Care Coordinator

🔥 45 minutes ago

🐎 Kentucky – Remote

🐎 Kentucky – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

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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

• Ownership of your patients cases from initiation to closure to include; benefit investigations, prior authorizations / denial appeals, determining financial qualifications for assistance programs and assisting patients or other callers/stakeholders through resolution (via email, inbound/outbound calls and using our patented technology, Lynk) • Relationship Management: Builds trusted relationships with patients, prescribers, client stakeholders through proactive communication, timely and accurate execution of deliverables and demonstrated relentless passion for helping patients. Manages all relationships in a manner that adheres to healthcare laws and regulations. • Communications: Performs program welcome calls to patients, performs post Benefits Investigation calls to patients and physicians explaining coverage options, manages all client inquiries unable to be determined by client through reporting, manages HCP inquiries, as applicable, pursuant to business rules. • Inbound Call Management: Manages inbound calls as directed by the program-approved FAQs, triage patients to internal or external resources as appropriate. • Personalized Case Management: Provides personalized case management to patients and HCPs including outbound communication to HCPs and patients to communicate benefit coverage and next steps in obtaining coverage. Leverages electronic tools to identify benefits and payer coverage; completes manual benefit investigation as needed. Identifies and communicates patient’s plan benefit coverage including the need for prior authorization, appeal, tier exception, and/or formulary exclusions. Uses electronic resources to obtain benefit coverage outcome and if needed, outbound call to payers and HCPs to follow up on proper submission and/or outcome. Coordinates nurse teach with field-based nurse educators, as applicable to program. Supports adherence services through coordination of nurse follow up, as applicable to program. Identifies peer support resources for patients. Coordinates shipment of product through patient assistance program and/or bridge program from the PharmaCord pharmacy. Proactively communicates needs for reverification of prior authorization or re-enrollment for patient assistance program. Reports adverse events, product complaints, special situation reports and/or medical inquiries received in accordance with SOPs and the Business Rules. Documents all activities within the PharmaCord Lynk system in accordance with business requirements.

🎯 Requirements

• 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. • 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!

🏖️ 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