Program Supervisor – Hub

Valeris

. Supervise reimbursement and administrative program services, quality assurance, and personnel services .

Posted 11/3/2026full-timeRemote • North Carolina • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in reimbursement processes, healthcare billing, and insurance methodologies while effectively leading teams and managing program services. Strong ability to advocate for patients and healthcare professionals, ensuring compliance with regulatory requirements and corporate policies.

Highest-signal resume keywords

Reimbursement ManagementHealthcare BillingSupervisory ExperiencePharmacy Benefit MethodologiesMedicare And Medicaid Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Reimbursement ProcessesInsurance Benefit InvestigationsQuality Assurance ActivitiesData ReportingProcess Improvement

Soft Skills

Problem-SolvingDecision-MakingOrganizational SkillsCommunication SkillsConflict Resolution

Industry Keywords

HealthcarePharmacovigilanceSOP CompliancePatient AdvocacyInsurance Coverage

About the role

Key responsibilities & impact

Supervise reimbursement and administrative program services, quality assurance, and personnel services
Coach and mentor subordinates, conduct counseling and performance appraisals, resolve conflicts, and monitor schedule adherence
Act as liaison between the Program Manager and team
Keep the Program Manager informed about program activities
Plan daily schedules, assign tasks, and ensure daily goals are met
Submit daily and weekly productivity reports at team and employee levels
Organize and direct daily reimbursement support according to the statement of work
Evaluate program needs, identify gaps, and recommend process and workflow improvements
Advocate for patients and healthcare professionals regarding insurance coverage, medical billing, reimbursement, and access to complex pharmaceuticals
Conduct insurance benefit investigations, communicate coverage, guide and follow up on prior authorizations, and assist with appeals
Advise patients and healthcare providers on coverage and reimbursement strategies
Build relationships with patients, healthcare providers, and client contacts
Prepare for and participate in client audits
Coordinate with inter-departmental stakeholders to resolve escalations, conflicts, and questions
Independently solve issues and serve as first-line escalation for complex reimbursement matters
Conduct quality assurance activities in accordance with SOPs, program procedures, and regulatory requirements
Identify and report pharmacovigilance information, including adverse events, as required
Participate in and conduct meetings
Ensure corporate policies, SOPs, training deadlines, and program guidelines are followed consistently
Perform additional assigned tasks or projects

Requirements

What you’ll need

Bachelor’s degree and 2 years of reimbursement/insurance, healthcare billing, physician office, or health insurance processing preferred, or in lieu of a degree, a High School diploma or equivalent with 4 years of related experience
3-5 years supervisory experience preferred with progressive levels of responsibility within a service driven environment
Extensive knowledge of pharmacy benefit methodologies
Extensive knowledge of Medicare, Medicaid, and private payer payment methodologies
Initiative and strong work ethic
Ability to lead within a fluid and dynamic environment
Excellent problem-solving and decision-making skills
Attention to detail
Strong organizational and communication skills
Ability to type at least 35 words per minute with 97% accuracy preferred
Flexibility to travel as needed preferred
Successful completion of a background check and, depending on the position, a drug screen

Benefits

Comp & perks

Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs
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, with a minimum of $50,000 and a maximum of $300,000
Company-paid Short-Term Disability coverage, with the option to purchase Long-Term Disability
401(k) Retirement Savings Plan with 100% match on the first 5% contributed, with immediate vesting
Paid Time Off (PTO) and Sick Leave
Nine paid holidays plus two floating holidays
Opportunities for advancement and personal and professional growth
Challenging, stimulating work environment encouraging new ideas
Inclusive workplace and mission-driven culture
Background check and, depending on the position, drug screen in accordance with company standards