Description
The Case Manager provides day-to-day oversight and coordination of assigned pharmaceutical case workloads, including prior authorizations, reauthorizations, appeals, payer and patient-status documentation, eligibility screening, and referrals to additional services. The role serves as a primary contact for patients, healthcare providers, field reimbursement representatives, and other stakeholders; troubleshoots complex cases; reports adverse drug events; and handles product quality complaints. The position requires a shift of either 9am–6pm EST or 10am–7pm EST, offers remote work, and lists a bachelor’s degree or six years of relevant experience as a baseline qualification, with pharmacy benefit management experience preferred.
