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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient navigation for complex medications, with strong capabilities in training, auditing, and maintaining program standards. Proficient in managing healthcare-related tasks while ensuring compliance with SOPs and delivering exceptional customer service.
Highest-signal resume keywords
Case Management ExperienceBilingual English and Spanish or Chinese/MandarinPowerBI Data AuditingTraining and Development LeadershipHealthcare Industry Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient NavigationSOP MaintenanceData Accuracy AuditingPrescription HandlingCustomer ServiceTime ManagementTyping Speed of 35 Words Per MinuteConfidentiality of Health InformationProgram Technology ExpertiseSystem Validation Implementation
Soft Skills
Superior Written and Verbal CommunicationOrganizational SkillsEmotional IntelligenceProfessionalismTeam Collaboration
Tools & Technologies
LynkPowerBI
Industry Keywords
HealthcarePayer BenefitsReimbursementPrior AuthorizationPublic Health AdministrationSocial Work
About the role
Key responsibilities & impact- Support patients navigating access to complex medications
- Assist Supervisors and Program Managers as a super user of program technology and subject matter expert on program business rules
- Provide assistance to team members resolving problems and deliver side-by-side training
- Collaborate with program leadership to maintain SOPs and work instructions
- Write and update work instructions for ongoing training needs
- Identify and implement Lynk Task Force enhancements
- Identify and implement system validations to prevent Benefit Specialist/Case Manager errors
- Lead classroom and side-by-side training for new hires
- Assist with continued training for team members
- Audit PowerBI and Lynk to ensure data accuracy
- Lead Insurance Navigation rollouts for companywide initiatives
- Assist program leadership as needed
- Perform Team Lead responsibilities alongside Case Manager/Benefit Specialist duties
- Ensure training deadlines and SOP requirements are met consistently
- Perform additional assigned tasks or projects
- Handle prescriptions, cases, and medical records accurately and timely
Requirements
What you’ll need- Ideally experience working as a Case Manager
- Bachelor’s degree in arts and sciences, social work, public health administration, or a related field strongly preferred
- Superior written and verbal communication skills
- Proven work experience as an informal leader within the group
- Organizational and time management skills
- Ability to prioritize urgent tasks
- 3 years’ customer service, payer benefits (reimbursement, prior authorization, etc.), or healthcare industry experience preferred
- Ability to work any 8.5-hour shift between 8 am and 8 pm, Monday to Friday required
- Bilingual English and Spanish or Chinese/Mandarin is a plus
- Office-based work; ability to sit for extended periods
- Ability to handle personal health information confidentially
- Professionalism and customer service etiquette
- Attention to detail and ability to plan and prioritize tasks
- Emotional intelligence and ability to manage stressful customer interactions
- Proficient computer skills
- Ability to work effectively within a team
- Type at least 35 words per minute with 97% accuracy 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
- Minimal travel flexibility preferred