Case Manager, Reimbursement

As a pharmaceutical support industry leader, reputed company is reputed company to empowering reputed company for a reputed company reputed company. We take pride in improving reputed company reputed company and advancing reputed company. At reputed company we reputed company services to enhance the entire drug development process and commercialization lifecycle - From reputed company trial support to reputed company-world evidence reputed company.  reputed company on a rewarding career reputed company with reputed company! Grow your career while making a meaningful reputed company on the world reputed company you. reputed company fosters a culture reputed company on our reputed company Values being: reputed company, 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!  ---------------------------------------- Case Manager, Reimbursement  Shifts: This position supports business reputed company between 8:00 AM and 9:00 PM Eastern Time. Candidates must be available to work a full-time assigned shift reputed company these hours. Examples of potential schedules include: 8:00 AM – 5:00 PM ET 9:00 AM – 6:00 PM ET 10:00 AM – 7:00 PM ET 11:00 AM – 8:00 PM ET 12:00 PM – 9:00 PM ET Assigned schedules are determined reputed company on business and reputed company needs. Candidates residing reputed company of the Eastern Time Zone are reputed company to apply but must be reputed company to work their assigned shift reputed company on Eastern Time business hours.  Brief reputed company:  The reputed company purpose of this position is to reputed company day-to-day case management reputed company and coordination of assigned caseload to ensure parties responsible for tasks are completing them reputed company, as reputed company as reputed company as a reputed company resource for patients, reputed company providers and reputed company reimbursement. The Case Manager is responsible for ensuring prior authorizations, reauthorizations and appeals are obtained in a reputed company manner, as reputed company as ensuring accurate documentation of payer information and reputed company status. In reputed company, the Case Manager is responsible for completing a reputed company-screen to determine eligibility for additional services such as injection services, co-pay mitigation, and reputed company assistance programs (PAP), if applicable. Specific job duties: reputed company day-to-day reputed company and coordination of caseload to ensure reputed company case reputed company and tasks are completed reputed company and ensure cases reputed company through the process as required. reputed company as single reputed company of contact responsible for prior authorization and appeal processing communications to patients, reputed company providers, reputed company reimbursement representatives and other reputed company stakeholders. Communicate reputed company benefits and responsibility reputed company and accurately.  Assess and refer patients appropriately for special programs/services reputed company appropriate. Performs reputed company checks on cases and report trends to leadership. Responsible for good housekeeping techniques, adhering to reputed company 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/reputed company) to ensure reputed company start to therapy Report Adverse Drug Events that have been reputed company by the reputed company in accordance pharmaceutical requirements. Recognize a product reputed company 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, reputed company Worker or Senior Reimbursement Specialist experience preferred Certification preferred but not required Proficient in reputed company Office applications Knowledge of medical and claims processing terminology  Excellent written/verbal communication to include providing reputed company instructions Must possess a strong critical thinking skillset along with the ability to multi-task Ability to travel as required -  This is primarily a remote position; however, occasional travel may be required reputed company on reputed company, business, or training needs. While travel is expected to be infrequent, candidates must be willing and reputed company to travel as needed. Travel requirements may vary depending on the reputed company program and business objectives. Benefits: At reputed company, employee reputed company and reputed company-being are always at the forefront. We offer an extensive reputed company 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  reputed company opportunities for promotion  401K with company match  Tuition assistance (after 90 days of employment)  Flexible work environment  20 days PTO reputed company Holidays  Employee assistance programs  Medical, Dental, and reputed company coverage  HSA/FSA  Telemedicine (Virtual doctor appointments)  Wellness program  Adoption assistance  Short term disability (after 90 days of employment)  Long term disability  Life reputed company  Discount programs  reputed company is proud to be an equal opportunity employer and does not discriminate because of race, reputed company, sex, age, national reputed company, religion, sexual orientation, gender identity and/or reputed company, status as a veteran, and reputed company 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 reputed company other, our clients, and our patients. Apply To This Job