Case Manager / Patient Advocate (non-clinical)

About the role

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions to improve the patient experience and ensure access to critical medications. The Case Manager plays a crucial role in managing patient cases from initiation to closure, ensuring timely and accurate communication with patients, prescribers, and other stakeholders.

Responsibilities

• Builds trusted relationships with patients, prescribers, and client stakeholders through proactive communication and timely execution of deliverables.
• Manages all relationships in compliance with healthcare laws and regulations.
• Welcomes patients with program calls and explains coverage options after benefits investigations.
• Triage client inquiries and manages HCP inquiries according to business rules.
• Manages inbound calls using approved FAQs and directs patients to appropriate resources.
• Provides personalized case management to patients and HCPs, including outbound communications and nurse educator coordination.
• Identifies and communicates patient's plan benefit coverage, handles prior authorizations, appeals, and tier exceptions, and coordinates shipment of product through patient assistance programs.
• Supports adherence services through nurse follow-up and reports adverse events and medical inquiries.
• Utilizes electronic tools to identify benefits and payer coverage and completes manual benefit investigations as needed.
• Documents all activities within the PharmaCord Lynk system in accordance with business requirements.
• Adheres to Valeris' values and ensures compliance with all corporate policies and procedures.

Qualifications

• Bachelor’s degree strongly preferred or equivalent experience required.
• Customer service and healthcare industry experience is preferred but not required.
• Ability to work an 8.5-hour shift between 8 am to 11 pm, Monday to Friday.
• Bi-lingual in English and Spanish or Chinese/Mandarin is a plus.

Benefits

• Medical, dental, and vision plans with HSA- and FSA-eligible options, with Valeris contributing toward premiums.
• Additional health support, including telehealth and Employee Assistance Program (EAP) services.
• Company match on Health Savings Account contributions.
• 401(k) Retirement Savings Plan with 100% match on the first 5% you contribute, with immediate vesting.
• Paid Time Off (PTO) and Sick Leave.
• Opportunities for advancement in a supportive and inclusive culture.