Description
The Case Manager provides day-to-day oversight and coordination of assigned pharmaceutical reimbursement cases, including prior authorizations, reauthorizations, appeals, payer and patient-status documentation, eligibility screening, and referrals to additional services. The role also handles complex multi-disease-state cases, adverse drug events, product quality complaints, quality checks, and stakeholder communications. A bachelor’s degree or six years of relevant experience is required, while pharmacy benefit management, medical assistant, social worker, or senior reimbursement specialist experience is preferred. The position offers remote work opportunities, Monday through Friday from 11 AM to 8 PM EST, and medical, dental, vision, HSA/FSA, and other benefits.
