Program Supervisor

🕒 6 days ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

✨ Supervisor

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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

• Responsible for performance management including but not limited to, coaching and mentoring subordinates, employee counseling, employee performance appraisals, conflict resolution and schedule adherence • Liaison between Program Manager and Team • Keeps the Program Manager abreast on all aspects concerning the Program • Plans daily schedule, assigns tasks and ensures daily goals are met • Submits daily and weekly reports to the Program Manager regarding productivity statistics at both the team and employee level • Provides organization and direction for daily reimbursement support according to the scope of services provided in the statement of work • Evaluate and monitor Program needs, identifies unmet needs and provides recommendations for internal process improvement and workflow efficiency • Follows program guidelines and assists with the implementation of process improvements • Serves as an advocate to patients and healthcare professionals regarding insurance coverage, medical billing, reimbursement process, and general access for complex pharmaceuticals • Ability to perform thorough insurance benefit investigations, communicate insurance coverage to patients and providers, guide and follow up on prior authorizations, and assist with appeal processes • Provides counsel and strategies on coverage and reimbursement issues to patients and healthcare providers, and works on patients’ behalf to identify and assess reimbursement coverage options • Establishes relationships, develops trust, and maintains rapport with patients and healthcare providers; Acts as an assigned liaison to client contacts (e.g., regional contact for sales representatives) • Preparation of and participation in client audits • Communicates and coordinates with inter-departmental stakeholders to resolve program specific escalations, conflicts and/or questions • Problem solves issues with autonomy and serves as first line of escalation for complex reimbursement issues • Routinely conducts quality assurance activities through reviews, meetings, reports, observation of results, according to standard operating procedures, program specific procedures and regulatory compliance • Identify and report pharmacovigilance information as required by client(s) (i.e., Adverse Events) • Participates in and conducts meetings, as necessary • Responsible for performance management including but not limited to, coaching and mentoring subordinates, employee counseling, employee performance appraisals, conflict resolution and schedule adherence. • Utilize Valeris’ values as the driving force behind the team’s success • On time adherence to training deadlines for all corporate policies and procedures • Ensure all SOPs are followed with consistency • Perform additional tasks or projects as assigned

🎯 Requirements

• 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 4 years of reimbursement/insurance, healthcare billing, physician office, health insurance processing • 3-5 years supervisory experience preferred with progressive levels of responsibility within a service driven environment • Extensive knowledge of pharmacy benefit methodologies • Extensive knowledge of Medicare, Medicaid, and private payer payment methodologies • Initiative and strong work ethic critical • Ability to lead within a fluid and dynamic environment • Excellent problem-solving and decision-making skills required • Attention to details • Strong organizational and communication skills

🏖️ Benefits

• 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