Valeris
Valeris
1,001 – 5,000 Employees
B2BHealthcarePharmaceuticals
Valeris is a life sciences commercialization company created through the merger of PharmaCord and Mercalis. It helps pharmaceutical and other life sciences organizations bring products to market, strengthen patient access and adherence, and engage healthcare providers. Its services span data and strategic insights, patient support and access programs, and tools for provider engagement. Valeris works with more than 500 life sciences customers and supports millions of patients across the healthcare value chain, with operations headquartered in Morrisville, North Carolina, and Jeffersonville, Indiana.

Remote Care Coordinator - United States

Coordinate patient cases, benefit investigations, prior authorizations, and assistance programs remotely in the United States. Support patients, prescribers, payers, and client stakeholders through medication access and case resolution.

Description

  • Manage patient cases from enrollment through resolution.
  • Conduct benefit investigations and handle prior authorizations and denial appeals.
  • Assess patients’ financial eligibility for assistance programs.
  • Guide patients, prescribers, and stakeholders to resolution through email, inbound and outbound calls, and Lynk technology.
  • Develop dependable relationships with patients, prescribers, and client contacts.
  • Complete program welcome calls and follow-up calls after benefit investigations.
  • Respond to client and healthcare provider questions.
  • Answer inbound calls and direct patients to suitable resources.
  • Deliver individualized case management while explaining coverage and next steps.
  • Determine requirements for prior authorizations, appeals, tier exceptions, and formulary exclusions.
  • Track submissions and outcomes with payers and healthcare providers.
  • Arrange nurse education, adherence support, peer assistance, and product shipments.
  • Explain prior authorization reverification and patient assistance re-enrollment requirements.
  • Report adverse events, product complaints, special situation reports, and medical inquiries under applicable SOPs and business rules.
  • Record case activity in the PharmaCord Lynk system.
  • Complete assigned training and comply with standard operating procedures.
  • Support other assigned duties and projects.

Requirements

  • A bachelor’s degree is strongly preferred; equivalent experience is required.
  • Customer service or healthcare experience is preferred but not mandatory.
  • Available for an 8.5-hour shift scheduled between 8 a.m. and 9 p.m., Monday through Friday.
  • Spanish-English bilingual ability is a plus.
  • Eligible for remote work under work-from-home standards and business requirements.
  • Strong attention to detail.
  • Professional telephone manner.
  • Basic computer proficiency.
  • Effective multitasking ability.
  • Clear, concise communication skills.
  • 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 screening.

Benefits

  • Medical, dental, and vision coverage with HSA- and FSA-eligible options; Valeris contributes toward premiums.
  • Telehealth access and Employee Assistance Program services.
  • Company contributions matching Health Savings Account deposits.
  • Employer-paid Basic Life and AD&D insurance equal to annual earnings, with coverage from $50,000 to $300,000.
  • Company-paid Short-Term Disability insurance, 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.
  • Paths for advancement and personal and professional development.
  • A challenging, engaging workplace that welcomes new ideas.
  • Inclusive culture centered on a mission-driven environment.
  • Flexibility for minimal travel is preferred.

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