Program Supervisor-Hub

Valeris • Remote, North Carolina, NC

6d

About The Position

The Program Supervisor is responsible for reimbursement and administrative supervisory work involving coordination of program services, quality assurance, and personnel services within the department. The role identifies and implements program policies and procedures in accordance with standard operating and program-specific procedures. It requires independent judgment, with work reviewed by the Program Manager through conferences, reports, and observation of results.

The supervisor leads daily program operations and team performance, coordinates reimbursement support, monitors quality and workflow, and acts as an advocate and resource for patients and healthcare professionals dealing with complex pharmaceutical access and reimbursement matters. The role also works with client contacts and internal stakeholders, supports audits, handles escalations, and ensures compliance with program procedures and regulatory requirements.

Requirements

• Bachelor’s degree and 2 years of experience in reimbursement/insurance, healthcare billing, a physician office, or health insurance processing; alternatively, a high school diploma or equivalent and 4 years of such experience.
• Extensive knowledge of pharmacy benefit methodologies.
• Extensive knowledge of Medicare, Medicaid, and private payer payment methodologies.
• Initiative and a strong work ethic.
• Ability to lead in a fluid and dynamic environment.
• Strong problem-solving and decision-making skills.
• Attention to detail.
• Strong organizational and communication skills.

Nice To Haves

• 3–5 years of supervisory experience, preferably with progressive levels of responsibility in a service-driven environment.
• Ability to type at least 35 words per minute with 97% accuracy.
• Flexibility to travel as needed.

Responsibilities

• Coach and mentor subordinates; provide employee counseling and performance appraisals; address conflict resolution and schedule adherence.
• Serve as liaison between the Program Manager and the team, keeping the Program Manager informed about program matters.
• Plan daily schedules, assign tasks, and ensure daily goals are met.
• Submit daily and weekly team- and employee-level productivity reports to the Program Manager.
• Organize and direct daily reimbursement support according to the statement of work.
• Evaluate program needs, identify unmet needs, and recommend process improvements and workflow efficiencies.
• Follow program guidelines and assist with implementing process improvements.
• Advocate for patients and healthcare professionals regarding insurance coverage, medical billing, reimbursement, and access to complex pharmaceuticals.
• Conduct insurance benefit investigations; communicate coverage to patients and providers; guide and follow up on prior authorizations; and assist with appeals.
• Provide guidance and strategies on coverage and reimbursement issues and help patients identify and assess reimbursement coverage options.
• Build and maintain relationships with patients and healthcare professionals, and serve as an assigned liaison to client contacts.
• Prepare for and participate in client audits.
• Coordinate with interdepartmental stakeholders to resolve program escalations, conflicts, and questions.
• Independently resolve issues and serve as the first line of escalation for complex reimbursement matters.
• Conduct quality assurance activities through reviews, meetings, reports, and observation, following standard operating procedures, program-specific procedures, and regulatory requirements.
• Identify and report pharmacovigilance information, including adverse events, as required by clients.
• Participate in and conduct meetings as necessary.
• Use Valeris’ values to guide team success.
• Complete training on corporate policies and procedures by required deadlines.
• Ensure consistent adherence to all 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 (EAP) services.
• Company match on Health Savings Account contributions.
• Free basic life and AD&D coverage equal to annual earnings, subject to a $50,000 minimum and $300,000 maximum.
• Company-paid short-term disability coverage and 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 (PTO) and sick leave.
• Nine paid holidays and two floating holidays.
• Opportunities for advancement and personal and professional growth.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager