Reimbursement & Patient Access Program Lead

Valeris; Raleigh (NC); On-site; USD 55,000 - 85,000; Full time

Job summary

Valeris in the United States seeks a Program Supervisor to oversee reimbursement operations within our healthcare services team. You will coach staff, manage daily workflows, and ensure timely, accurate billing support for complex pharmaceutical programs.

Responsibilities include liaising with the Program Manager, auditing processes, and advising patients and providers on coverage options. A Bachelor's degree and 3–5 years of reimbursement experience are preferred.

Qualifications

• Bachelor’s degree with 2 years in reimbursement/insurance preferred.
• 3–5 years supervisory experience in a service-driven environment.
• Extensive knowledge of pharmacy benefit methodologies.
• Extensive knowledge of Medicare, Medicaid, and private payer payment methodologies.
• Excellent problem-solving and decision-making skills.
• Strong organizational and communication skills.

Responsibilities

• Lead performance management including coaching and scheduling.
• Submit daily/weekly productivity reports to management.
• Provide organization and direction for daily reimbursement support.
• Communicate with stakeholders to resolve escalations.
• Advise patients and providers on insurance coverage and reimbursement options.
• Ensure SOPs are followed and participate in client audits.

Skills

Leadership

Communication

Problem solving

Attention to detail

Organizational skills

Education

Bachelor’s degree

High School diploma or equivalent with 4 years reimbursement experience

Job description

Valeris in the United States seeks a Program Supervisor to oversee reimbursement operations within our healthcare services team. You will coach staff, manage daily workflows, and ensure timely, accurate billing support for complex pharmaceutical programs.

Responsibilities include liaising with the Program Manager, auditing processes, and advising patients and providers on coverage options. A Bachelor's degree and 3–5 years of reimbursement experience are preferred.