Valeris

Financial Planning and Analysis

• Analyze financial and operational data to identify trends, explain variances, and provide practical recommendations
• Prepare recurring and ad hoc reports on revenue, receivables, cash activity, and customer program performance
• Develop analyses and reporting tools to help stakeholders understand results and make informed decisions
• Review billing activity for accuracy and completeness and investigate discrepancies through resolution
• Reconcile balances and transactions across reports, customer records, and the general ledger
• Monitor open items and work with internal partners to resolve financial questions
• Support month-end close through account reconciliations, accruals, journal entries, and supporting schedules
• Assist with revenue and deferred revenue analysis and reconciliations
• Maintain documentation and follow financial controls and approval processes
• Partner with Finance, Client Services, and Operations to understand business activity and financial impact
• Interpret contract terms and business processes to support accurate billing and reporting
• Identify improvements to data quality, reporting, and financial process efficiency

Financial Analyst

Director

• Lead, coach, mentor, and develop Field Reimbursement Managers across assigned manufacturer programs
• Foster accountability, collaboration, patient-centered support, and continuous improvement
• Conduct field observations, coaching sessions, performance reviews, and development planning
• Drive employee engagement, retention, and succession planning
• Recruit, interview, hire, and onboard field reimbursement talent
• Serve as a strategic business partner to pharmaceutical manufacturer clients
• Participate in governance meetings, business reviews, launch planning, and strategic initiatives
• Present program performance, trends, insights, and recommendations to leadership and clients
• Build relationships with client leadership and cross-functional stakeholders
• Identify opportunities to improve customer experience and program performance
• Ensure successful execution of field reimbursement services
• Monitor program metrics, workload distribution, productivity, and quality standards
• Develop and implement processes improving efficiency and scalability
• Collaborate with Operations, Quality, Compliance, Technology, and Training teams
• Ensure adherence to SLAs, KPIs, and contractual obligations
• Provide leadership on reimbursement, prior authorizations, appeals, benefits investigations, claims processing, coding and billing, payer policies, specialty pharmacy, buy-and-bill, and patient support programs
• Remain current on reimbursement trends, payer policy changes, and access challenges
• Support product launches and lifecycle management
• Develop field deployment strategies and territory optimization recommendations
• Analyze customer insights and market trends
• Partner on resource planning and forecasting
• Drive continuous process improvement
• Collaborate with Client Services, Commercial Leadership, Operations, Training, Quality Assurance, Compliance, Human Resources, Analytics, Technology, Project Management, and Medical Affairs
• Monitor and improve customer satisfaction, field productivity, case outcomes, provider engagement, quality, compliance, employee performance, client satisfaction, and financial performance

Director – Field Reimbursement

Program Manager

• Manage programs, client accounts, budgets, and business analysis for assigned brands
• Gather and document business requirements and communicate changes, enhancements, and modifications to stakeholders
• Manage client program budgets and recommend ways to control program costs
• Serve as the primary business relationship manager and maintain day-to-day client relationships
• Conduct client meetings by phone, Webex, and onsite; provide program updates and presentations
• Develop expertise in assigned brands’ therapeutic classes and competitive products
• Develop and implement innovative solutions based on brand strategy, objectives, and competitive landscape
• Measure program KPIs and develop data-driven recommendations
• Assist clients in navigating internal requirements and processes
• Manage and coordinate relationships with third-party vendors, including agencies, SPPs, HUBs, service providers, and data/analytics teams
• Build relationships across internal functional areas and lead internal project stakeholders
• Serve as an internal and external subject matter expert
• Mentor and train Associate Program Managers as needed

Associate Program Manager – Copay

Manager

• Provide inbound and outbound phone support as the primary contact for patients, caregivers and providers
• Facilitate and monitor patients’ journeys through Patient Support Program services on behalf of a manufacturer
• Handle day-to-day reimbursement services and interactions with healthcare insurance companies
• Serve as an expert on reimbursement, co-pay, foundation assistance, PAP issues and other available support
• Advocate for patients regarding eligibility, enrollment, reimbursement, affordability support and access to prescribed therapy
• Establish relationships and maintain rapport with patients, payers and healthcare providers
• Provide healthcare providers with detailed program and patient information
• Verify insurance coverage, medical billing, reimbursement processes and access for complex pharmaceuticals
• Evaluate enrollment forms for data integrity
• Conduct insurance benefit investigations and triage cases according to standard operating procedures
• Follow program guidelines and escalate complex cases according to policies, SOPs, Call Guides and other materials
• Document case status and background in the case management system
• Communicate patient benefits and assist with prior authorization and appeals processes
• Explain benefits offered by private/commercial and government payers, including Medicare, Medicaid, VA and DOD
• Liaise with client contacts, Program Management, internal stakeholders and healthcare providers
• Maintain records according to applicable standards and regulations
• Collaborate with the Program Manager regarding patient status, prescriber feedback, satisfaction and program effectiveness
• Understand patients’ health and disease states
• Maintain confidentiality, privacy, ethical conduct and adherence to SOPs
• Perform additional assigned tasks or projects

Reimbursement Case Manager

General

• Build and maintain trusted relationships with patients through proactive communication and timely, accurate services
• Ensure interactions comply with relevant healthcare laws and regulations
• Conduct program welcome calls and explain available services and resources
• Use motivational interviewing techniques to support patient goal setting
• Conduct post-Benefits Investigation calls and explain coverage options
• Handle client and patient inquiries according to business rules and approved FAQs
• Explain reimbursement, billing, coverage benefits, financial responsibilities, and assistance resources
• De-escalate challenging situations and triage patients to appropriate resources
• Document patient enrollment and all activities in the Lynk system
• Provide education about products, treatment, insurance benefits, out-of-pocket costs, and treatment support
• Manage assigned cases and tasks to maintain service levels
• Support patients in following prescribed therapy plans
• Identify benefits and payer coverage through electronic tools and manual investigations
• Communicate prior authorization, appeal, tier exception, and formulary exclusion requirements
• Contact payers and healthcare providers for benefit follow-up
• Coordinate nurse follow-up and adherence services
• Recommend peer support resources
• Coordinate product shipments through patient assistance and bridge programs from the PharmaCord pharmacy
• Manage prior authorization re-verification and patient assistance re-enrollment
• Report adverse events, product complaints, special situation reports, and medical inquiries per SOPs and Business Rules

Patient Engagement Specialist

Vice President

• Lead strategy development for new business development opportunities and evolve Valeris’ enterprise strategy for its Patient Access portfolio
• Develop content for access services opportunities, including RFP responses, executive summaries, bid defense slides, and technology strategy
• Attend in-person presentations or participate via conference call when travel is not possible
• Serve as the go-to resource for complex questions, strategies, and issues involving Patient Services Programs and the Innovation & Product Development Roadmap
• Represent Valeris’ Patient Access solutions and enterprise strategy through white papers, podium talks, and promotional marketing campaigns
• Support the client services team with complex program operational challenges and preview strategic solutions for top clients at QBRs and strategic meetings
• Partner with Commercial Learning & Development to ensure team understanding of commercial strategy
• Work with client brand strategy owners on tactical planning for Patient Access Services
• Grow Valeris’ business ethically and use industry contacts to uncover opportunities
• Improve employee product knowledge, market awareness, and understanding of Patient Services across manufacturers, patients, payers, providers, and pharmacies
• Maintain confidentiality, follow Valeris standards, SOPs, policies, procedures, and training requirements
• Communicate and collaborate with internal and external stakeholders
• Conduct miscellaneous tasks and projects as assigned

VP, Patient Access Strategy

• Serve as the primary client contact for pharmaceutical program(s)
• Manage programs according to scope of work, procedures, and contracted budget
• Manage client relationships and build rapport
• Manage day-to-day program operations and supervise assigned staff
• Drive team and team-member performance responsibilities
• Monitor and report program statistics and performance metrics
• Escalate issues that jeopardize contracted standards
• Prioritize and manage personal and team schedules
• Work cross-functionally with internal stakeholders
• Contribute to client reports and other deliverables
• Present program data, information, and insights to internal and external customers
• Participate in process and performance improvement initiatives
• Mobilize stakeholders for program design, improvements, and changes
• Attend related meetings and conferences as required
• Participate in interviewing, employee evaluation, and training
• Provide verbal and written performance feedback
• Complete training deadlines for policies governing confidential data
• Ensure consistent adherence to SOPs
• Assist with requirements identification, specifications development, and User Acceptance Testing
• Perform additional assigned tasks or projects
• Report to the Market Access Program Director within HUB Services

Program Manager – Hub Operations

Nurse

• Facilitate successful patient journeys to and while on therapy through care coordination, education, and psychosocial support
• Provide medication and disease-state education
• Provide clinical feedback to enhance the clinical portion of patient support programs
• Provide education and support to patients, caregivers, and healthcare providers regarding assigned therapeutic areas
• Establish relationships, develop trust, and maintain rapport in a 100% telephonic setting
• Counsel and educate patients on product use, dosing and administration, device use, insurance coverage, and reimbursement challenges in telephonic or virtual settings
• Evaluate and contribute to development of program resources
• Coordinate and secure financial assistance options for patients with financial need
• Follow program guidelines and escalate complex cases according to policy and procedures
• Receive and make calls regarding disease states, products, patient needs, insurance coverage, and financial support
• Maintain and navigate patient account records in a digital CRM
• Support healthcare provider offices with prescription questions, concerns, or challenges
• Report and document adverse events and product/safety complaints according to program SOPs
• Participate in program-specific customer meetings, training sessions, and orientation meetings
• Demonstrate clinical and program competency on written, evaluated tests
• Advocate for patients and healthcare providers regarding insurance coverage, medical billing, reimbursement, and access to complex pharmaceuticals
• Follow corporate policies, procedures, SOPs, and training deadlines
• Perform additional assigned tasks and projects

Patient Support Nurse

Patient Navigator

• Serve as the single point of contact for patients, caregivers, and healthcare providers
• Provide personalized case management, benefit investigations, prior authorization tracking, and appeal support
• Educate patients, healthcare providers, and stakeholders on access, reimbursement, payer policies, and Valeris programs
• Build and maintain relationships with patients, prescribers, and client stakeholders
• Coordinate with client field teams according to business rules and guidelines
• Communicate benefit coverage options and next steps in patient-friendly language
• Use electronic tools to complete benefit investigations and secure payer coverage
• Ensure compliance with healthcare laws, regulations, HIPAA, insurance guidelines, and Valeris SOPs
• Identify and escalate adverse events, product complaints, and special situation reports
• Document activities accurately in the Valeris system
• Support adherence services, patient education, and nurse teaching coordination
• Participate in team meetings and ongoing training
• Travel to the designated nearby headquarters in Morrisville, NC or Jeffersonville, IN a few times per quarter if required
• Meet training deadlines, follow SOPs, and perform assigned tasks or projects

Senior Patient Navigator

Reimbursement Specialist

• Provide inbound and outbound phone support as the primary contact for patients, caregivers, and providers
• Coordinate and monitor patient needs throughout the Patient Support Program journey
• Handle day-to-day reimbursement services activities
• Interact with healthcare insurance companies to verify financial aspects of healthcare services
• Advise patients on eligibility requirements, program enrollment, reimbursement processes, affordability support, and therapy access
• Establish relationships and maintain rapport with patients, payers, and healthcare providers
• Provide ongoing support and program information to healthcare providers
• Verify insurance coverage, medical billing, reimbursement processes, and access for complex pharmaceuticals
• Evaluate program enrollment forms for data integrity
• Conduct insurance benefit investigations and triage cases according to standard operating procedures
• Follow program guidelines and escalate complex cases according to policies, SOPs, Call Guides, and program materials
• Maintain case records and document status and background in the case management system
• Communicate patient benefits and assist with prior authorization and appeals processes
• Explain benefits offered by private/commercial and government payers, including Medicare, Medicaid, VA, and DOD
• Liaise with client contacts, Program Management, internal stakeholders, and healthcare providers
• Maintain records according to applicable standards and regulations
• Serve as a brand advocate and program representative while delivering customer service and quality outcomes
• Collaborate with the Program Manager regarding patient status, prescriber feedback, satisfaction, and program effectiveness
• Maintain confidentiality and privacy
• Meet training deadlines and follow all SOPs
• Perform additional assigned tasks or projects

• Manage programs for Valeris, a life sciences commercialization partner
• Support comprehensive commercialization solutions across the healthcare value chain
• Work in a professional office environment using standard office equipment
• Perform duties involving extended sitting, typing, handling, reaching, talking, and hearing
• Travel minimally as needed

Senior Program Manager

Product Analyst

• Translate the Product Director’s/Manager’s roadmap priorities into detailed user stories, workflows, and acceptance criteria
• Liaise between business stakeholders and technical teams
• Gather, document, and validate business and functional requirements
• Maintain requirements, process-flow, and screen-mock documentation
• Clarify requirements with engineering during build and testing
• Support backlog grooming and refinement
• Track initiatives, dependencies, and delivery status, flagging risks or blockers
• Participate in standups, backlog refinement, demos, and retrospectives
• Assist with shadow-mode validation and testing/QA activities
• Use AI tools to accelerate requirements drafting, documentation, research synthesis, and data analysis
• Build prototypes, mockups, and proof-of-concept artifacts using AI-assisted tooling
• Stay current on AI-enabled and automation capabilities relevant to patient access and product work
• Generate reports communicating findings and insights
• Collaborate with cross-functional teams to address operational challenges and identify process improvements
• Partner with product leadership and senior leadership to align work with product and business goals
• Follow company values, policies, SOPs, and training deadlines
• Perform additional assigned tasks or projects

Junior Product Analyst

Care Coordinator

• Own patient cases from initiation to closure
• Perform benefit investigations and prior authorizations/denial appeals
• Determine financial qualifications for assistance programs
• Assist patients, prescribers, and stakeholders through resolution via email, inbound/outbound calls, and Lynk technology
• Build trusted relationships with patients, prescribers, and client stakeholders
• Perform program welcome calls and post-benefits-investigation calls
• Manage client and healthcare provider inquiries
• Manage inbound calls and triage patients to appropriate resources
• Provide personalized case management and communicate benefit coverage and next steps
• Identify prior authorization, appeal, tier exception, and formulary exclusion requirements
• Follow up with payers and healthcare providers on submissions and outcomes
• Coordinate nurse education, adherence services, peer support, and product shipments
• Communicate prior authorization reverification and patient assistance re-enrollment needs
• Report adverse events, product complaints, special situation reports, and medical inquiries according to SOPs and business rules
• Document activities in the PharmaCord Lynk system
• Complete required training and follow SOPs
• Perform additional assigned tasks or projects

• Own patient cases from initiation to closure
• Perform benefit investigations, prior authorizations, denial appeals, and determine financial qualifications for assistance programs
• Assist patients, callers, and stakeholders through resolution via email, inbound/outbound calls, and Lynk technology
• Build trusted relationships with patients, prescribers, and client stakeholders
• Perform program welcome calls and post-benefits-investigation calls
• Explain coverage options to patients and physicians
• Manage client and healthcare provider inquiries according to business rules
• Manage inbound calls and triage patients to appropriate resources
• Provide personalized case management and communicate benefit coverage and next steps
• Identify benefits and payer coverage using electronic tools and manual investigations
• Communicate prior authorization, appeal, tier exception, and formulary exclusion requirements
• Follow up with payers and healthcare providers on submissions and outcomes
• Coordinate nurse education and nurse follow-up
• Identify peer support resources
• Coordinate product shipments through patient assistance and bridge programs
• Manage prior authorization reverification and patient assistance program reenrollment needs
• Report adverse events, product complaints, special situation reports, and medical inquiries according to SOPs and business rules
• Document all activities in the PharmaCord Lynk system
• Complete training deadlines and follow SOPs
• Perform additional assigned tasks or projects