Existing Program! Specialty Pharmacy Account Liaison

Valeris; Jeffersonville (IN); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Medical, dental, and vision plans

401(k) with company match

PTO and sick leave

Opportunities for advancement

Job summary

Valeris in Jeffersonville, Indiana is seeking a patient-focused professional for record management and communication with specialty pharmacies and healthcare providers. The ideal candidate will possess strong multitasking abilities and experience in customer service or healthcare.

Successful applicants should be detail-oriented, adaptable, and possess a Bachelor’s degree. Valeris offers a supportive environment with opportunities for growth, competitive benefits, and a commitment to employee well-being.

Qualifications

• 3 years’ experience in customer service, payer benefits, or healthcare industry preferred.
• Bi-lingual in English and Spanish or Chinese/Mandarin is a plus.
• Ability to work any 8.5-hour shift between 8 am and 8 pm, Monday to Friday.

Responsibilities

• Deliver compassionate patient experience by managing their records efficiently.
• Build trusted relationships through proactive communication.
• Triage patients to internal or external resources as appropriate.

Skills

Detail oriented

Professional telephone etiquette

Ability to multitask effectively

Service oriented to meet the needs of others

Experience with specialty pharmacies

Education

Bachelor's degree in arts and sciences, social work, public health administration or related field

High school diploma or GED

Tools

Basic computer knowledge

Job description

Overview

Valeris is a fully integrated life sciences commercialization partner that provides solutions spanning the healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris revolutionizes the path from life sciences innovation to real-life impact to help patients access and adhere to critical medications. The company is headquartered in Morrisville, North Carolina and Jeffersonville, Indiana. To learn more, visit www.valeris.com.

Responsibilities

You\'ll compassionately deliver an exceptional experience to many patients per day, ensuring thorough and efficient management of their records. You\'ll adjust your approach to patient needs by communicating clearly, focusing on accuracy of medical record details, and ensuring prescriptions or cases are handled timely.

Key Responsibilities

• Relationship Management
  • Builds trusted relationships with specialty pharmacies, patients, prescribers, and client stakeholders through proactive communication, timely and accurate execution of deliverables, and a commitment to helping patients
  • Manages all relationships in a manner that adheres to healthcare laws and regulations
• Communications
  • Performs post Benefits Investigation calls to payors, patients, or physicians verifying or explaining coverage options
  • Manages client inquiries not determined by the client through reporting
  • Manages Health Care Provider inquiries, as applicable, pursuant to business rules
• Inbound Call Management
  • Manages direct inbound calls from specialty pharmacy contacts
  • Triage patients to internal or external resources as appropriate
• Specialty Pharmacy Communication
  • Leverages electronic tools to identify benefits and payer coverage; completes manual benefit investigation as needed
  • Identifies and communicates patient plan benefit coverage including prior authorization, appeal, tier exception, or formulary exclusions
  • Uses electronic resources to obtain benefit coverage outcomes and, if needed, follows up with payers and specialty pharmacies
  • Coordinates nurse teaching with field-based nurse educators, as applicable
  • Supports adherence services through nurse follow-up
  • Identifies peer support resources for patients
  • Tracks shipment of product through patient assistance programs
  • Proactively communicates needs for reverification of prior authorization or re-enrollment for patient assistance program
  • Reports adverse events, product complaints, special situation reports, and medical inquiries per SOPs
  • Documents all activities within the PharmaCord CORscend system per business requirements
  • Utilize Valeris\' values as the driving force behind the team\'s success
  • On-time adherence to training deadlines for all corporate policies and procedures
  • Ensure all SOPs are followed consistently
  • Perform additional tasks or projects as assigned

Qualifications

Successful candidates possess the following attributes and experience:

• Detail oriented
• Professional telephone etiquette
• Self-awareness of emotions and their impact on others
• Basic computer knowledge
• Ability to multitask effectively
• Ability to recognize emotions and their effects
• Self-worth and confidence in capabilities
• Manage disruptive impulses
• Maintains standards of honesty and integrity
• Takes responsibility for performance
• Adapts and handles change with flexibility
• Innovative and open to new ideas
• Achievement driven; strives for excellence
• Aligns with goals of the group or organization
• Initiative and ability to act on opportunities
• Optimistic and persistent in pursuing goals
• Service oriented to meet the needs of others, including patients and care partners
• Clear and concise communication
• Positive attitude
• Experience with specialty pharmacies (preferred)
• Bachelor\'s degree in arts and sciences, social work, public health administration or related field strongly preferred; high school diploma or GED required
• 3 years’ experience in customer service, payer benefits (reimbursement, prior authorization), or healthcare industry (preferred)
• Ability to work any 8.5-hour shift between 8 am and 8 pm, Monday to Friday, and to work additional shifts as needed
• Bi-lingual in English and Spanish or Chinese/Mandarin is a plus

Physical Demands & Work Environment

• Typical duties require talking or hearing; prolonged sitting; typing; and reaching with hands and arms. Typing speed of at least 35 wpm with 97% accuracy preferred
• Regular travel is possible, though minimal
• Professional office environment with standard office equipment

Why Work for Valeris

We\'re committed to supporting the well-being and success of our team members. Full-time employees can expect:

• Medical, dental, and vision plans with HSA- and FSA-eligible options
• Telehealth and Employee Assistance Program (EAP) services
• Company match on Health Savings Account contributions
• Free Basic Life and AD&D coverage with a range based on earnings
• Short-Term Disability coverage with option to purchase Long-Term Disability
• 401(k) with company match and immediate vesting
• PTO and sick leave
• Nine paid holidays plus two floating holidays
• Opportunities for advancement
• Challenging, stimulating work environment that encourages new ideas
• Diverse and inclusive workplace
• Mission-driven culture with meaningful impact

Any offer of employment is contingent upon the successful completion of a background check and, depending on the position, a drug screen. This job description is not exhaustive and duties may be modified at any time, with or without notice.

EEO & Notices

Our Commitment to Equal Opportunity
Valeris is an equal opportunity employer.

Important Notice
Be aware of hiring scams. Communications from our Talent Acquisition team will come from official Valeris or Newton Software email addresses. We will never ask for bank details or issue checks for home office equipment. If you receive suspicious communication, report it to [e-mail].