PMs are responsible for developing deep expertise in their assigned therapeutic areas, competitive landscapes, and client objectives to provide strategic guidance and innovative solutions that maximize program performance and brand value. They leverage data and key performance indicators to deliver actionable recommendations, help clients navigate organizational processes, manage vendor and partner relationships, and foster strong collaboration across internal and external stakeholders. Through effective leadership, communication, and relationship management, the PM drives successful outcomes for clients and Valeris alike.
Daily 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
Weekly Responsibilities
Lead weekly scheduled touchpoints with Client Account(s), 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
Bi-Weekly Responsibilities
Manage invoicing — Confirm accuracy and timeliness of all monthly invoices.
Monthly Responsibilities
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
Quarterly Responsibilities
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.
Annual Responsibilities
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.
Ongoing/As needed
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
Qualifications
Bachelor’s degree with a concentration in business, accounting, marketing and/or healthcare, or pharmaceutical industry, graduate degree and/or additional certifications including PMP preferred
Three to Four (3-4) years of project or program management experience
If an internal applicant, seeking extensive experience with Valeris systems and services (preferred)
Exceptional communication skills, including verbal and written, ability to interact with internal and external stakeholders
Able to multi-task in a fast-paced environment while functioning as a member of a highly collaborative team
Highly proficient in Microsoft Office (Project, Excel, PowerPoint, Visio, Word, Access, OneNote)
Organized and detail-oriented with effective time management skills
Budget management and/or financial accounting skills
Ability to take initiative and anticipate needs
Ability to travel both locally and out-of-town, expectation is up to 10% travel
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.
