Senior Case Manager, Reimbursement

Key responsibilities: Provide oversight and coordination of caseload to ensure timely completion of case elements and tasks Act as the single point of contact for prior authorization and appeal processing communications with patients and external stakeholders Serve as a patient advocate, coordinating access services and troubleshooting complex cases across multiple disease states

Required qualifications: Bachelor's degree or six years of relevant working experience Five or more years of experience in pharmacy benefit management, specialty pharmacy, 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 Proficiency in Microsoft Office applications and knowledge of medical and claims processing terminology