Patient Navigator

🔥 0 minutes ago

🐎 Kentucky, North Carolina – Remote

🐎 Kentucky – Remote 🌲 North Carolina – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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

• Serve as the single point of contact and provide personalized case management for patients, caregivers, and healthcare providers • Deliver benefit investigations, track prior authorizations, and support appeals • Educate patients, healthcare providers, and stakeholders on access and reimbursement processes, payer policies, and patient assistance and copay programs • Build and maintain trusted relationships with patients, prescribers, and client stakeholders • Coordinate and collaborate with client field teams according to business rules and guidelines • Communicate benefit coverage options and next steps in the patient journey using clear, patient-friendly language • Use electronic tools to navigate and complete benefit investigations and secure payer coverage for prescribed treatments • Ensure activities comply with healthcare laws, regulations, HIPAA, insurance guidelines, and standard operating procedures • Identify and escalate adverse events, product complaints, and special situation reports • Document all activities in the Mercalis system with detailed and accurate records • Support adherence services, including patient education and nurse-teaching coordination as applicable • Participate in team meetings and ongoing training • Follow Valeris values, corporate policies, procedures, and SOPs • Complete additional tasks or projects as assigned

🎯 Requirements

• Completion of Bachelor's degree (or higher) required • Degree in healthcare administration, social science, or a similar related field strongly preferred • Minimum two (2) years of experience in healthcare access delivery or management strongly preferred • Five (5) to ten (10) years of experience in insurance reimbursement, patient access, direct patient care, and/or patient education may be considered in lieu of a degree • Other certifications and five (5) or more consecutive years of relevant experience may be considered • Examples of certifications include PACS (Prior Authorization Certified Specialist), CHES (Certified Health Education Specialist), or CCM (Certified Case Manager) in healthcare or social science • Strong understanding of medical terminology and ICD-10, CPT, and HCPCS coding systems • Knowledge of insurance processes • Knowledge of healthcare compliance regulations, including HIPAA and Medicare/Medicaid guidelines • Ability to prioritize tasks and work efficiently in a fast-paced environment • Bilingual or multilingual ability is a plus • Ability to type at least 35 words per minute with 97% accuracy preferred • Flexibility to travel as needed preferred • Ability to work in a professional office environment using computers, phones, and photocopiers • 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 required as a condition of employment