Case Manager

🔥 23 horas atrás

🏈 Alabama – Remoto

🏈 Alabama – Remote

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

👔 Gerente

🚫👨‍🎓 Sem graduação necessária

👻 Score fantasma 10%

O que significa: quão provável esta vaga está aberta sem contratação ativa.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

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Valeris

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

💊 Farmacêutico

🏥 Saúde

🤝 B2B

Pharmaceuticals • Healthcare • B2B

A Valeris é um parceiro totalmente integrado de comercialização em ciências da vida, formada pela fusão da PharmaCord e da Mercalis. A empresa oferece soluções abrangentes ao longo da cadeia de valor da saúde para ajudar as empresas de ciências da vida a levar produtos ao mercado e melhorar o acesso e a adesão dos pacientes. Valeris oferece dados e insights estratégicos, programas de suporte e acesso a pacientes e ferramentas de engajamento de prestadores de saúde, atendendo a mais de 500 clientes de ciências da vida e apoiando milhões de pacientes. Com sedes em Morrisville, Carolina do Norte, e Jeffersonville, Indiana, a Valeris se concentra em viabilizar a comercialização e serviços centrados no paciente para organizações farmacêuticas e de ciências da vida.

Descrição

• Provide inbound and outbound phone support to payers, patients, caregivers, specialty pharmacies, care centers, distributors, compounders, and providers • Coordinate patient benefits, product orders, and appointments to facilitate the patient journey • Serve as an expert on benefit coordination and available support • Handle healthcare provider and patient interactions • Advocate for patients regarding eligibility, enrollment, affordability support, and therapy access • Establish relationships and maintain rapport with healthcare providers and patients • Serve as point of contact for ongoing program support and relationship development • Explain program and patient information to healthcare providers • Navigate payer challenges and obtain appropriate resolutions • Liaise with client contacts and internal stakeholders • Maintain records according to applicable standards and regulations • Follow program guidelines and escalate complex cases according to SOPs, Call Guides, and program materials • Provide customer service as a brand advocate and program representative • Communicate patient status, prescriber feedback, coordination challenges, and program effectiveness to Program Management • Assess patient situations and intervene to obtain timely results • Maintain confidentiality, privacy, ethical conduct, and professional standards • Support team morale and conflict resolution • Follow corporate policies, procedures, and SOPs • Complete assigned tasks and projects

🎯 Requisitos

• Associate or bachelor’s degree and 2 years of reimbursement/insurance, healthcare billing, physician office, health insurance processing preferred, or in lieu of a degree, a High School diploma or equivalent with 5 years of related experience • Call Center/HUB or customer service experience with progressive levels of responsibility required • Excellent oral and written communication skills • Strong working knowledge of prior authorization and appeals required • Strong knowledge of medical and pharmacy insurance terminology and reimbursement/insurance, healthcare billing, physician office, health insurance processing or related benefit coordination experience • Excellent problem-solving and decision-making skills • Attention to detail and committed follow-through • Strong organizational skills in a fast-paced environment • Ability to adapt to change while maintaining program standards • Empathetic listening skills • Punctual, reliable, with a strong attendance record • Proficient with Microsoft Excel, Word, PowerPoint, and Outlook • 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

🏖️ Benefícios

• 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, mission-driven culture • Minimal travel flexibility preferred