Reimbursement Case Manager

Job Summary

A company is looking for a Case Manager to serve as a patient advocate and facilitate access to specialty pharmaceuticals.

Key Responsibilities

• Oversee and coordinate caseload to ensure timely completion of case elements and tasks
• Act as the single point of contact for prior authorization and appeal processing communications
• Conduct quality checks on cases and report trends to leadership

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
• Proficient in Microsoft Office applications
• Knowledge of medical and claims processing terminology