Program Manager, Copay

Valeris•Washington, NV

12d

About The Position

The Program Manager (PM) 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 PM works with cross-functional teams to deliver solutions on time, within scope, and on budget while ensuring exceptional client service and operational excellence. The PM develops expertise in assigned therapeutic areas, competitive landscapes, and client objectives to provide strategic guidance and solutions that maximize program performance and brand value. The role uses data and key performance indicators to develop actionable recommendations, help clients navigate organizational processes, manage vendor and partner relationships, and foster collaboration among internal and external stakeholders. Responsibilities span daily program maintenance and funding oversight; weekly client meetings, reporting, metric reviews, and escalation tracking; monthly invoicing, budget, dashboard, and KPI reviews; quarterly business reviews, accruals, and audits; and annual year-end deliverables and Statement of Work management. The PM may also conduct FOP reviews, monitor project sheets, coordinate program-change alerts, and mentor peers. The position operates in a professional office environment and may involve local and 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 and work as part of a highly collaborative team.
High proficiency in Microsoft Office, including Project, Excel, PowerPoint, Visio, Word, Access, and OneNote.
Organized and detail-oriented, with effective 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.

Nice To Haves

Graduate degree and/or additional certifications, including PMP.
For internal applicants, extensive experience with Valeris systems and services.
Ability to type at least 35 words per minute with 97% accuracy.
Flexibility to travel as needed.

Responsibilities

Complete tasks for ongoing program maintenance, program 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 client touchpoints, prepare agenda topics, facilitate discussions, and distribute meeting minutes.
Manage client and internal stakeholder meetings; track decisions, action items, owners, and due dates; and follow up on open items.
Prepare weekly automated reporting for program reviews and QBRs, and send the completed Weekly Insights tracker to the leader every Monday by end of business.
Review claims, enrollments, and budget performance, identify anomalies and trends, and escalate concerns promptly.
Coordinate with HUB project managers, document program updates and their effects on metrics, and record insights in the Weekly Insights tracker.
Oversee communications tickets to confirm timely responses and resolution.
Track escalations and ensure they are closed in a timely manner.
Monitor inflight change orders weekly and track updates in the monthly budget file and change-order tracker.
Manage invoicing and confirm monthly invoice accuracy and timeliness.
Investigate missed KPIs, perform root-cause analysis, and document corrective actions.
Maintain an accurate, complete, client-ready dashboard.
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 in QBR-ready presentation format, meet QBR milestones and deliverables, document trends throughout the quarter, and engage 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, perform root-cause analysis, document corrective actions, and collaborate with internal teams on duplicate-claim resolution and fund recovery 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 business rule changes and new program launches; promptly communicate defects to supporting teams and the Savings Leadership team.
Conduct FOP reviews and validate accuracy, completeness, and alignment with program requirements, ideally responding to production and communication partners within 24 hours.
Monitor project sheets to ensure they align 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 maximum of $300,000.
Company-paid short-term disability coverage, with an 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, mission-driven culture and commitment to diversity.