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Care Coordinator

$50k - $300k

Valeris

Shift: Monday–Friday 1: 8A‑5P & 1: 11A‑8P EST only. Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions spanning the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris revolutionizes the path from life sciences innovation to real‑life impact, building a world in which every patient gets the care they need. Valeris works on behalf of life sciences companies to improve the patient experience so that patients can access and adhere to critical medications. Backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Valeris provides commercialization solutions to more than 500 life sciences customers and has provided access and affordability support to millions of patients. The company is headquartered in Morrisville, North Carolina and Jeffersonville, Indiana. As a Care Coordinator, you provide inbound and outbound phone support and may serve as the primary contact for payers, patients, caregivers, specialty pharmacies, site of care centers, specialty distributors, pharmacy compounders, and providers. You will facilitate a collaborative process that gauges, coordinates, and monitors patient benefits, product orders and appointment coordination to facilitate the overall patient journey, using services offered through the Patient Support Program on behalf of a manufacturer (client). The primary function is to provide unparalleled customer service to key internal and external stakeholders as a dedicated contact by coordinating resources, exchanging information, and ensuring appropriate support. Responsibilities Serve as an expert on benefit coordination and other support forms, handling healthcare provider and/or patient interactions. Act as an advocate to patients regarding eligibility, enrollment, affordability, and general access for prescribed therapy. Establish relationships, develop trust, and maintain rapport with healthcare providers and/or patients. Act as point of contact to healthcare providers for ongoing support and relationship development, acquiring and delivering detailed program information. Maintain strong working knowledge of benefits offered by all payer types, including private/commercial and government (Medicare, Medicaid, VA, DOD), with expertise in Medicare Part B. Navigate payer challenges by asking appropriate questions to obtain the necessary result. Act as liaison to client contacts and maintain records per applicable standards and regulations. Follow program guidelines and escalation procedures for complex cases. Serve as liaison between Program Management, other internal stakeholders, and healthcare providers. Provide customer service, act as brand advocate, and commit to appropriate use of resources. Communicate daily with Program Management, sharing patient status, prescriber feedback, coordination challenges, and program effectiveness. Understand disease states of patients in the program. Assess situations and intervene to obtain timely results. Maintain ethical and professional conduct concerning confidentiality and privacy. Support team morale with a positive attitude and strong work ethic. Utilize resources for conflict resolution as needed. Qualifications Associate or bachelor’s degree with 2 years of experience in reimbursement/insurance, healthcare billing, physician office, or related field, or a high school diploma with 5 years of equivalent experience. Call center or customer service experience with progressive responsibility. Excellent oral and written communication skills. Strong knowledge of prior authorization and appeals. Strong understanding of medical and pharmacy insurance terminology and reimbursement processes. Excellent problem‑solving and decision‑making skills. Attention to detail and committed follow‑through in communication with patients, providers, and stakeholders. Strong organizational skills for a fast‑paced environment. Ability to adapt to change while maintaining program standards. Team player willing to assist colleagues as needed. Empathetic listening skills. Reliable attendance record. Strong customer service experience. Proficiency with Microsoft Office (Excel, Word, PowerPoint, Outlook). Physical Demands & Work Environment Requires frequent talking or hearing, long periods of sitting, typing, handling, and reaching; ability to type at least 35 words per minute with 97 % accuracy. Occasional travel may be required. Works in a professional office environment using standard office equipment. Why Work for Valeris? Medical, dental, and vision plans, including HSA and FSA‑eligible options with premium contribution. Additional health support, including 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, $50 000–$300 000. Company‑paid short‑term disability coverage; optional long‑term disability. 401(k) retirement plan with 100 % match on first 5 % contributed, immediate vesting. Paid time off (PTO) and sick leave. Nine paid holidays plus two floating holidays. Opportunities for advancement and professional growth. Stimulating work environment encouraging new ideas. Diversity and inclusive workplace. Mission‑driven culture with meaningful impact. Any offer of employment is contingent upon successful completion of a background check and, depending on the position, a drug screen in accordance with company standards. This job description is not intended to be an exhaustive list of all duties, responsibilities, or activities associated with the position. Responsibilities and tasks may be modified at any time, with or without notice. Our Commitment to Equal Opportunity At Valeris, we don’t just accept difference – we celebrate it, support it and we thrive on it for the benefit of our employees, our products and our community. Valeris is proud to be an equal opportunity employer. #J-18808-Ljbffr Valeris

Vacancy posted 4 days ago
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