Insurance Program Manager Jobs in Louisville, KY

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 visitwww.valeris.com.

When you join the team as a Program Manager, you'll have the opportunity to make a difference in the lives of our patients each day as they look to you as part of their dedicated support team for helping them navigate the tricky process of getting access to their complex medication. You will provide leadership to a team who will compassionately deliver an exceptional experience to many patients per day. You will also provide consultation to our clients as the program knowledge expert as you look for ways to optimize the impact of the program for continued patient support.

Your Impact in This Role

Responsibilities include, but are not limited to the following:

Operational Program Management

• Understands client objectives and incorporates objectives into program service goals


• Ensures that Valeris executes program services in compliance with contracted service level


• Accountable for management of client service request queue (Both completion and work in progress)


• Responsible for the implementation and on-going management of client-specific business rules


• Proactively identifies opportunities for program improvements in scope of service and/or efficiency in the delivery of service


• Evaluates data and providing actionable insights that drive the Program forward consistent with client objectives

Financial

• Monitors and provides weekly updates on items impacting program financial forecast


• Prepares activity summary for the development and review of client monthly invoices

Team selection, hiring, training and development

• Identifies talent for open positions including development of internal candidates to prepare for promotional opportunities


• Partners with HR to ensure program staffing levels are achieved at all times


• Works proactively with Human Resources to develop a steady pipeline of candidates


• Drives training, development and retention of team

Client support

• Prepares, reviews, analyzes client specific operational results


• Primary responsibility for the preparation of client business review meetings with operational metrics and data insights


• Point of contact for program/operational queries and issue resolution


• Assures client reporting of Adverse Events/ Product Complaint received are reported in accordance with client work instructions


• All other duties as assigned

What you’ll need to thrive in this role

• 5+ years of experience in the healthcare industry is required


• Bachelor’s degree is strongly preferred; Master’s degree is preferred


• Previous personnel/team management experience is required, experience managing managers is a plus


• Knowledge of the specialty drug product marketplace, health insurance claims processing, and commercialization of products and working with manufacturers is a plus


• Previous experience leading customer service teams is a plus


• Bi-lingual in English and Spanish is a plus

Preferred Attributes

• Demonstrate critical thinking and complex problem-solving skills while managing operational challenges


• Able to engage and motivate a team by working with them directly or through the Program Supervisors (if applicable)


• You are tech savvy meaning you have exceptional ability to understand complex platforms, data and technical language


• You are analytical and you find joy in drawing actionable insights from program data and analytics


• You take initiative and show commitment to team and organizational goals


• You are in tune with your emotional intelligence (ability to recognize emotions and their effects)


• Able to manage disruptive impulses and handle potentially stressful interactions


• Able to manage a large team that may include multiple Supervisors


• You are a skilled multi-tasker where you can successfully manage multiple competing priorities


• Accepts accountability for personal and team performance; acts with integrity


• Adaptable and handles change with flexibility


• Innovative and open to innovative ideas


• Achievement driven; constantly striving to improve or to meet a standard of excellence


• Communicate clearly and articulately


• A positive attitude!

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. Must be able to type 35 WPM 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.

Our Commitment to Equal Opportunity

Valeris is an Equal Opportunity Employer committed to fostering a diverse, inclusive, fair, and equitable workplace. Furthermore, we believe in the importance of partnering with diverse suppliers and vendors that share these values. At Valeris, an employee is celebrated for his or her contributions and dedication to supporting the needs of our clients and their patients. We recognize the struggle for access, affordability, and adherence to therapy is real; our employees play a vital role in the successful completion of that journey. We approach our customers’ challenges with empathetic hearts, which organically fuels our internal culture of caring. Valeris’ leadership team works tirelessly to provide an environment that is free of discrimination and bias. We firmly believe collaboration among team members with varied pasts and perspectives generates more incisive and deeper insights that better serve our employees and our communities.

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.