Case Manager

🔥 14 hours ago

🏈 Alabama – Remote

🏈 Alabama – Remote

⏱ Part Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 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 to payers, patients, caregivers, specialty pharmacies, site-of-care centers, specialty distributors, pharmacy compounders, and providers • Coordinate patient benefits, product orders, and appointment scheduling to facilitate the patient journey • Deliver services through the Patient Support Program on behalf of a manufacturer client • Coordinate resources, exchange information, and ensure appropriate support as a dedicated contact • Handle healthcare provider and patient interactions as an expert in benefit coordination and available support • Advocate for patients regarding eligibility, program enrollment, affordability support, and access to prescribed therapy • Establish relationships and maintain rapport with healthcare providers and patients • Provide ongoing program and patient information to healthcare providers • Navigate payer challenges and support prior authorization and appeals • Liaise with client contacts, Program Management, internal stakeholders, and healthcare providers • Maintain records according to applicable standards, regulations, SOPs, Call Guides, and program materials • Escalate complex cases and assess situations to obtain timely results • Provide customer service as a brand advocate and program representative • Communicate patient status, prescriber feedback, coordination challenges, and program effectiveness to Program Management • Maintain confidentiality, privacy, ethical conduct, and professional standards • Complete training and follow corporate policies, procedures, and SOPs • Perform additional tasks or projects as assigned

🎯 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 reimbursement/insurance, healthcare billing, physician office, health insurance processing • 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 in communication with patients, providers, and internal/external stakeholders • Strong organizational skills for a fast-paced environment • Ability to adapt to change while maintaining Program standards • Strong customer service experience and skills • 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 • Punctual and reliable with a strong attendance record • Successful completion of a background check and, depending on the position, a drug screen

🏖️ Benefits

• 401(k) Retirement Savings Plan with 100% match on the first 5% you contribute, with immediate vesting • Opportunities for advancement in a company that supports personal and professional growth • A challenging, stimulating work environment that encourages new ideas • Inclusive workplace that values diversity • Mission-driven, inclusive culture where work makes a meaningful impact