Program Supervisor – Hub

🔥 22 hours ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 10%

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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

• Supervise reimbursement and administrative program services, quality assurance, and personnel services • Coach and mentor subordinates, conduct counseling and performance appraisals, resolve conflicts, and monitor schedule adherence • Act as liaison between the Program Manager and team • Keep the Program Manager informed about program activities • Plan daily schedules, assign tasks, and ensure daily goals are met • Submit daily and weekly productivity reports at team and employee levels • Organize and direct daily reimbursement support according to the statement of work • Evaluate program needs, identify gaps, and recommend process and workflow improvements • Advocate for patients and healthcare professionals regarding insurance coverage, medical billing, reimbursement, and access to complex pharmaceuticals • Conduct insurance benefit investigations, communicate coverage, guide and follow up on prior authorizations, and assist with appeals • Advise patients and healthcare providers on coverage and reimbursement strategies • Build relationships with patients, healthcare providers, and client contacts • Prepare for and participate in client audits • Coordinate with inter-departmental stakeholders to resolve escalations, conflicts, and questions • Independently solve issues and serve as first-line escalation for complex reimbursement matters • Conduct quality assurance activities in accordance with SOPs, program procedures, and regulatory requirements • Identify and report pharmacovigilance information, including adverse events, as required • Participate in and conduct meetings • Ensure corporate policies, SOPs, training deadlines, and program guidelines are followed consistently • Perform additional assigned tasks or projects

🎯 Requirements

• Bachelor’s degree and 2 years of reimbursement/insurance, healthcare billing, physician office, or health insurance processing preferred, or in lieu of a degree, a High School diploma or equivalent with 4 years of related experience • 3-5 years supervisory experience preferred with progressive levels of responsibility within a service driven environment • Extensive knowledge of pharmacy benefit methodologies • Extensive knowledge of Medicare, Medicaid, and private payer payment methodologies • Initiative and strong work ethic • Ability to lead within a fluid and dynamic environment • Excellent problem-solving and decision-making skills • Attention to detail • Strong organizational and communication skills • Ability to type at least 35 words per minute with 97% accuracy preferred • Flexibility to travel as needed 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 in accordance with company standards

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