Program Supervisor

Valeris, Inc.; Raleigh (NC); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical, dental, and vision plans

401(k) Retirement Savings Plan with 5%

PTO and holidays

Telehealth and EAP services

Job summary

Valeris is seeking a Program Supervisor in Morrisville, NC to oversee reimbursement and administrative supervision within the department. The role requires coaching staff, managing daily tasks, and ensuring quality assurance per SOPs and client guidelines.

You will liaise with the Program Manager, prepare productivity reports, and advocate for patients regarding insurance coverage and authorization processes. On-site collaboration with cross-functional teams is essential.

Qualifications

• Bachelor’s degree and 2 years of reimbursement/insurance experience preferred.
• 3-5 years supervisory experience preferred.
• Extensive knowledge of pharmacy benefit methodologies.
• Extensive knowledge of Medicare, Medicaid, and private payer payment methodologies.
• Strong organizational and communication skills.

Responsibilities

• Coach and mentor subordinates and manage performance.
• Liaison between Program Manager and team; manage daily tasks.
• Prepare and review productivity reports.
• Oversee daily reimbursement support per statement of work.
• Communicate with stakeholders to resolve escalations.
• Ensure SOPs are followed and participate in audits.
• Support patients and providers on coverage and reimbursement.
• Travel as needed; live within 50 miles of Morrisville HQ.

Skills

Reimbursement

Supervisory experience

Pharmacy benefits

Medicare/Medicaid

Communication skills

Education

Bachelor’s degree

High School diploma

Job description

Company Overview

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life sciences innovation to real-life impact to build a world in which every patient gets the care they need. Valeris works on behalf of life sciences companies to improve the patient experience so that patients can access and adhere to critical medications. Backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Valeris provides commercialization solutions to more than 500 life sciences customers and has provided access and affordability support to millions of patients. The company is headquartered in Morrisville, North Carolina and Jeffersonville, Indiana. To learn more about Valeris, please visit www.valeris.com.

Role

Program Supervisor is responsible for reimbursement and administrative supervisory work in the coordination of program services, quality assurance and personnel services within the department. Work involves the identification and implementation of program policies and procedures as directed by standard operating and program specific procedures. Work is performed with independent judgment, and action is reviewed by the Program Manager through conferences, reports, and observation of results obtained.

Key Responsibilities:

• Responsible for performance management including but not limited to, coaching and mentoring subordinates, employee counseling, employee performance appraisals, conflict resolution and schedule adherence
• Liaison between Program Manager and Team Keeps the Program Manager abreast on all aspects concerning the Program Plans daily schedule, assigns tasks and ensures daily goals are met
• Submits daily and weekly reports to the Program Manager regarding productivity statistics at both the team and employee level
• Provides organization and direction for daily reimbursement support according to the scope of services provided in the statement of work
• Evaluate and monitor Program needs, identifies unmet needs and provides recommendations for internal process improvement and workflow efficiency
• Follows program guidelines and assists with the implementation of process improvements
• Serves as an advocate to patients and healthcare professionals regarding insurance coverage, medical billing, reimbursement process, and general access for complex pharmaceuticals
• Ability to perform thorough insurance benefit investigations, communicate insurance coverage to patients and providers, guide and follow up on prior authorizations, and assist with appeal processes
• Provides counsel and strategies on coverage and reimbursement issues to patients and healthcare providers, and works on patients’ behalf to identify and assess reimbursement coverage options
• Establishes relationships, develops trust, and maintains rapport with patients and healthcare providers; Acts as an assigned liaison to client contacts (e.g., regional contact for sales representatives)
• Preparation of and participation in client audits
• Communicates and coordinates with inter-departmental stakeholders to resolve program specific escalations, conflicts and/or questions
• Problem solves issues with autonomy and serves as first line of escalation for complex reimbursement issues
• Routinely conducts quality assurance activities through reviews, meetings, reports, observation of results, according to standard operating procedures, program specific procedures and regulatory compliance
• Identify and report pharmacovigilance information as required by client(s) (i.e., Adverse Events)
• Participates in and conducts meetings, as necessary
• 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 with consistency
• Perform additional tasks or projects as assigned

DESIRED CANDIDATE SHOULD LIVE WITHIN 50 MILES OF VALERIS HQ IN MORRISVILLE, NC [near RDU airport]

Qualifications

• Bachelor’s degree and 2 years of reimbursement/insurance, healthcare billing, physician office, health insurance processing preferred or in lieu of a degree, a High School diploma or equivalent with 4 years of reimbursement/insurance, healthcare billing, physician office, health insurance processing
• 3-5 years supervisory experience preferred with progressive levels of responsibility within a service driven environment
• Extensive knowledge of pharmacy benefit methodologies
• Extensive knowledge of Medicare, Medicaid, and private payer payment methodologies
• Initiative and strong work ethic critical
• Ability to lead within a fluid and dynamic environment
• Excellent problem-solving and decision-making skills required
• Attention to details
• Strong organizational and communication skills

Physical Demands & Work Environment

While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit for long periods of time, use hands to type, handle or feel; and reach with hands and arms. Prefer candidates who can type at least 35 words per minute with 97% accuracy. Although very minimal, flexibility to travel as needed is preferred. This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.

Benefits

• Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs
• Additional health support, including telehealth and Employee Assistance Program (EAP) services
• Company match on Health Savings Account contributions
• Free Basic Life and AD&D coverage equal to your 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% you contribute, with immediate vesting
• Paid Time Off (PTO) and Sick Leave to support work-life balance
• Team members receive nine paid holidays plus two floating holidays
• Opportunities for advancement in a company that supports personal and professional growth
• A challenging, stimulating work environment that encourages new ideas
• Work for a company that values diversity and makes deliberate efforts to create an inclusive workplace
• A mission-driven, inclusive culture where your work makes a meaningful impact

Equal Opportunity Statement

Our Commitment to Equal Opportunity At Valeris, we don’t just accept difference – we celebrate it, support it and we thrive on it for the benefit of our employees, our products and our community. Valeris is proud to be an equal opportunity employer.

Employment Conditions

Any offer of employment is contingent upon the successful completion of a background check and, depending on the position, a drug screen in accordance with company standards. Please note that this job description is not intended to be an exhaustive list of all duties, responsibilities, or activities associated with the position. Responsibilities and tasks may be modified at any time, with or without notice.

Company Purpose

A Name With Purpose. Inspired by those who work each day to transform access and enhance lives, our name emerges from the root valor: to be bold, brave, determined, be well, have worth. It speaks to integrity, simplicity, strength, and principled action. Valeris merges this with vision and an intention to redefine value at every step in the patient journey. We honor the science. We unlock the value. We do it with vision. We are Valeris. Purpose: Valeris represents measurable business impact through healthcare innovation that transforms lives. We combine cutting-edge technology with healthcare expertise to tackle challenges in access, affordability, and quality of care. Success means improving patient outcomes - everything we do is anchored in the value of improving human lives.