Description
The Case Manager provides day-to-day oversight and coordination of assigned pharmaceutical cases, serving as the primary contact for patients, healthcare providers, and field reimbursement representatives. Responsibilities include prior authorization and appeal processing, payer and patient-status documentation, eligibility screening for additional services, quality checks, complex-case troubleshooting, adverse drug-event reporting, and product-quality-complaint handling. The role requires a bachelor’s degree or six years of relevant experience, with pharmacy benefit management, medical-assistant, social-worker, or senior reimbursement-specialist experience preferred, and offers remote work with a 9am–6pm or 10am–7pm EST shift.
