Copay Program Manager - Patient Services - A

Summary

Valeris is a life sciences commercialization partner that provides patient support services, healthcare provider engagement tools, data, and strategic insights to help patients access and adhere to critical medications. The Copay Program Manager serves as the primary client relationship manager, overseeing program execution, account management, financial oversight, business analysis, stakeholder coordination, reporting, and client service across assigned brands.

Responsibilities

• Program Maintenance & Updates – Follow up on and complete all tasks required to support ongoing program maintenance, program updates, launches, and business rule changes. Ensure activities are completed accurately and withing established timelines
• Account Funding Monitoring - Review funding for your VPC accounts daily to ensure all POs are funded for billing
• Monitor claim workflow — Review the approved claims report and submitted tickets to ensure no claims are stalled or stuck. (Please check it daily)
• Update personal trackers — Ensure all program‑specific trackers are current, accurate, and audit‑ready. Inclusive of ServiceNow (SNOW) tickets (data, escalations, implementations, etc.) and LOE scoping forms
• Escalation Ticket Approvals
• Lead weekly scheduled touchpoints with J&J, including proactively developing agenda topics, facilitating discussions, and distributing meeting minutes following each meeting
• Manage client and internal stakeholder meetings to ensure project deliverables, business rule updates, and action items are progressing as planned. Maintain a centralized meeting minutes tracker to document decisions, action items, owners, and due dates, and provide ongoing follow-up on open items. (Stored and maintained on the Team Site.)
• Weekly Automated Reporting – That will be used for weekly program review and QBR
• Update Weekly Insights tracker with key insights – email completed tracker to your leader every Monday – by EOB
• Review core program metrics — Evaluate claims, enrollments, and budget performance each week (with a goal of daily monitoring). Identify anomalies, escalate concerns promptly, and capture trends for quarterly reporting
• HUB Partnership- Set up meetings with HUB PMs and notate any updates that they have launched – and how it impacts your metrics- ex: Updated PEF NS= More enrollments YoY for ORP- and include this in your Weekly Insights Tracker
• Oversee communications tickets — Confirm timely responses and resolution across all comms‑related items
• Escalation Tracking/ Monitoring- Ensure all escalations are tracked and closed out in timely manner (discuss these on HUB standups as needed)
• Inflight COs - Monitor status weekly and track updates on the Monthly Budget File – YYYY CO Tracker
• Manage invoicing — Confirm accuracy and timeliness of all monthly invoices
• Investigate missed KPIs — Perform root‑cause analysis and document corrective actions
• Update the client dashboard — Ensure accuracy, completeness, and readiness for client visibility
• Maintain the budget file — Validate spend, projections, and variances
• Contracts: (As needed -Could be needed more pending on what is in flight)
• Invoice Review: Inclusive of pulling reports & review of SOW to ensure each line item is accurately billed
• QBR- Program Managers are responsible for preparing their program data in a QBR-ready presentation format and maintaining a thorough understanding of the data and insights being presented. PMs are expected to adhere to all QBR timelines, milestones, and deliverables established by leadership
• To support efficient quarterly reporting, PMs should consistently document program observations, trends, and key insights within their weekly trackers throughout the quarter. This ongoing documentation will facilitate the development of meaningful and data-driven QBR updates
• PMs are also expected to actively engage in peer and leadership reviews, remaining open to feedback and questions that help drive deeper analysis, strengthen business insights, and enhance the overall quality of QBR discussions
• Prepare accruals — Ensure financial accuracy and alignment with program performance
• Quarterly Audit - Investigate missed KPIs & duplicate claims. Perform root‑cause analysis and document corrective actions. Where applicable collaborate with internal teams to solve any duplicate claims recouping any funds possible
• Year-End Activities – Coordinate BRD renewals and confirmations, oversee required data pulls, and ensure all year-end deliverables are completed accurately and on schedule
• Statement of Work (SOW) Management – Update and finalize the upcoming year's SOW, including submission of all required ServiceNow (SNOW) tickets, completion of project scoping activities, and preparation of supporting documentation for associated change orders
• Create and utilize HyperCare alerts for all Program Business Rules changes and any new program launches. Communicate any defects immediately to be addresses with supporting teams and include the Savings Leadership team for awareness and support
• Conduct FOP reviews — Validate accuracy, completeness, and alignment with program requirements. These should be prioritized as needed, ideally, we should be able to validate and respond back to our Production / Communication partners within 24 hours
• Project Sheet Monitoring- Ensure that project sheets are up to date/ aligned with program changes and launches
• Provide mentorship and training to peers where needed

Skills

• 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

Qualifications

Must Haves

• 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

Nice to Haves

• Prefer candidates who can type at least 35 words per minute with 97% accuracy
• Although very minimal, flexibility to travel as needed is preferred

Benefits

• 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