Copay Program Manager - Patient Services - A

Valeris•Remote, North Carolina, NC

13d

About The Position

The Program Manager serves as the primary client relationship manager and is accountable for program execution, account management, financial oversight, and business analysis across assigned brands. Acting as the main point of contact between clients and Valeris, the Program Manager works with cross-functional teams to deliver solutions on time, within scope, and on budget while ensuring exceptional client service and operational excellence. The role requires developing expertise in assigned therapeutic areas, competitive landscapes, and client objectives to provide strategic guidance and innovative solutions that improve program performance and brand value. The Program Manager uses data and key performance indicators to recommend actions, helps clients navigate organizational processes, manages vendor and partner relationships, and fosters collaboration among internal and external stakeholders. Responsibilities span daily program maintenance, funding and claims monitoring, ticket and tracker updates, client and stakeholder meetings, reporting, invoicing, budgeting, contract and statement-of-work management, quarterly business reviews and audits, year-end activities, and program launches or business-rule changes. The role also includes mentoring and training peers as needed. The job operates in a professional office environment and may require local or out-of-town travel of up to 10%.

Requirements

Bachelor’s degree with a concentration in business, accounting, marketing, healthcare, or the pharmaceutical industry.
Three to four years of project or program management experience.
Exceptional verbal and written communication skills and ability to interact with internal and external stakeholders.
Ability to multitask in a fast-paced environment while working as part of a collaborative team.
High proficiency in Microsoft Office, including Project, Excel, PowerPoint, Visio, Word, Access, and OneNote.
Strong organization, attention to detail, and time-management skills.
Budget management and/or financial accounting skills.
Ability to take initiative and anticipate needs.
Ability to travel locally and out of town, with an expectation of up to 10% travel.
Regular ability to talk or hear; frequent ability to sit for long periods, type, handle or feel objects, and reach with hands and arms.
Candidates are preferred to be able to type at least 35 words per minute with 97% accuracy.

Nice To Haves

Graduate degree and/or additional certifications, including PMP.
For internal applicants, extensive experience with Valeris systems and services.
Flexibility to travel as needed.

Responsibilities

Complete tasks supporting ongoing program maintenance, updates, launches, and business-rule changes accurately and within established timelines.
Review funding for VPC accounts daily to ensure purchase orders are funded for billing.
Review approved claims reports and submitted tickets daily to identify stalled or stuck claims.
Keep program-specific trackers current, accurate, and audit-ready, including ServiceNow tickets and LOE scoping forms.
Approve escalation tickets.
Lead weekly scheduled touchpoints with J&J, develop agenda topics, facilitate discussions, and distribute meeting minutes.
Manage client and internal stakeholder meetings and track decisions, actions, owners, and due dates in the centralized meeting-minutes tracker; follow up on open items.
Prepare weekly automated reporting for program reviews and quarterly business reviews.
Update the Weekly Insights tracker with key insights and email it to the leader by end of business each Monday.
Review claims, enrollments, and budget performance; identify anomalies, escalate concerns, and capture trends for quarterly reporting.
Coordinate with HUB Program Managers, document program updates and their effects on metrics, and include relevant insights in the weekly tracker.
Oversee communications tickets and confirm timely responses and resolution.
Track escalations through timely closure and discuss them on HUB standups as needed.
Monitor in-flight change orders weekly and track updates in the monthly budget file.
Manage invoicing and confirm the accuracy and timeliness of monthly invoices.
Investigate missed KPIs, perform root-cause analysis, and document corrective actions.
Update the client dashboard and ensure it is accurate, complete, and ready for client visibility.
Maintain the budget file by validating spend, projections, and variances.
Review invoices, pull reports, and check statements of work to ensure each line item is billed accurately.
Prepare program data and insights for quarterly business reviews, meet leadership timelines and deliverables, document trends throughout the quarter, and participate in peer and leadership reviews.
Prepare accruals and ensure financial accuracy and alignment with program performance.
Conduct quarterly audits of missed KPIs and duplicate claims, document corrective actions, and collaborate with internal teams on duplicate-claim resolution and recovery of funds where applicable.
Coordinate year-end business-rule document renewals and confirmations, required data pulls, and year-end deliverables.
Update and finalize the upcoming year's statement of work, submit required ServiceNow tickets, complete project scoping, and prepare supporting change-order documentation.
Create and use HyperCare alerts for program business-rule changes and launches; promptly communicate defects to supporting teams and the Savings Leadership team.
Conduct FOP reviews to validate accuracy, completeness, and alignment with program requirements, prioritizing responses to production and communications partners within 24 hours where possible.
Monitor project sheets to keep them aligned with program changes and launches.
Provide mentorship and training to peers as needed.

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.
An inclusive workplace and mission-driven culture.