Executive Care Coordinator, Bilingual

🔥 0 minutes ago

🌵 Arizona, North Carolina – Remote

🌵 Arizona – Remote 🌲 North Carolina – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

💬 Bilingual

👻 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

• Manage patients’ journeys from initiation to closure • Deliver patient support for access to complex medications • Complete benefit investigations and track prior authorizations and denial appeals • Assist patients, caregivers, healthcare providers, specialty pharmacies, and other stakeholders via email and inbound/outbound calls • Explain coverage options, eligibility, reimbursement support tools, and next steps • Manage inbound calls and triage patients to appropriate resources • Provide personalized case management and communicate benefit coverage • Identify prior authorization, appeal, tier-exception, and formulary-exclusion requirements • Contact payers and healthcare providers regarding benefit coverage outcomes and submissions • Coordinate nurse teaching with nurse educators and support adherence services • Identify peer-support resources and re-enrollment or prior-authorization reverification needs • Report adverse events, product complaints, special situation reports, and medical inquiries • Document reimbursement activities, claims status, payments, and appeals in Lynk • Generate reports and analyses to identify trends and improvement opportunities • Follow laws, regulations, program procedures, HIPAA, SOPs, and training requirements • Perform additional assigned tasks and projects

🎯 Requirements

• Fluent in both Spanish and English • Completion of Bachelor's degree or higher required; healthcare administration, social science, or similar fields strongly preferred • In lieu of a degree, five plus years of experience in insurance reimbursement, patient access, direct patient care, and/or patient education required • Two years of experience in insurance reimbursement, patient access, direct patient care, and/or patient education required • Minimum two years of experience in healthcare access delivery or management strongly preferred • Other relevant certifications and five or more consecutive years of relevant experience considered; examples include PACS, CHES, or CCM • Strong understanding of medical terminology and coding systems including ICD-10, CPT, and HCPCS • Knowledge of insurance processes, HIPAA, and Medicare/Medicaid guidelines • Excellent attention to detail and organizational skills • Ability to prioritize tasks and work efficiently in a fast-paced environment • Effective written and verbal communication and interpersonal skills • Critical thinking and issue-resolution ability • Must meet work-from-home criteria and business-need requirements for remote eligibility • Ability to type at least 35 words per minute with 97% accuracy preferred • Background check and, depending on position, drug screen required as a condition of employment

🏖️ 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 • Minimal travel flexibility preferred