Remote Executive Case Manager | Patient Access & Reimbursement

Valeris; United States; Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical, dental and vision plans

Health Savings/ Flexible Spending (HSA

401(k) with company match

Paid time off + holidays

Job summary

Valeris is seeking a dedicated Executive Case Manager to guide patients and healthcare providers through the complexities of access and reimbursement for specialty medications. You will manage cases from initiation to closure, perform benefit investigations, denials appeals, and coordinate with payers and clinicians to ensure timely coverage.

The role requires strong communication, meticulous documentation, and deep knowledge of pharmacy and medical billing.

Qualifications

• Bachelor’s degree (or higher) in healthcare administration, social science or related field.
• Two years of experience in insurance reimbursement, patient access, and patient education.
• Minimum two years in healthcare access delivery or management.
• Certification options include PACS, CHES or CCM; consideration given for five+ years in related fields.

Responsibilities

• Build trusted relationships with patients, prescribers, and client stakeholders regarding reimbursement inquiries.
• Support inbound/outbound calls to patients, caregivers, pharmacies, and HCPs.
• Provide personalized case management, including benefit coverage and prior authorizations.
• Document all activities in the Lynk system and generate reports to identify trends.

Skills

Relationship building

Communication

Prior authorization

Patient support

Education

Bachelor’s degree (Healthcare related)

Job description

Valeris is seeking a dedicated Executive Case Manager to guide patients and healthcare providers through the complexities of access and reimbursement for specialty medications. You will manage cases from initiation to closure, perform benefit investigations, denials appeals, and coordinate with payers and clinicians to ensure timely coverage.

The role requires strong communication, meticulous documentation, and deep knowledge of pharmacy and medical billing.