Executive Care Coordinator

🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Executive

👻 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 the patient journey from initiation to closure • Complete benefit investigations and track prior authorizations and denial appeals • Assist patients and callers/stakeholders through resolution via email, inbound/outbound calls, and Lynk technology • Provide expertise on insurance coverage and access and reimbursement challenges • Educate patients, caregivers, healthcare providers, and HCP offices on benefits, eligibility, payer processes, and available support tools • Build trusted relationships with patients, prescribers, specialty pharmacies, healthcare professionals, and client stakeholders • Manage inbound calls according to program-approved FAQs and triage patients to appropriate resources • Provide personalized case management and communicate benefit coverage and next steps • Identify prior authorization, appeal, tier exception, and formulary exclusion requirements • Follow up with payers and HCPs regarding submissions and outcomes • Coordinate nurse teaching with nurse educators and support adherence services as applicable • Identify peer support resources and communicate reverification or re-enrollment needs • Identify and report adverse events, product complaints, special situation reports, and medical inquiries • Document reimbursement activities, claims status, payments, and appeals in Lynk • Generate reports and analysis to identify trends and improvement opportunities • Follow company values, training deadlines, SOPs, and assigned projects

🎯 Requirements

• Completion of Bachelor's degree (or higher) required • 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 • Strong understanding of medical terminology and coding systems (ICD-10, CPT, HCPCS) • Strong understanding of insurance processes • Knowledge of healthcare compliance regulations, including 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 • Ability to think critically and resolve issues • Bi-lingual skills are a plus • Ability to type at least 35 words per minute with 97% accuracy preferred • Flexibility to travel as needed preferred • Remote work eligibility subject to work-from-home criteria and business need • 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