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Valeris
Valeris
1 001 – 5 000 Xodimlar
B2BFarmatsevtika mahsulotlariSog‘liqni saqlash
Valeris — PharmaCord va Mercalis kompaniyalarining qo‘shilishi natijasida tashkil etilgan hayot fanlari sohasida tijoratlashtirish bilan shug‘ullanuvchi kompaniya. U farmatsevtika va hayot fanlari sohasidagi boshqa tashkilotlarga mahsulotlarni bozorga olib chiqish, bemorlarning davolanishdan foydalanish imkoniyatini va unga rioya qilishini kuchaytirish, shuningdek, tibbiyot xodimlari bilan hamkorlik qilishda yordam beradi. Uning xizmatlari ma’lumotlar va strategik tahlillarni, bemorlarni qo‘llab-quvvatlash va foydalanish imkoniyatini kengaytirish dasturlarini, shuningdek, tibbiyot xodimlari bilan hamkorlik qilish vositalarini qamrab oladi. Valeris hayot fanlari sohasidagi 500 dan ortiq mijoz bilan ishlaydi va sog‘liqni saqlash qiymat zanjiri bo‘ylab millionlab bemorlarni qo‘llab-quvvatlaydi. Kompaniyaning operatsion shtab-kvartiralari Shimoliy Karolina shtatining Morrisvill va Indiana shtatining Jeffersonvill shaharlarida joylashgan.
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Kompaniyadagi ish o‘rinlari

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.

USAmerika Qo‘shma ShtatlariKYKentukkiMasofaviyTo‘liq stavkaJuniorO‘rta darajaTalab Qilinadigan Til: inglizchaIjrochi mutaxassis

Tavsif

  • 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

Talablar

  • 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

Imtiyozlar

  • 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

O‘xshash ish o‘rinlari

Kreato Global | BPO and Language Solutions

Remote English-Spanish OPI/VRI Interpreter

Kreato Global | BPO and Language Solutions
201 – 500 Xodimlar
LogistikaMehmondo‘stlikSog‘liqni saqlash
ARArgentinaBOBoliviyaBRBraziliyaCLChiliCOKolumbiyaCRKosta-RikaCUKubaDODominikan RespublikasiECEkvadorGTGvatemalaHNGondurasHTGaitiMXMeksikaNINikaraguaPAPanamaPEPeruPRPuerto-RikoPYParagvaySVSalvadorUYUrugvayVEVenesuelaMasofaviyTo‘liq stavkaJuniorDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaTalab Qilinadigan Til: ispanchaTarjimon

Interpret remotely between English- and Spanish-speaking people in medical, financial, social service, and customer care settings. Provide language support for Kreato Global across Latin America.

Ochish
RecruitGo

Remote Executive Assistant, Outreach and Marketing — Philippines

RecruitGo
51 – 200 Xodimlar
KonsaltingLogistikaMarketing
PHFilippin
45 000 ₱ / oy
MasofaviyTo‘liq stavkaJuniorO‘rta darajaDiplom talab qilinmaydiTalab Qilinadigan Til: inglizchaRahbar yordamchisi

Handle administrative support, CRM, outreach, and marketing for RecruitGo, an Employer of Record serving global clients with talent from emerging markets. Support two UK-facing clients with day-to-day administration and creative campaigns.

Ochish