Senior Case Manager

A company is looking for a Sr. Case Manager, Reimbursement. Key Responsibilities Provide oversight and coordination of assigned caseload, ensuring timely completion of case elements Act as the primary contact for prior authorization and appeal processing communications Serve as a patient advocate, coordinating additional patient access services within program guidelines Required Qualifications Bachelor's degree or six years of relevant working experience Five or more years of experience in pharmacy benefit management or patient support/access services preferred Three or more years of experience in pharmacy and/or medical benefit verifications, prior authorization, and/or appeals required Experience as a Medical Assistant, Social Worker, or Senior Reimbursement Specialist preferred Proficient in Microsoft Office applications and knowledgeable in medical and claims processing terminology

Apr 17, 2025 - 20:25

A company is looking for a Sr. Case Manager, Reimbursement. Key Responsibilities Provide oversight and coordination of assigned caseload, ensuring timely completion of case elements Act as the primary contact for prior authorization and appeal processing communications Serve as a patient advocate, coordinating additional patient access services within program guidelines Required Qualifications Bachelor's degree or six years of relevant working experience Five or more years of experience in pharmacy benefit management or patient support/access services preferred Three or more years of experience in pharmacy and/or medical benefit verifications, prior authorization, and/or appeals required Experience as a Medical Assistant, Social Worker, or Senior Reimbursement Specialist preferred Proficient in Microsoft Office applications and knowledgeable in medical and claims processing terminology