Valeris

Director

• Provide direction and oversight for patient services operations
• Support delivery of patient access and adherence services for life sciences customers
• Help improve the patient experience and access to critical medications
• Use healthcare expertise, technology, data, and strategic insights to support commercialization solutions
• Work in a professional office environment using computers, phones, photocopiers, and other standard office equipment
• Travel as needed, although travel is described as very minimal

Director of Patient Services

Program Manager

• Understand client objectives and incorporate them into program service goals
• Ensure Valeris executes program services in compliance with contracted service levels
• Manage the client service request queue, including completed and in-progress work
• Implement and manage client-specific business rules
• Identify opportunities to improve program scope and service-delivery efficiency
• Evaluate data and provide actionable insights to advance programs consistently with client objectives
• Monitor items impacting the program financial forecast and provide weekly updates
• Prepare activity summaries for development and review of monthly client invoices
• Identify talent for open positions and develop internal candidates for promotional opportunities
• Partner with HR to maintain required program staffing levels
• Develop a candidate pipeline with Human Resources
• Drive team training, development, and retention
• Prepare, review, and analyze client-specific operational results
• Prepare client business review meetings using operational metrics and data insights
• Serve as the point of contact for program and operational queries and issue resolution
• Ensure adverse events and product complaints are reported according to client work instructions
• Perform other duties as assigned

Senior Program Manager, Hub

Manager

• Manage field reimbursement activities for Valeris’ life sciences commercialization clients
• Support access, affordability, and reimbursement of critical medications
• Engage with healthcare providers and other stakeholders regarding reimbursement solutions
• Help life sciences companies commercialize products and improve patient access and adherence
• Provide data, strategic insights, and patient-support solutions across the healthcare value chain

Field Reimbursement Manager

Executive

• Relationship Management
• Builds trusted relationships with patients, prescribers, and appropriate client stakeholders regarding reimbursement inquiries and challenges through proactive communication, timely and accurate execution of deliverables and demonstrated relentless passion for helping patients.
• Manages all relationships in a manner that adheres to all relevant laws, regulations, program-specific operating procedures and industry standards related to access and affordability, including HIPAA and insurance guidelines.
• Managed through call/contact center structure, this role supports inbound and outbound calls to patients, caregivers, specialty pharmacies and healthcare professionals.
• Performs post Benefits Investigation calls to patients and/or physicians explaining coverage options and next steps in the access journey.
• Manages all client inquiries as appropriate, such as case specific statuses.
• Manages HCP inquiries, as applicable, pursuant to business rules.
• All communications with the client’s field teams will remain compliant and adhere to ways of working protocols outlined between PharmaCord and the client teams.
• Inbound Call Management
• Manages inbound calls as directed by the program-approved FAQs
• Triage patients to internal or external resources as appropriate.
• Personalized Case Management
• Provides personalized case management to patients and HCPs including outbound communication to HCPs, specialty pharmacies and patients to communicate benefit coverage and/or appropriately help drive next steps in obtaining coverage and/or access to prescribed medicine.
• Identifies and communicates patient’s plan benefit coverage including the need for prior authorization, appeal, tier exception, and/or formulary exclusions.
• Serves as a subject matter expert to internal team as required and appropriate.
• Uses electronic resources to obtain benefit coverage outcome and if needed, outbound call to payers and HCPs to follow up on proper submission and/or outcome.
• Coordinates nurse teach with nurse educators, as applicable to program.
• Supports adherence services as applicable to program.
• Identifies peer support resources for patients.
• Proactively communicates needs for reverification of prior authorization or re-enrollment.
• Identifies and reports adverse events, product complaints, special situation reports and/or medical inquiries received in accordance with program operating procedures and the Business Rules.
• Documents all activities within the Lynk system, maintaining detailed records of reimbursement activities, including claims status, payments, and appeals.
• Generate reports and analysis as needed to identify trends and opportunities for improvement. in accordance with business requirements.
• Utilize Valeris’ values as the driving force behind the team’s success
• On time adherence to training deadlines for all corporate policies and procedures
• Ensure all SOPs are followed with consistency
• Perform additional tasks or projects as assigned

Director of Patient Services

Senior Program Manager, Hub

Field Reimbursement Manager

Executive Care Coordinator