Sr. Patient Navigator

Overview

**SHIFTS AVAILABLE ARE: 8A-5P EST, 10A-7P EST, 11A-8P EST; ALL MONDAY - FRIDAY**

 

**ELIGIBLE CANDIDATES MUST LIVE WITHIN 30 MILES OF OUR HQ IN MORRISVILLE, NC OR JEFFERSONVILLE, IN**

 

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 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 data and strategic insights, patient support services, and healthcare provider engagement tools to help life science 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.

 

Valeris fosters a culture that encourages individuality and provides opportunities for creativity, growth, and success while fostering a team environment. We are a diversity-driven organization with an inclusive approach to delivering patient-centric solutions that eliminate barriers for patients and increase patient access to life altering medications.

 

The Sr. Patient Navigator plays a critical role in ensuring patients have access to life-altering medications by supporting them through complex processes such as insurance verification, prior authorizations, and appeals. This position combines exceptional customer service, relationship management, and expertise in reimbursement practices to provide personalized support and ensure compliance with all healthcare regulations. The role also focuses on educating healthcare providers and patients on access, coverage, and reimbursement support. These roles will be regionally aligned to best support patients.

 

Responsibilities

• Serves as the single point of contact and provides personalized case management for patients, caregivers, and healthcare providers (HCPs), including delivery of benefit investigations, prior authorization tracking, and appeal support.
• Educate patients, HCPs, and stakeholders on access and reimbursement processes, payer policies, and Valeris programs (e.g., patient assistance programs, copay programs).
• Build and maintain trusted relationships with patients, prescribers, and client stakeholders by delivering accurate, timely, and compassionate support.
• Coordinate and collaborate with client field teams, following agreed upon business rules and guidelines
• Communicate benefit coverage options and next steps in the patient journey using clear and patient-friendly language.
• Leverage electronic tools to navigate and complete benefit investigations, ensuring payer coverage is secured for prescribed treatments.
• Ensure all activities comply with healthcare laws, regulations, and Valeris standard operating procedures (e.g., HIPAA, insurance guidelines).

• Identify and escalate adverse events, product complaints, and special situation reports as required by the program.
• Document all activities in the Valeris system, maintaining detailed and accurate records.
• Support adherence services, including patient education and coordinating nurse teaching as applicable.
• Participate in team meetings and ongoing training to stay updated on policies and procedures.
• 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
• Travel WILL BE required per client request a few times per quarter. Travel will be designated to the HQ closest to the selected candidate(s) in either Morrisville, NC or Jeffersonville, IN - therefore desired candidate(s) must live within 30 miles of either HQ. 

 

Qualifications

 

• Bachelor's degree required, preferably in healthcare administration, social science, or a related field.

                     o          In lieu of a degree, candidates may qualify with: 

• 5-10 years of relevant experience in areas such as insurance reimbursement, patient access, direct patient care, or patient education, or
• Relevant certifications (e.g., PACS, CHES,