Patient Engagement Specialist

🔥 0 minutes ago

🌐 United States, Canada – Remote

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🏈 Alabama, Alaska, +44 more states – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

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Valeris

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

• Build and maintain trusted relationships with patients through proactive communication and timely, accurate services • Ensure interactions and relationship management comply with relevant healthcare laws and regulations • Conduct program welcome calls and explain available services and resources • Use motivational interviewing to involve patients in healthcare goal setting • Perform post-Benefits Investigation calls and explain coverage options • Handle client and patient inquiries according to business rules and approved FAQs • Explain reimbursement, billing, coverage benefits, financial responsibilities, and assistance resources • De-escalate challenging situations and triage patients to appropriate resources • Document patient enrollment and all activities in the Lynk system • Provide education about products, treatment, insurance benefits, out-of-pocket costs, financial assistance, and treatment support • Manage assigned cases and tasks to maintain service levels • Support patients in following prescribed therapy plans • Identify benefits and payer coverage through electronic tools and manual investigations • Identify and communicate prior authorization, appeal, tier exception, and formulary exclusion requirements • Contact payers and healthcare providers for benefit follow-up • Coordinate nurse follow-up and adherence services as applicable • Recommend peer support resources • Coordinate product shipments through patient assistance and bridge programs from the PharmaCord pharmacy • Communicate prior authorization re-verification and patient assistance re-enrollment needs • Report adverse events, product complaints, special situation reports, and medical inquiries according to SOPs and Business Rules

🎯 Requirements

• Bachelor's degree strongly preferred or equivalent experience required; completion of a high school diploma or GED is required • Customer service and healthcare industry experience strongly preferred • Ability to work an 8.5-hour shift between 8 am and 9 pm, Monday to Friday required • Bi-lingual in English and Spanish or Chinese/Mandarin is a plus • Commitment to the mission of care coordination • Passionate, trustworthy, and empathetic when working with patients • Good communication and interpersonal skills and ability to speak concisely to patients • Flexible and adaptable in response to changing patient and healthcare providers’ needs • Professional telephone etiquette • Basic computer knowledge • Ability to multitask effectively • Must maintain honesty and integrity and take responsibility for performance • Ability to adapt to change, innovate, take initiative, pursue goals persistently, and remain service oriented • Regularly talk or hear; frequently sit for long periods, type, handle or feel, and reach with hands and arms • Prefer candidates who can type at least 35 words per minute with 97% accuracy • Flexibility to travel as needed is 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 encouraging new ideas • Inclusive workplace and mission-driven culture • Background check and, depending on the position, drug screen required as a condition of employment

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