Care Coordinator

Valeris • Jeffersonville, IN

75d

About The Position

Valeris is a life sciences commercialization partner formed by the merger of PharmaCord and Mercalis. It provides patient support services and other commercialization solutions to life sciences companies. The Care Coordinator owns patient cases from initiation through closure, using knowledge of program rules and industry standards, critical thinking, attention to detail, and a patient-focused approach. The role supports patients, healthcare providers, and other stakeholders through benefit investigations, prior authorizations and denial appeals, assessment of eligibility for financial assistance, and resolution of inquiries through email, inbound and outbound calls, and Valeris’ Lynk technology. Remote work eligibility depends on meeting work-from-home criteria and business needs.

Requirements

• Bachelor’s degree strongly preferred or equivalent experience required.
• Ability to work an 8.5-hour shift between 8 a.m. and 9 p.m., Monday through Friday.
• Detail oriented.
• Professional telephone etiquette.
• Basic computer knowledge and ability to multitask effectively.
• Clear and concise communication and a positive attitude.
• Self-awareness, emotional awareness, and ability to manage disruptive impulses.
• Honesty, integrity, and accountability for performance.
• Flexibility in adapting to change; openness to innovation and new ideas.
• Achievement-driven approach, initiative, and persistence in pursuing goals despite obstacles.
• Ability to align with group or organizational goals and anticipate, recognize, and meet the needs of patients and care partners.
• Regularly talk or hear; frequently sit for long periods, use hands to type, handle, or feel, and reach with hands and arms.

Nice To Haves

• Customer service and healthcare industry experience.
• Bilingual Spanish and English skills.
• Typing speed of at least 35 words per minute with 97% accuracy.
• Flexibility to travel as needed.
• Remote work eligibility, subject to meeting work-from-home criteria and business need.

Responsibilities

• Build trusted relationships with patients, prescribers, and client stakeholders through proactive communication and timely, accurate work, while complying with healthcare laws and regulations.
• Conduct program welcome calls and post-benefit-investigation calls to explain coverage options to patients and physicians.
• Manage client and healthcare-provider inquiries according to reporting requirements and program business rules.
• Handle inbound calls using approved FAQs and triage patients to appropriate internal or external resources.
• Provide personalized case management to patients and healthcare providers, including communicating coverage and next steps.
• Use electronic tools to identify benefits and payer coverage, and conduct manual benefit investigations when needed.
• Identify and communicate plan coverage, including prior authorization, appeals, tier exceptions, and formulary exclusions.
• Use electronic resources and contact payers or healthcare providers as needed to follow up on submissions and coverage outcomes.
• Coordinate nurse education and follow-up services when applicable to the program.
• Identify peer-support resources for patients.
• Coordinate product shipments through patient assistance or bridge programs from the PharmaCord pharmacy.
• Communicate proactively about prior authorization reverification and patient assistance program re-enrollment.
• Report adverse events, product complaints, special situation reports, and medical inquiries in accordance with SOPs and business rules.
• Document activities in the PharmaCord Lynk system in accordance with business requirements.
• Use Valeris’ values to support team success, meet training deadlines, and consistently follow SOPs.
• Perform additional tasks or projects as assigned.

Benefits

• Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs.
• Telehealth and Employee Assistance Program 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 and immediate vesting.
• Paid Time Off and sick leave.
• Nine paid holidays plus two floating holidays.
• Opportunities for advancement and personal and professional growth.
• A challenging, stimulating work environment that encourages new ideas.
• Inclusive, mission-driven culture and efforts to create a diverse workplace.

What This Job Offers

• Job Type: Full-time