Valeris
Valeris
Valeris एक लाइफ़ साइंसेज़ कमर्शियलाइज़ेशन कंपनी है, जिसका गठन PharmaCord और Mercalis के विलय से हुआ है। यह फ़ार्मास्यूटिकल और अन्य लाइफ़ साइंसेज़ संगठनों को उत्पादों को बाज़ार में लाने, रोगियों की पहुँच और उपचार-अनुपालन को बेहतर बनाने तथा स्वास्थ्य सेवा प्रदाताओं से जुड़ने में सहायता करती है। इसकी सेवाओं में डेटा और रणनीतिक अंतर्दृष्टि, रोगी सहायता और पहुँच कार्यक्रम तथा प्रदाता सहभागिता के लिए उपकरण शामिल हैं। Valeris 500 से अधिक लाइफ़ साइंसेज़ ग्राहकों के साथ काम करती है और स्वास्थ्य सेवा मूल्य शृंखला में लाखों रोगियों को सहायता प्रदान करती है। इसका संचालन मुख्यालय मॉरिसविल, नॉर्थ कैरोलाइना और जेफ़रसनविल, इंडियाना में है।

Executive Care Coordinator Kentucky Remote

Guide patients through insurance reimbursement and access to complex medications as an Executive Care Coordinator. Support patient services programs for life sciences companies while engaging patients, caregivers, and healthcare providers.

विवरण

  • Manage each patient case from enrollment through resolution
  • Conduct benefit investigations and monitor prior authorizations and denial appeals
  • Support patients, caregivers, healthcare providers, specialty pharmacies, and other stakeholders through resolution by email and inbound and outbound calls
  • Explain access and reimbursement tools, benefits, and program eligibility
  • Educate healthcare provider offices about payer processes and procedures
  • Develop and maintain relationships with patients, prescribers, and client stakeholders
  • Answer inbound calls using approved program FAQs and direct patients to appropriate resources
  • Respond to client and healthcare provider inquiries
  • Provide individualized case management and explain next steps for medication coverage and access
  • Identify and explain coverage requirements, including prior authorizations, appeals, tier exceptions, and formulary exclusions
  • Use electronic tools and manual research to assess benefits and payer coverage
  • Follow up with payers and healthcare providers regarding submissions and outcomes
  • Coordinate nurse education with nurse educators and support adherence services
  • Identify peer support resources and proactively communicate re-verification or re-enrollment requirements
  • Recognize and report adverse events, product complaints, special situation reports, and medical inquiries
  • Record reimbursement activities in the Lynk system, including claims status, payments, and appeals
  • Prepare reports and analyses to identify trends and opportunities for improvement
  • Comply with SOPs, corporate policies, and program operating procedures
  • Complete other assigned duties and projects

आवश्यकताएँ

  • Bachelor’s degree or higher required
  • A degree in healthcare administration, social science, or a closely related field is strongly preferred
  • At least two years of experience delivering or managing healthcare access services is strongly preferred
  • Five to ten years of experience in insurance reimbursement, patient access, direct patient care, or patient education may substitute for the degree
  • Relevant certifications and at least five consecutive years of applicable experience may be considered, including PACS, CHES, or CCM
  • Strong knowledge of medical terminology and coding systems, including ICD-10, CPT, and HCPCS
  • Understanding of insurance processes, HIPAA, and Medicare and Medicaid guidelines
  • Strong critical-thinking and issue-resolution skills
  • Excellent organization and attention to detail
  • Ability to prioritize effectively and perform in a fast-paced environment
  • Strong written, verbal, and interpersonal communication skills
  • Professional approach when working with diverse stakeholders
  • Bilingual ability is a plus
  • Must satisfy all work-from-home requirements; remote eligibility depends on business need
  • Typing speed of at least 35 words per minute with 97% accuracy is preferred
  • Successful completion of a background check and, where applicable, a drug screen

लाभ

  • Medical, dental, and vision coverage, including HSA- and FSA-eligible plans, with Valeris contributing toward premiums
  • Telehealth access and Employee Assistance Program services
  • Company matching contributions to Health Savings Accounts
  • Company-paid Basic Life and AD&D insurance equal to annual earnings, from $50,000 to $300,000
  • Company-paid Short-Term Disability coverage, with Long-Term Disability available for purchase
  • 401(k) plan with a 100% company match on the first 5% contributed and immediate vesting
  • Paid time off and sick leave
  • Nine paid holidays and two floating holidays
  • Opportunities for career advancement and personal and professional development
  • Stimulating work that supports new ideas
  • Inclusive workplace with a mission-driven culture
  • Flexibility for minimal travel is preferred

संबंधित नौकरियाँ

4M Analytics

Senior Computer Vision Algorithm Engineer

4M Analytics

Develop computer vision and machine learning systems for 4M Analytics’ subsurface utility mapping platform. Own algorithms from research through production in partnership with data engineering and product teams.

खोलें
Joom

Enterprise Customer Success Manager, Brazil (Remote)

Joom

Lead renewals, retention, and account growth for JoomPulse enterprise customers. Turn Mercado Livre and Shopee analytics into practical recommendations for marketplace sellers.

खोलें
Cyera

Regional Sales Director, Identity Security

Cyera

Lead Cyera’s Pacific Northwest sales team, grow the territory, and exceed quotas for its AI and data security platform.

खोलें
Terumo Medical Corporation

Region Manager, Terumo Interventional Systems Sales

Terumo Medical Corporation

Lead medical device sales across a North Central New Jersey region, managing field teams and hospital relationships. Drive regional revenue, sales performance, and compliant promotion of Terumo Interventional Systems products.

खोलें
Dream

Senior Program Manager, Sovereign AI (Hybrid, Israel)

Dream

Lead Dream’s Sovereign AI roadmap for government and critical infrastructure customers, coordinating research, engineering, product, launches, and AI-enabled operations.

खोलें
Claroty
SKF Group

Global Product Engineer, Bearings — SKF, Bengaluru

SKF Group

Design bearing products, models, drawings, and variants at SKF, a global provider of rotating equipment solutions. Support modular design, testing, and product lifecycle management.

खोलें
Webbing

Mobile Fraud Analyst – Bucharest Hybrid

Webbing

Investigate and prevent telecom fraud across Webbing’s global MVNO connectivity and IoT services. Analyze traffic, roaming, SIM, voice, SMS, and data activity for anomalies.

खोलें
The Clorox Company

Finance Manager, Manufacturing Finance

The Clorox Company

Manage manufacturing finance activities for Clorox, including cost consolidation, forecasting, and monthly accounting close. Partner with plant sites, Procurement, and Supply Planning in Mexico.

खोलें