Care Coordinator

🔥 0 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 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

• Provide inbound and outbound phone support as a primary contact for payers, patients, caregivers, specialty pharmacies, care centers, distributors, pharmacy compounders, and providers • Coordinate and monitor patient benefits, product orders, and appointment coordination to facilitate the patient journey • Utilize Patient Support Program services on behalf of life sciences manufacturers • Coordinate resources, exchange information, and ensure appropriate delivery of services • 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 access to prescribed therapy • Establish relationships and maintain rapport with healthcare providers and patients • Provide program and patient information to healthcare providers • Explain benefits offered by private/commercial and government payers, including Medicare, Medicaid, VA, and DOD, with expertise in Medicare Part B • Navigate payer challenges and obtain necessary resolutions • Liaise with client contacts, Program Management, internal stakeholders, and healthcare providers • Maintain records according to applicable standards and regulations • Follow program guidelines and escalate complex cases according to SOPs, Call Guides, and program materials • Identify and report pharmacovigilance information, including adverse events and safety complaints, as required • Deliver customer service as a brand advocate and program representative • Communicate patient status, prescriber feedback, coordination challenges, and program effectiveness to Program Management • Understand relevant patient disease states • Assess situations and intervene to obtain timely results • Maintain ethical and professional conduct regarding confidentiality and privacy • Support team morale and use resources for conflict resolution • Complete required corporate-policy and procedure training on time • Ensure consistent adherence to all SOPs • Conduct additional tasks and projects assigned by Project Management

🎯 Requirements

• 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 within a service-driven environment 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 required • 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 • Punctuality, reliability, and strong attendance record • Strong customer service experience and skills • Proficiency with Microsoft Excel, Word, PowerPoint, and Outlook • Prefer candidates able to 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

🏖️ Benefits

• 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 workplace and mission-driven culture • Background check and, depending on the position, drug screen in accordance with company standards