Case Manager

🕒 il y a 1 mois

🏈 Alabama – Distant

🏈 Alabama – Remote

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

👔 Manager

🚫👨‍🎓 Aucun diplôme requis

👻 Score fantôme 16%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Valeris

Site WebLinkedInTous les Emplois

1001 - 5000 employés

💊 Pharmaceutique

🏥 Santé

🤝 B2B

Pharmaceuticals • Healthcare • B2B

Valeris est un partenaire de commercialisation intégré dans le domaine des sciences de la vie, issu de la fusion de PharmaCord et Mercalis. L'entreprise propose des solutions complètes sur toute la chaîne de valeur des soins de santé pour aider les entreprises des sciences de la vie à commercialiser leurs produits et à améliorer l'accès et l'observance des patients. Valeris offre des données et des informations stratégiques, des programmes de soutien et d'accès pour les patients, ainsi que des outils d'engagement pour les fournisseurs de soins de santé, en servant plus de 500 clients dans le secteur des sciences de la vie et en aidant des millions de patients. Basée à Morrisville, en Caroline du Nord, et à Jeffersonville, dans l'Indiana, Valeris se concentre sur la facilitation de la commercialisation et des services centrés sur le patient pour les organisations pharmaceutiques et des sciences de la vie.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

• 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