Valeris

Business Analyst

• Analyze and interpret commercial, customer, program, and operational data to identify trends, insights, risks, and opportunities
• Develop, prepare, and maintain reports and dashboards for management and strategic clients
• Translate complex data into actionable insights and recommendations
• Provide analytical support across multiple projects, managing timelines, priorities, and stakeholder coordination
• Build and maintain professional relationships with strategic clients
• Participate in strategic client conference calls concerning reporting, training, customizations, escalated issues, and client priorities
• Present findings, trends, recommendations, and program updates to management and client stakeholders
• Identify opportunities to improve KPIs, enhance programs, streamline processes, and increase client value
• Partner with leadership and cross-functional teams on sustainable solutions to client issues and requests
• Investigate reporting discrepancies, data issues, and system or process challenges to identify root causes and solutions
• Support client and internal training on reporting, programs, processes, and system functionality
• Coordinate resources and follow through on deliverables and deadlines
• Travel onsite as needed to support strategic clients and business partners
• Adhere to company policies, procedures, and SOPs
• Complete corporate training and compliance activities
• Identify opportunities to improve team performance, processes, and client experience
• Perform additional analyses and special projects as assigned

Commercial Insights Analyst

Patient Navigator

• Serve as the single point of contact and provide personalized case management for patients, caregivers, and healthcare providers
• Deliver benefit investigations, prior authorization tracking, and appeal support
• Educate patients, healthcare providers, and stakeholders on access and reimbursement processes, payer policies, and Valeris programs
• Build and maintain trusted relationships with patients, prescribers, and client stakeholders
• Coordinate and collaborate 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 for prescribed treatments
• Ensure compliance with healthcare laws, regulations, HIPAA, insurance guidelines, and Valeris standard operating procedures
• Identify and escalate adverse events, product complaints, and special situation reports
• Document activities in the Valeris system accurately
• Support adherence services, including patient education and nurse-teaching coordination
• Participate in team meetings and ongoing training
• Travel a few times per quarter may be required per client request to the nearest headquarters in Morrisville, NC or Jeffersonville, IN
• Complete training deadlines and follow SOPs consistently
• Perform additional assigned tasks and projects

Art Director

• Facilitate detailed design sessions with clients, internal stakeholders, and external partners
• Support new and existing program design and implementation processes across assigned services
• Lead client program design as the primary point of contact
• Gather operational and IT requirements for program scoping, pricing, and implementation
• Lead client discussions and collect requirements
• Build design documentation with clients, internal stakeholders, and vendors
• Develop and review recommended processes, systems, technology, and roles
• Submit work requests through the designated ticketing system
• Partner with service and product owners on implementation deliverables
• Coordinate with operations and IT teams on process and system upgrades
• Serve as a resource for program stakeholders responsible for implementation deliverables
• Distribute requirements to internal and external stakeholders
• Coordinate evaluation of custom requirements
• Partner with project managers to ensure deliverables and timelines are met
• Obtain final approval and sign-off for program elements
• Conduct lessons learned and create recommendations reports
• Integrate recommendations into best practices for future design management

Associate Director, Design – Reimbursement Support

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 patient support programs
• Educate and support patients, caregivers, and healthcare providers regarding assigned therapeutic areas
• Establish relationships and maintain rapport in a 100% telephonic setting
• Counsel patients on product use, dosing, administration, devices, insurance coverage, and reimbursement challenges
• Evaluate and contribute to development of program resources
• Coordinate financial assistance options for patients with financial need
• Follow program guidelines and escalate complex cases
• 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 and challenges
• Report and document adverse events and product/safety complaints according to SOPs
• Participate in customer meetings, training sessions, orientation meetings, and competency evaluations
• Advocate for patients and providers regarding insurance coverage, medical billing, reimbursement, and access to complex pharmaceuticals
• Participate in shared on-call, after-hours nurse service
• Meet training deadlines and follow corporate policies and SOPs
• Perform additional assigned tasks or projects

Patient Support Nurse

Manager

• Perform duties in a professional office environment
• Use computers, phones, photocopiers, and other standard office equipment
• Communicate by talking and listening
• Type and handle tasks using hands and arms
• Support Valeris's life sciences commercialization solutions and patient access mission

Field Reimbursement Manager

Program Manager

• Program Director role at Valeris, a life sciences commercialization partner
• Perform duties requiring talking, hearing, sitting for extended periods, and using hands to type, handle, feel, reach, and operate standard office equipment
• Work in a professional office environment
• Support Valeris’s mission of improving patient access and adherence to critical medications

Program Director

Care Coordinator

• Own patient cases from initiation to closure
• Conduct benefit investigations and prior authorizations/denial appeals
• 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 program rules
• Manage inbound calls and triage patients to appropriate resources
• Provide personalized case management and communicate benefit coverage and next steps
• Identify payer benefits and 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, nurse follow-up, peer support, and product shipments
• Manage prior authorization reverification and patient assistance re-enrollment needs
• Report adverse events, product complaints, special situation reports, and medical inquiries according to SOPs
• Document all activities in the PharmaCord Lynk system
• Follow corporate policies, SOPs, and training deadlines
• Perform additional assigned tasks or projects

• Own patient cases from initiation to closure
• Perform benefit investigations and prior authorizations/denial appeals
• Determine financial qualifications for assistance programs
• Assist patients and callers/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 HCP inquiries according to program 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 HCPs on submissions and outcomes
• Coordinate nurse education, nurse follow-up, adherence services, and peer support resources
• Coordinate product shipments through patient assistance and bridge programs
• Manage prior authorization reverification and patient assistance re-enrollment needs
• Report adverse events, product complaints, special situation reports, and medical inquiries
• Document activities in the PharmaCord Lynk system
• Follow SOPs, business rules, corporate policies, and training deadlines
• Perform additional assigned tasks or projects

Executive

• Own the patient journey from initiation to closure
• Complete benefit investigations and track prior authorizations and denial appeals
• Assist patients and callers/stakeholders through resolution via email, inbound/outbound calls, and Lynk technology
• Advise patients, caregivers, healthcare providers, and clients on insurance coverage, benefits, eligibility, and reimbursement challenges
• Educate healthcare provider offices on payer processes and procedures
• Build trusted relationships with patients, prescribers, specialty pharmacies, healthcare professionals, and client stakeholders
• Manage inbound calls and triage patients to appropriate resources
• Conduct post-benefits-investigation calls explaining coverage options and next steps
• Manage client and healthcare provider inquiries according to business rules
• Provide personalized case management and communicate next steps for obtaining medication coverage and access
• Identify plan benefit coverage, prior authorization, appeals, tier exceptions, and formulary exclusions
• Follow up with payers and healthcare providers on submissions and outcomes
• Coordinate nurse teaching with nurse educators and support adherence services
• Identify peer-support resources and communicate prior-authorization reverification or re-enrollment needs
• Report adverse events, product complaints, special situation reports, and medical inquiries according to procedures
• Document reimbursement activities, claims status, payments, and appeals in Lynk
• Generate reports and analysis to identify trends and improvement opportunities
• Follow corporate policies, SOPs, training deadlines, and assigned projects

Executive Care Coordinator

General

• Manage day-to-day activities and escalations for assigned medical benefit copay programs
• Assist stakeholders as an advocate by providing detailed information for medical claim situations
• Serve as focal point for provider medical claim escalations
• Conduct verbal and written outreach to provider sites, patients, and other stakeholders
• Provide customer service as a service representative
• Analyze situations, interpret information, draw conclusions, and determine appropriate actions
• Support pharmaceutical representatives and their sites regarding medical benefit programs
• Investigate end-to-end medical claim scenarios and determine resolutions
• Maintain ethical conduct regarding confidentiality and privacy
• Maintain records according to applicable standards and program regulations
• Evaluate programs and recommend new tools, forms, and procedures
• Participate in program meetings and improvement initiatives
• Collaborate with vendors and internal stakeholders to document, escalate, and resolve issues
• Participate in continuing education activities to remain knowledgeable about programs and related areas

Trades Medical Benefit Specialist

Reimbursement Specialist

• Provide in-depth knowledge of client programs by working with patients, healthcare providers, and insurance companies
• Answer inquiries and process service requests
• Assess benefits coverage and manage barriers to patient access to therapy
• Provide telephonic and web-based customer service support
• Perform patient-level benefits verifications for major medical and pharmacy benefit plans
• Complete patient-level benefits Coverage Determination Summary forms
• Coordinate prior authorizations according to payer guidelines and applicable law, regulation, or guidance
• Review patient assistance enrollment forms and supporting documentation
• Determine patient eligibility according to program criteria
• Communicate eligibility decisions to patients, healthcare providers, and consignment pharmacies
• Answer inbound callers and resolve inquiries or warm-transfer callers
• Listen to customers, assess needs, and respond with patience and courtesy
• Identify missing or incorrect information in service requests and applications
• Report adverse events and product complaint inquiries according to SOPs and good manufacturer practices
• Provide feedback regarding service failures and customer concerns
• Use PharmaCord Lynk to process claims and maintain workflows
• Communicate with medical practice accounts and sales representatives regarding case status
• Provide consultative services to overcome obstacles and transition patients to paid therapy
• Follow company values, policies, SOPs, and training deadlines
• Perform additional assigned tasks or projects

• Own patient cases from initiation to closure
• Conduct benefit investigations and prior authorizations/denial appeals
• Determine financial qualifications for assistance programs
• Assist patients, callers, prescribers, HCPs, and stakeholders via email and inbound/outbound calls
• Build trusted relationships with patients, prescribers, and client stakeholders
• Perform program welcome calls and post-Benefits Investigation calls
• Manage client and HCP 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 payer benefits and coverage using electronic tools and manual investigations
• Communicate prior authorization, appeal, tier exception, and formulary exclusion requirements
• Follow up with payers and HCPs regarding submissions and outcomes
• Coordinate nurse education and adherence follow-up
• Identify peer support resources
• Coordinate product shipments through patient assistance and bridge programs
• Manage prior authorization reverification and patient assistance program re-enrollment needs
• Report adverse events, product complaints, special situation reports, and medical inquiries according to SOPs and business rules
• Document activities in the Valeris Lynk system
• Complete training and follow corporate policies and SOPs
• Perform additional assigned tasks or projects

• Provide education and reimbursement support to healthcare providers and authorized office staff
• Combine virtual account support with targeted in-field engagement
• Manage virtual and field-based account engagement across the assigned geography
• Travel to healthcare provider offices, oncology practices, health systems, academic medical centers, infusion centers, client meetings, conferences, and internal meetings
• Prioritize accounts and activities based on business need, access complexity, and potential impact
• Support prior authorizations, appeals, claims, coding and billing education, and reimbursement-related provider education
• Identify reimbursement trends and proactively develop account-level strategies
• Build and maintain strong provider partnerships
• Identify and escalate access barriers and complex reimbursement issues
• Document field activities accurately
• Provide insights to improve the overall provider access experience
• Operate within established program and compliance guidelines using only approved resources and materials; do not provide clinical advice

Oncology Field Reimbursement Manager

• Provide education and reimbursement support to healthcare providers and authorized office staff
• Combine virtual account support with targeted in-field engagement
• Manage virtual and field-based account engagement across the assigned geography
• Focus field activity on priority accounts and situations where in-person engagement provides meaningful value
• Visit healthcare provider offices, oncology practices, health systems, academic medical centers, infusion centers, client meetings, conferences, and internal meetings
• Support prior authorizations, appeals, claims, coding and billing education, and reimbursement-related provider education
• Identify reimbursement trends and proactively develop account-level strategies
• Build provider partnerships and deliver in-person and virtual presentations
• Identify and escalate access barriers and complex reimbursement issues
• Prioritize accounts and activities based on business need, access complexity, and potential impact
• Maintain accurate activity documentation and field activity reporting
• Provide insights to improve the provider access experience
• Operate within established program and compliance guidelines without providing clinical advice

• Provide education and reimbursement support to healthcare providers and authorized office staff
• Combine virtual account support with targeted in-field engagement
• Manage virtual and field-based account engagement across the assigned geography
• Travel up to approximately 40% to healthcare provider offices, oncology practices, health systems, academic medical centers, infusion centers, client meetings, conferences, and internal meetings
• Support prior authorizations, appeals, claims, coding and billing education, and reimbursement-related provider education
• Identify reimbursement trends and proactively develop account-level strategies
• Prioritize accounts and activities based on business need, access complexity, and potential impact
• Build strong provider partnerships and deliver in-person and virtual presentations
• Identify and escalate access barriers and complex reimbursement issues
• Manage territory activities and accurately document activity
• Use only approved resources and materials and operate within established program and compliance guidelines
• Provide insights to improve the overall provider access experience
• Do not provide clinical advice