare, finance, or related area; certifications such as CPC or Certified Claims Professional (CCP) may be preferred.
Work EnvironmentManages reimbursement processes in healthcare organizations, insurance companies, or billing firms.Reviews and processes insurance claims within healthcare or insurance settings.
Industry UsageCommonly employed in healthcare, insurance, and billing companies.Found in healthcare providers, insurance companies, and third-party administrators.

The main difference is that Reimbursement Managers oversee the entire reimbursement process, ensuring compliance and efficiency, while Claims Analysts focus on reviewing and processing individual insurance claims. Both roles require similar credentials and work in related environments, but their responsibilities differ in scope and focus.

How to become a reimbursement manager?

To become a reimbursement manager, candidates typically need a bachelor's degree in healthcare administration, finance, or a related field. Relevant experience in billing, claims processing, or healthcare finance is important, along with strong organizational and communication skills. Certifications such as Certified Revenue Cycle Representative (CRCR) can enhance job prospects.

What are the most commonly searched types of Reimbursement jobs in Raleigh, NC?

The most popular types of Reimbursement jobs in Raleigh, NC are:

What are popular job titles related to Reimbursement Manager jobs in Raleigh, NC?

For Reimbursement Manager jobs in Raleigh, NC, the most frequently searched job titles are:

What cities near Raleigh, NC are hiring for Reimbursement Manager jobs?

Cities near Raleigh, NC with the most Reimbursement Manager job openings:

Infographic showing various Reimbursement Manager job openings in Raleigh, NC as of August 2026, with employment types broken down into 86% Full Time, 13% Part Time, and 1% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $91,330 per year, or $43.9 per hour.

Dir/Sr. Director Design - Reimbursement Support

Mercalis

Morrisville, NC • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 25 days ago


Job description

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 Valeris, 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.

As an Designer for Reimbursement Support, you will join our team on a journey to help eliminate barriers for patients, increase their access to medications, and help them receive lifesaving treatments while working in an environment that nurtures you.
The Designer for Reimbursement Support facilitates the detailed design session(s) to collaborate with the client, internal stakeholders and external partners, to successfully design and implement programs.


  • Subject Matter Expert in Market Access with a strong understanding of Patient Affordability services, understands capabilities, lead timelines, production timelines to facilitate the design and launch of new client programs 
  • Supports new and existing program design and implementation processes across assigned Mercalis services
  • Lead and coordinate with Mercalis resources for the detailed design of client programs as the primary point of contact, navigating with both client and internal stakeholders throughout the program design phase for all contracted Mercalis services
  • Gather detailed operational and IT requirements to support program scoping, pricing, and implementation
  • Lead discussions and collect requirements information with clients needed for program design
  • Build design documentation in collaboration with client, internal stakeholders, and other vendors
  • Develop and review recommended processes, systems, technology, and roles with the client for each of the Mercalis proposed solutions
  • Submit work requests via designated ticketing system to appropriate service owner(s)
  • Partner with internal service & product owner(s) as a consultant in the development and/or configuration of implementation deliverables to ensure adherence to the program or service design
  • Stay connected to the operations and IT teams on process and system upgrades to ensure the latest technology is implemented with our new client onboarding projects
  • Serve as a resource for program stakeholders who are responsible for implementation deliverables
  • Facilitate and lead the distribution of requirements to internal and external stakeholders who will be responsible for completing implementation deliverables
  • Coordinate evaluation of custom requirements with client and internal stakeholders
  • Partner with project managers to ensure adherence to deliverables and timelines
  • Obtain final approval and sign off for all program elements with internal and external stakeholders
  • Conduct lessons learned and create recommendations reports to identify successful and unsuccessful program designs
  • Integrate appropriate recommendations into the best practices for future design management

  • Previously served in the following departments at Mercalis or comparable roles at a similar organization – Program Management - Patient Affordability/Market Access, Project Management, Solutions Delivery, Product Owner or Business Analyst
  • Possess a firm understanding of Accumulator & Maximizer Solutions
  • Exceptional note taking skills are required to capture internal & external discussions for visibility to all stakeholders
  • Bachelor’s degree and/or 10+ years of demonstrated strong program design performance or related responsibilities
  • Proven ability to manage multiple tasks simultaneously, often with competing priorities
  • Ability and willingness to take responsibility of delivery from a diverse and often distributed team without formal authority; ability to interact collaboratively with internal stakeholders
  • Highly organized and detail-oriented with strong time management skills for self and project team
  • Strong verbal and written communication skills is a must have for success
  • Must have the business acumen to understand the value to Mercalis and the customer of good scope control as a key part of the project execution
  • Demonstrated ability to manage and oversee creation of and adherence to project plans
  • Must be skilled at conflict resolution in building collaborative solutions
  • Ability to travel up to 20% of the time.
  • Highly organized and detail-oriented
  • Ability to multitask and prioritize client issues
  • Excellent verbal and written communication and interpersonal skills
  • Strong business acumen
  • Internal candidates with Design skills are encouraged to apply

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

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. 

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