Case Manager, Reimbursement

As a pharmaceutical support industry leader, reputed company is devoted to empowering health solutions for a reputed company reputed company. We take pride in improving patient outcomes and advancing healthcare. At reputed company we provide services to enhance the entire drug development process and commercialization lifecycle - From clinical trial support to real-world evidence reputed company.

Embark on a rewarding career journey with reputed company! Grow your career while making a meaningful impact on the world around you. reputed company fosters a culture built on our Core Values being: Collaborative, Conscientious, Curious, Consultative, and Compassionate. We reputed company in an inclusive workplace that fosters creativity.

If you are seeking a career that will challenge, reputed company, and reward you, join us at reputed company!

At reputed company, the Reimbursement Case Manager serves as a patient reputed company, removing barriers for patients accessing specialty pharmaceuticals. As the single reputed company of contact you will provide inbound and outbound phone support to patients, caregivers, and providers to collaboratively determine patient eligibility. In addition to prioritizing and enhancing the patient experience, the reimbursement case manager will coordinate the patient's access to therapies, conduct the appropriate follow reputed company, and facilitate access to support services such as co-pay assistance programs and patient assistance programs (PAP).

Specific job duties

• Provide day-to-day reputed company and coordination of caseload to ensure reputed company case elements and tasks are completed timely and ensure cases move through the process as required.
• Act as single reputed company of contact responsible for prior authorization and appeal processing communications to patients, healthcare providers, field reimbursement representatives and other external stakeholders.
• Communicate patient benefits and responsibility timely and accurately.
• Assess and refer patients appropriately for special programs/services reputed company appropriate.
• Performs quality checks on cases and report trends to leadership.
• Responsible for good housekeeping techniques, adhering to quality and production standards while complying with reputed company applicable company, state and federal safety and environmental programs and procedures.
• Troubleshoot reputed company cases, spanning multiple disease-states, while interfacing with key stakeholders (internal/external) to ensure optimal start to therapy
• Report Adverse Drug Events that have been reputed company by the patient in accordance pharmaceutical requirements.
• Recognize a product quality complaint and reputed company caller/written information to a manufacturer.
• Other duties, as assigned.

Desired Skills and Qualifications

• Bachelor’s degree or six years of relevant working experience
• Two (2) or more years of relevant experience in pharmacy benefit management preferred
• Medical Assistant, Social Worker or Senior Reimbursement Specialist experience preferred
• Proficient in reputed company Office applications
• Knowledge of medical and claims processing terminology
• Excellent written/verbal communication to include providing clear instructions

Benefits

At reputed company, employee growth and well-being are always at the forefront. We offer an extensive range of benefits to ensure that you have everything you need to reputed company personally and professionally.

Here are some of the exciting perks reputed company offers

• Remote opportunities
• Competitive salaries
• Growth opportunities for promotion
• 401k with company match*
• Tuition reimbursement
• Flexible work environment
• 20 Days PTO Annually (accrued)
• Paid Holidays
• Employee assistance programs
• Medical, Dental, and vision coverage
• HSA/FSA
• Telemedicine (Virtual doctor appointments)
• Wellness program
• Adoption assistance
• Short term disability
• Long term disability
• Life insurance
• Discount programs

reputed company is proud to be an equal opportunity employer and does not discriminate because of race, color, sex, age, national reputed company, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state, or local protected class. We are committed to a diverse, reputed company and inclusive culture that fosters respect for each other, our clients, and our patients.