Reimbursement Programs Lead

Valeris; North Carolina; Hybrid; USD 65,000 - 95,000; Full time

Benefits offered by this job

Medical, dental, and vision plans with

Telehealth services

Health Savings Account (HSA) and FSA

401(k) with employer match

Paid time off and holidays

Life/AD&D insurance

Job summary

Valeris, a leading life sciences partner, seeks a Program Supervisor to lead reimbursement operations and improve patient access to medications. You will manage a team, ensure accurate billing, and drive process improvements in a fast-paced healthcare environment.

The role requires strong supervisory experience, deep knowledge of pharmacy benefits, and collaboration with clinicians and payers to optimize coverage and outcomes.

Qualifications

• Bachelor’s degree and 2 years of reimbursement/insurance experience 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.
• Initiative and strong work ethic.

Responsibilities

• Coach and mentor subordinates; conduct performance appraisals and address issues.
• Serve as liaison between Program Manager and team; monitor daily schedules and tasks.
• Oversee reimbursement support and ensure adherence to scope of services.
• Prepare daily/weekly productivity reports for program management.
• Identify unmet needs and recommend process improvements to increase efficiency.
• Assist with audits and impact assessments; ensure compliance with SOPs and regulations.
• Advocate for patients and providers on insurance coverage and access to medications.
• Coordinate with internal stakeholders to resolve program escalations.

Skills

Supervisory experience

Pharmacy benefits knowledge

Medicare/Medicaid knowledge

Initiative

Problem solving

Attention to detail

Organizational skills

Communication skills

Education

Bachelor’s degree + 2 years reimbursement/insurance

Job description

Valeris, a leading life sciences partner, seeks a Program Supervisor to lead reimbursement operations and improve patient access to medications. You will manage a team, ensure accurate billing, and drive process improvements in a fast-paced healthcare environment.

The role requires strong supervisory experience, deep knowledge of pharmacy benefits, and collaboration with clinicians and payers to optimize coverage and outcomes.