Case Manager

Job Summary

Providing day-to-day case management oversight, the full-time Case Manager will coordinate an assigned caseload to ensure timely completion of tasks and serve as a primary resource for patients, healthcare providers, and field reimbursement.

Key responsibilities:

• Oversee and coordinate caseload to ensure all case elements are completed in a timely manner
• Act as the single point of contact for prior authorization and appeal processing communications
• Assess and refer patients for special programs/services as appropriate

Required qualifications:

• Bachelor's degree or six years of relevant working experience
• Two or more years of relevant experience in pharmacy benefit management preferred
• Experience as a Medical Assistant, Social Worker, or Senior Reimbursement Specialist preferred
• Proficiency in Microsoft Office applications
• Knowledge of medical and claims processing terminology