{"id":1878973,"url":"https://alion.io/job/valeris-benefit-specialist","title":"Benefit Specialist","company":{"id":3898514,"name":"Valeris","domain":"valeris.com","url":"https://alion.io/company/valeris","size_band":"201-500","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":null},"role":"Science & Research","role_family":"Science & Research","seniority":null,"employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Jeffersonville, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":50000,"max":300000,"currency":"USD","period":"year","gross":null,"usd_annual":50000},"salary_estimate":null,"experience_years_min":null,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-09-28T00:00:00Z","employer_posted_date":"2026-09-28","last_verified_at":"2026-10-14T01:21:57Z","board_verified":true,"closed_at":null,"days_open":16,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":16},"description":"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.\nA typical day in this role will include providing in-depth knowledge of our client programs by working directly with patients, healthcare providers, and insurance companies to answer inquiries, process service requests, assess benefits coverage, and manage through barriers, in a compliant manner, that stand in the way of patients and their access to therapy. The Benefits Specialist works in a dynamic and compassionate customer service role providing telephonic and web-based, where applicable, customer service support.\nKey Responsibilities:\nThe responsibilities include, but are not limited to the following:\nBenefit Verification:Performing patient level benefits verifications as applicable for all major medical and pharmacy benefits plans.\nCompletion of the template forms that provide patient level benefits Coverage Determination Summary.\nCoordination of prior authorizations based on payer guidelines and in compliance with law, regulation or guidance.\n\nPatient Assistance:Review of patient assistance enrollment forms and any supporting documentation to assess patient eligibility for participation as per SOPs and program guidelines.\nDetermination of patient’s eligibility based upon program criteria for qualification.\nCommunicating the patient’s eligibility to the patient, healthcare provider, and/or consignment pharmacy.\nAnswer and assist inbound callers through resolution utilizing answers to frequently asked questions or by warm transferring callers to other appropriate individuals.\nActively listen to each customer, assess needs, and respond with demonstrated patience and courtesy.\nReview and identification of information that is missing and/or incorrect within program service requests/program applications.\nReporting of Adverse Events/ Product Complaint inquiries received in accordance with SOP and good manufacturer practices.\nProvides timely feedback to the company regarding service failures or customer concerns\nEffectively uses our internal technology platform, PharmaCord Lynk, to complete claims processing and keep workflows moving.\nCommunicate with key medical practice accounts, sales representatives regarding the status of cases. Provide consultative services where issues arise on how obstacles can be overcome to get patient on paid therapy.\nBenefits Specialists are expected to be patient focused and committed to providing the highest quality customer service all while maintaining a sense of compliance and commitment to abiding by company policies and procedures.\nUtilize Valeris’ values as the driving force behind the team’s success\nOn time adherence to training deadlines for all corporate policies and procedures\nEnsure all SOPs are followed with consistency\nPerform additional tasks or projects as assigned\n\n Qualifications:\nThe candidate must possess the following personal attributes:\nService minded; focus on recognizing and meeting the needs of others (especially patients and care partners)\nAbility to handle personal health information with confidentiality\nCommitment to honesty and integrity\nProfessionalism and a strong sense of proper business and customer service etiquette\nClear verbal and written communication skills\nAccountability for results\nAbility to plan and prioritize tasks and strong attention to detail\nProficient emotional intelligence (ability to recognize emotions and their effects)\nAbility to manage disruptive impulses and handle potentially stressful customer interactions\nProficient computer skills\nAdaptability to change\nPersonal initiative and commitment to team and organizational goals\nAbility to work effectively within a team\nA positive attitude!\nBachelor's degree strongly preferred or equivalent experience required; completion of a high school diploma or GED is required\n6 months customer service experience, payer benefits experience (reimbursement, prior authorization, etc.), healthcare industry experience or healthcare related certification, license, or equivalent coursework is strongly preferred\nBilingual is a plus\nThis is an office-based position, the ability to sit for extended periods of time is necessary\nAlthough very minimal, flexibility to travel as needed is preferred\nPhysical Demands & Work Environment\nWhile 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.\n\nAlthough very minimal, flexibility to travel as needed is preferred.\n\nThis job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.\n\nWhy Work for Valeris?\nWe’re committed to supporting the well-being and success of our team members. As part of our organization, full-time employees can expect:\nMedical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs\n\nAdditional health support, including telehealth and Employee Assistance Program (EAP) services\n\nCompany match on Health Savings Account contributions\n\nFree Basic Life and AD&D coverage equal to your annual earnings, with a minimum of $50,000 and a maximum of $300,000\n\nCompany-paid Short-Term Disability coverage, with the option to purchase Long-Term Disability\n\n401(k) Retirement Savings Plan with 100% match on the first 5% you contribute, with immediate vesting\n\nPaid Time Off (PTO) and Sick Leave to support work-life balance\n\nTeam members receive nine paid holidays plus two floating holidays\n\nOpportunities for advancement in a company that supports personal and professional growth\n\nA challenging, stimulating work environment that encourages new ideas\n\nWork for a company that values diversity and makes deliberate efforts to create an inclusive workplace\n\nA mission-driven, inclusive culture where your work makes a meaningful impact\n\nAny 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.\nOur Commitment to Equal Opportunity\nAt 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. 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