... innovation to real-life impact to build a world in which every patient gets the care they need ... A degree in healthcare administration, social science or similar related fields is strongly ...
... innovation to real-life impact to build a world in which every patient gets the care they need ... A degree in healthcare administration, social science or similar related fields is strongly ...
Coder Specialist - Remote
Granger, IN · On-site +1
We deliver outstanding care, inspire health, and connect with heart. * VALUES: Trust. Respect ... Leverage innovation everywhere. * Cultivate human talent. * Embrace performance improvement.
Coder Specialist - Remote
Granger, IN · On-site +1
We deliver outstanding care, inspire health, and connect with heart. * VALUES: Trust. Respect ... Leverage innovation everywhere. * Cultivate human talent. * Embrace performance improvement.
Drawing Support Analyst- Remote
Lafayette, IN · Remote
$60K - $63K/yr
... tech, healthcare, medical devices, rail and semiconductor industries. We are looking for humble ... innovation, but also perpetually driven to design, develop, and test as a trusted partner for ...
Drawing Support Analyst- Remote
Lafayette, IN · Remote
$60K - $63K/yr
... tech, healthcare, medical devices, rail and semiconductor industries. We are looking for humble ... innovation, but also perpetually driven to design, develop, and test as a trusted partner for ...
Litigation Defense Attorney - Remote
Greenwood, IN · Remote
$110K - $140K/yr
With a focus on innovation and technology, they embrace a fully remote work environment to empower their team members to excel in their roles while maintaining a healthy work-life balance. This ...
Quick apply
Litigation Defense Attorney - Remote
Greenwood, IN · Remote
$110K - $140K/yr
With a focus on innovation and technology, they embrace a fully remote work environment to empower their team members to excel in their roles while maintaining a healthy work-life balance. This ...
We have built our reputation on effective and flexible solutions, accuracy, innovation, creative ... Unique offers a full suite of benefits including: * Healthcare through Cigna * Dental, Vision ...
We have built our reputation on effective and flexible solutions, accuracy, innovation, creative ... Unique offers a full suite of benefits including: * Healthcare through Cigna * Dental, Vision ...
Dental Scheduler - Remote
Jeffersonville, IN · On-site +1
$16 - $17/hr
We have built our reputation on effective and flexible solutions, accuracy, innovation, creative ... Unique offers a full suite of benefits including: * Healthcare through Cigna * Dental, Vision ...
Dental Scheduler - Remote
Jeffersonville, IN · On-site +1
$16 - $17/hr
We have built our reputation on effective and flexible solutions, accuracy, innovation, creative ... Unique offers a full suite of benefits including: * Healthcare through Cigna * Dental, Vision ...
Data Technical Specialist - Remote
Richmond, IN · On-site +1
$101.40K - $152.10K/yr
Together, we'll continue on a journey of innovation, creating a connected world and paving the way ... could include health/dental/vision, long term/short term disability, life insurance, HSA/FSA ...
Data Technical Specialist - Remote
Richmond, IN · On-site +1
$101.40K - $152.10K/yr
Together, we'll continue on a journey of innovation, creating a connected world and paving the way ... could include health/dental/vision, long term/short term disability, life insurance, HSA/FSA ...
Data Technical Specialist - Remote
Richmond, IN · On-site +1
$101.40K - $152.10K/yr
Together, we'll continue on a journey of innovation, creating a connected world and paving the way ... could include health/dental/vision, long term/short term disability, life insurance, HSA/FSA ...
Data Technical Specialist - Remote
Richmond, IN · On-site +1
$101.40K - $152.10K/yr
Together, we'll continue on a journey of innovation, creating a connected world and paving the way ... could include health/dental/vision, long term/short term disability, life insurance, HSA/FSA ...
Lead SAP Analytics Cloud Developer - Remote
Richmond, IN · Remote
$105K/yr
Innovation Starts With You Propel your career at Belden, where innovation creates possibilities-for ... could include health/dental/vision, long term/short term disability, life insurance, HSA/FSA ...
Lead SAP Analytics Cloud Developer - Remote
Richmond, IN · Remote
$105K/yr
Innovation Starts With You Propel your career at Belden, where innovation creates possibilities-for ... could include health/dental/vision, long term/short term disability, life insurance, HSA/FSA ...
Medical Director Orthopaedics, Spine
Warsaw, IN · On-site +1
Our strength in healthcare innovation empowers us to build aworld where complex diseases are ... The preferred arrangement is for this role is hybrid remote (3 days on location work / 2 days ...
Medical Director Orthopaedics, Spine
Warsaw, IN · On-site +1
Our strength in healthcare innovation empowers us to build aworld where complex diseases are ... The preferred arrangement is for this role is hybrid remote (3 days on location work / 2 days ...
SAP Supply Chain Planning Analyst - IBP & ePP/DS (Remote)
Richmond, IN · On-site +1
$101.40K - $152.10K/yr
Innovation Starts With You Propel your career at Belden, where innovation creates possibilities-for ... could include health/dental/vision, long term/short term disability, life insurance, HSA/FSA ...
SAP Supply Chain Planning Analyst - IBP & ePP/DS (Remote)
Richmond, IN · On-site +1
$101.40K - $152.10K/yr
Innovation Starts With You Propel your career at Belden, where innovation creates possibilities-for ... could include health/dental/vision, long term/short term disability, life insurance, HSA/FSA ...
Why AMC Health * Fully remote clinical role supporting patients nationwide * Opportunity to work at the forefront of virtual care innovation * Collaborative interdisciplinary care teams * Meaningful ...
Why AMC Health * Fully remote clinical role supporting patients nationwide * Opportunity to work at the forefront of virtual care innovation * Collaborative interdisciplinary care teams * Meaningful ...
Indiana Litigation Defense Attorney - Remote
New Albany, IN · Remote
$110K - $140K/yr
With a focus on innovation and technology, they embrace a fully remote work environment to empower their team members to excel in their roles while maintaining a healthy work-life balance. This ...
Quick apply
Indiana Litigation Defense Attorney - Remote
New Albany, IN · Remote
$110K - $140K/yr
With a focus on innovation and technology, they embrace a fully remote work environment to empower their team members to excel in their roles while maintaining a healthy work-life balance. This ...
1099 MD/DO - 2026
Indianapolis, IN · Remote
$120/hr
OUR MISSION Perry Health is rethinking chronic care through a fully remote, continuous care model ... The authenticity of our team drives our innovation. We show up for each other and our patients ...
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1099 MD/DO - 2026
Indianapolis, IN · Remote
$120/hr
OUR MISSION Perry Health is rethinking chronic care through a fully remote, continuous care model ... The authenticity of our team drives our innovation. We show up for each other and our patients ...
Licensed Marriage & Family Therapist (LMFT) - Telehealth
Marion, IN · Remote
$83 - $95/hr
Remote Licensed Mental Health Therapist (LMFT)1099 Contractor | Telehealth Join Brightside Health ... Learn more at: www.brightside.com/careers We know that diversity fosters innovation, inclusivity ...
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Licensed Marriage & Family Therapist (LMFT) - Telehealth
Marion, IN · Remote
$83 - $95/hr
Remote Licensed Mental Health Therapist (LMFT)1099 Contractor | Telehealth Join Brightside Health ... Learn more at: www.brightside.com/careers We know that diversity fosters innovation, inclusivity ...
(LCSW) Licensed Clinical Social Worker - Telehealth
Marion, IN · Remote
$83 - $95/hr
Remote Licensed Mental Health Therapist (LCSW)1099 Contractor | Telehealth Join Brightside Health ... Learn more at: www.brightside.com/careers We know that diversity fosters innovation, inclusivity ...
Quick apply
(LCSW) Licensed Clinical Social Worker - Telehealth
Marion, IN · Remote
$83 - $95/hr
Remote Licensed Mental Health Therapist (LCSW)1099 Contractor | Telehealth Join Brightside Health ... Learn more at: www.brightside.com/careers We know that diversity fosters innovation, inclusivity ...
Manages a team of remote direct reports while adapting to the specific accountability needs of the ... healthcare through quality, innovation and education, and make Indiana one of the nation ...
Manages a team of remote direct reports while adapting to the specific accountability needs of the ... healthcare through quality, innovation and education, and make Indiana one of the nation ...
... digital health projects focused on covering unmet customer and patient needs. Remote Sizing and Planning Specialist We are searching for an enthusiastic and innovation-driven addition for our ...
... digital health projects focused on covering unmet customer and patient needs. Remote Sizing and Planning Specialist We are searching for an enthusiastic and innovation-driven addition for our ...
Director, Service Design
Carmel, IN · Remote
$160K - $225K/yr
... remote work practices where feasible and provides employees with benefits that could include health ... Propel your story of innovation by helping Belden write the next chapter in ours. Shape your future ...
Director, Service Design
Carmel, IN · Remote
$160K - $225K/yr
... remote work practices where feasible and provides employees with benefits that could include health ... Propel your story of innovation by helping Belden write the next chapter in ours. Shape your future ...
... digital health projects focused on covering unmet customer and patient needs. Remote Sizing and Planning Specialist We are searching for an enthusiastic and innovation-driven addition for our ...
... digital health projects focused on covering unmet customer and patient needs. Remote Sizing and Planning Specialist We are searching for an enthusiastic and innovation-driven addition for our ...
Remote Health Innovation information
What are the key skills and qualifications needed to thrive as a Remote Health Innovation Specialist, and why are they important?
What are some of the unique challenges faced when working in a Remote Health Innovation role, and how are they typically addressed?
What is Remote Health Innovation?
What is the difference between Remote Health Innovation vs Remote Healthcare Coordinator?
| Aspect | Remote Health Innovation | Remote Healthcare Coordinator |
|---|---|---|
| Required Credentials | Background in healthcare, technology, or related fields; often requires degrees or certifications in health sciences or IT | Healthcare administration, nursing, or related certifications; often requires experience in patient coordination |
| Work Environment | Focuses on developing, implementing, and managing innovative health solutions remotely | Coordinates patient care, schedules, and communication remotely within healthcare settings |
| Employer & Industry Usage | Healthcare tech companies, hospitals, research institutions | Hospitals, clinics, health systems, insurance companies |
Remote Health Innovation involves creating and managing new healthcare technologies and solutions remotely, often requiring a background in health sciences or IT. In contrast, Remote Healthcare Coordinators focus on patient care coordination and communication, typically with healthcare administration experience. Both roles are vital in the evolving remote healthcare landscape but serve different functions within the industry.

Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 27 days ago
Job description
A typical day in this role will include ownership of your patient journey from initiation to closure by using your critical thinking skills and your knowledge of the program and industry rules and standards. This includes completing benefit investigations, tracking prior authorizations / denial appeals, and assisting patients or other callers/stakeholders through resolution (via email, inbound/outbound calls and using our patented technology, Lynk). This role requires a strong understanding of pharmacy and medical billing and coding, excellent communication skills, and the ability to navigate complex reimbursement processes.
The Executive Case Manager provides expertise on insurance coverage and common access and reimbursement challenges affecting patients, healthcare providers and clients. The Executive Case Manager responsibilities include education on the access and reimbursement support tools available from PharmaCord and participating program, advising HCPs and/or patients and caregivers on the benefits and program eligibility for a specific patient, and educating HCP offices on Payor processes and procedures.
- Relationship Management
- Builds trusted relationships with patients, prescribers, and appropriate client stakeholders regarding reimbursement inquiries and challenges through proactive communication, timely and accurate execution of deliverables and demonstrated relentless passion for helping patients.
- Manages all relationships in a manner that adheres to all relevant laws, regulations, program-specific operating procedures and industry standards related to access and affordability, including HIPAA and insurance guidelines.
- Managed through call/contact center structure, this role supports inbound and outbound calls to patients, caregivers, specialty pharmacies and healthcare professionals.
- Performs post Benefits Investigation calls to patients and/or physicians explaining coverage options and next steps in the access journey.
- Manages all client inquiries as appropriate, such as case specific statuses.
- Manages HCP inquiries, as applicable, pursuant to business rules.
- All communications with the client’s field teams will remain compliant and adhere to ways of working protocols outlined between PharmaCord and the client teams. Inbound Call Management
- Manages inbound calls as directed by the program-approved FAQs
- Triage patients to internal or external resources as appropriate.
- Personalized Case Management
- Provides personalized case management to patients and HCPs including outbound communication to HCPs, specialty pharmacies and patients to communicate benefit coverage and/or appropriately help drive next steps in obtaining coverage and/or access to prescribed medicine. All communications for case management will follow the guidelines set forth for the program and only provide information publicly available and/or outlined in the patient insert.
- Leverages electronic tools to identify benefits and payer coverage; completes manual benefit investigation as needed.
- Identifies and communicates patient’s plan benefit coverage including the need for prior authorization, appeal, tier exception, and/or formulary exclusions.
- Serves as a subject matter expert to internal team as required and appropriate.
- Uses electronic resources to obtain benefit coverage outcome and if needed, outbound call to payers and HCPs to follow up on proper submission and/or outcome.
- Coordinates nurse teach with nurse educators, as applicable to program.
- Supports adherence services as applicable to program.
- Identifies peer support resources for patients.
- Proactively communicates needs for reverification of prior authorization or re-enrollment.
- Identifies and reports adverse events, product complaints, special situation reports and/or medical inquiries received in accordance with program operating procedures and the Business Rules.
- Documents all activities within the PharmaCord Lynk system, maintaining detailed records of reimbursement activities, including claims status, payments, and appeals.
- Generate reports and analysis as needed to identify trends and opportunities for improvement.in accordance with business requirements.
- Utilize Valeris’ values as the driving force behind the team’s success
- On time adherence to training deadlines for all corporate policies and procedures
- Ensure all SOPs are followed with consistency
- Perform additional tasks or projects as assigned
- Completion of Bachelor's degree (or higher) required
- A degree in healthcare administration, social science or similar related fields is strongly preferred.
- Minimum two years of experience in healthcare access delivery or management is strongly preferred.
- 5-10 years of experience in insurance reimbursement, patient access, direct patient care, and/or patient education experience will be considered in lieu of degree.
- Will consider other certifications and five or more consecutive years of experience in relevant field. Certification examples include PACS (Prior Authorization Certified Specialist), CHES (Certified Health Education Specialist) or CCM in healthcare or social science (Certified Case Manager).
- Strong understanding of medical terminology, coding systems (ICD-10, CPT, HCPCS), and insurance processes.
- Demonstrated examples of executing within guardrails recognizing urgency and consistently delivering patient centric results.
- Excellent attention to detail and organizational skills.
- Ability to prioritize tasks and work efficiently in a fast-paced environment.
- Effective written and verbal communication and interpersonal skills, with the ability to interact professionally with diverse stakeholders.
- Demonstrates the ability to think critically and issue resolution.
- Knowledge of healthcare compliance regulations, including HIPAA and Medicare/Medicaid guidelines.
- Bi-lingual skills are a plus.
- Remote work eligibility is subject to all work from home criteria met and based on business need
- 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. Prefer candidates who can type at least 35 words per minute 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.
- Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs
- Additional health support, including telehealth and Employee Assistance Program (EAP) services
- Company match on Health Savings Account contributions
- Free Basic Life and AD amp;D coverage equal to your annual earnings, with a minimum of $50,000 and a maximum of $300,000
- Company-paid Short-Term Disability coverage, with the option to purchase Long-Term Disability
- 401(k) Retirement Savings Plan with 100% match on the first 5% you contribute, with immediate vesting
- Paid Time Off (PTO) and Sick Leave to support work-life balance
- Team members receive nine paid holidays plus two floating holidays
- Opportunities for advancement in a company that supports personal and professional growth
- A challenging, stimulating work environment that encourages new ideas
- Work for a company that values diversity and makes deliberate efforts to create an inclusive workplace
- A mission-driven, inclusive culture where your work makes a meaningful impact
Due to an increase in hiring scams, please be aware that if you are selected to move forward in our hiring process, a member of our Talent Acquisition team will contact you directly using an official @pharmacord.com and/or @valeris.com, @echo.newtonsoftware.com email address regarding next steps in our interview process.
Please Note:- PharmaCord will never use Microsoft Teams to reach out to candidates for interview scheduling. However, video interviews are typically conducted via Microsoft Teams. Official meeting links will always be sent from an @valeris.com, @pharmacord.com or @echo.newtonsoftware.com email address, or through our scheduling platform, Calendly.
- We will never request your bank account information at any stage of the hiring process.
- We will never send a check (electronic or physical) to purchase home office equipment.
If you receive any suspicious communication regarding employment with PharmaCord, please report it to our Talent Acquisition team immediately at careers@pharmacord.com