Specialty Pharmacy Liason

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 visit www.valeris.com. A s a Specialty Pharmacy Account Liaison on our Patient Services team, 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 to getting access to their complex medication. You will serve as a central point of contact for specialty pharmacy taking ownership of all activities and ensuring timely and accurate transfer of information with each network pharmacy and perform follow ups for status of referrals. Bringing escalated issues to resolution, being deliberate with weekly communications to each stakeholder and identifying opportunities for improvement within processes are all key deliverables in this role to ensuring patient success. This role requires a high level of ownership, attention to detail and patient focus and will put your problem-solving skills to the test! You'll compassionately deliver an exceptional experience to many patients per day, always remembering that every prescription or document belongs to a real person who is looking for thorough and efficient management of their records. You'll adjust your approach to their needs by communicating clearly, focusing on the accuracy of the details of their medical records and your mastery of the program requirements, and ensuring their prescriptions or cases are handled timely. Key Responsibilities: Relationship Management Builds trusted relationships with specialty pharmacies, patients, prescribers, client stakeholders 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 healthcare laws and regulations Communications Performs post Benefits Investigation calls to payors, patients or physicians explaining coverage options Manages all client inquiries unable to be determined by client through reporting Manages HCP inquiries, as applicable, pursuant to business rules Inbound Call Management Manage s inbound calls from specialty pharmacy contacts Triage patients to internal or external resources as appropriate Specialty Pharmacy Communication Leverages e lectronic 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 Uses electronic resources to obtain benefit coverage and if needed, outbound call to payers and specialty pharmacies to follow up on proper submission and/or outcome Coordinates nurse teach with field-based nurse educators, as applicable to program Supports adherence services through coordination of nurse follow up, as applicable to program Identifies peer support resources for patients Tracks and follows up on shipment of product through patient assistance program and/or bridge program from the Valeris pharmacy Proactively communicates needs for reverification of prior authorization or re-enrollment for patient assistance program Reports adverse events, Product complaints, special situation reports and/or medical inquiries received in accordance with SOPs and the Business Rules Documents all activities within the Valeris Lynk system 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 Qualifications: Ideally the Account Liaison will have experience working with specialty pharmacies Bachelor’s degree in arts and sciences, social work, public health administration or a related field strongly preferred or equivalent experience required; completion of a high school diploma or GED is required 3 years’ customer service, payer benefits (reimbursement, prior authorization, etc.), healthcare industry experience is preferred Ability to work any 8.5-hour shift between 8 am to 9 pm, Monday to Friday required - it is required in this position that the Account Liaison can work any shift as needed Bi-lingual in English and Spanish is a plus Detail oriented Professional telephone etiquette Self-awareness of your own emotions and the potential impact on others Basic computer knowledge Ability to multitask effectively Ability to recognize emotions and their effects Sureness about self-worth and capabilities Manage disruptive impulses Maintain standards of honesty and integrity Takes responsibility for performance Adapts and handles change with flexibility Is innovative and open to new ideas Achievement driven; constantly striving to improve or to meet a standard of excellence Aligns with the goals of the group or organization Ready to take initiative and act on opportunities Be optimistic and pursue goals persistently despite obstacles and setbacks Be service oriented ; recogniz ing and meet ing needs of others, including patients and care partners Clear and concise communication 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. 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. Why Work for Valeris? We’re committed to supporting the well-being and success of our team members. As part of our organization, full-time employees can expect: 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&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 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. Our Commitment to Equal Opportunity At Valeris, we don’t just accept difference – we celebrate it, support it and we thrive on it for the benefit of our employees, our products and our community. Valeris is proud to be an equal opportunity employer.