Description
The Reimbursement Case Manager serves as the primary client-facing point of contact for payer and customer reimbursement inquiries, coordinating patient eligibility, prescription coverage, prior authorization, appeals, and specialty pharmacy matters. The role independently investigates benefits, documents cases, resolves access delays, communicates payer and program trends, and supports manufacturer and healthcare provider stakeholders. It requires recent reimbursement experience, pharmacy or healthcare insurance background, strong communication and analytical skills, and a flexible schedule; the position is hybrid with remote work and in-office requirements in Pittsburgh, Pennsylvania.
