Care Coordinator

🔥 6 minutes ago

🐎 Kentucky – Remote

🐎 Kentucky – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Own patient cases from initiation to closure • Perform benefit investigations, prior authorizations, denial appeals, and financial qualification assessments for assistance programs • Assist patients and callers/stakeholders through resolution via email, inbound/outbound calls, and Lynk technology • Build trusted relationships with patients, prescribers, and client stakeholders • Manage relationships in accordance with healthcare laws and regulations • Perform program welcome calls and post-benefits-investigation calls to patients and physicians • Manage client and HCP inquiries according to reporting requirements and business rules • Manage inbound calls using program-approved FAQs • Triage patients to internal or external resources • Provide personalized case management and communicate benefit coverage and next steps • Identify benefits and payer coverage using electronic tools and manual investigations • Communicate coverage details, including prior authorization, appeal, tier exception, and formulary exclusion requirements • Follow up with payers and HCPs regarding submissions and outcomes • Coordinate nurse education and nurse follow-up services • Identify peer support resources • Coordinate product shipments through patient assistance and bridge programs from the PharmaCord pharmacy • Communicate needs for prior authorization reverification or patient assistance program re-enrollment • Report adverse events, product complaints, special situation reports, and medical inquiries according to SOPs and business rules • Document activities in the PharmaCord Lynk system • Complete training deadlines and follow SOPs • Perform additional assigned tasks or projects

🎯 Requirements

• Detail oriented • Professional telephone etiquette • Self-awareness of your own emotions and the potential impact on others • Basic computer knowledge • Ability to multitask effectively • Ability to recognize emotions and their effects • Sureness about self-worth and capabilities • Manage disruptive impulses • Maintain standards of honesty and integrity • Takes responsibility for performance • Adapts and handles change with flexibility • Is innovative and open to new ideas • Achievement driven; constant striving to improve or to meet a standard of excellence • Aligns with the goals of the group or organization • Ready to take initiative and act on opportunities • Be optimistic and pursue goals persistently despite obstacles and setbacks • Be service oriented and anticipate, recognize and meet needs of others, including patients and care partners • Clear and concise communication • Positive attitude! • Bachelor’s degree strongly preferred or equivalent experience required • Customer service and healthcare industry experience is preferred but not required • Ability to work an 8.5-hour shift between 8 am to 9 pm, Monday to Friday required • Bi-lingual skills in Spanish and English are a plus • Remote work eligibility is subject to all work from home criteria met and based on business need • Ability to talk or hear regularly; sit for long periods; 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 • Flexibility to travel as needed is preferred • Successful completion of a background check and, depending on the position, a drug screen

🏖️ 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