Patient Navigator

🔥 4 minutes ago

🇺🇸 United States – Remote

💵 $25 - $31 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CareMetx, LLC

WebsiteLinkedInAll Job Openings

501 - 1000 employees

💼 Consulting

🏥 Healthcare

⚕️ Healthcare Insurance

Consulting • Healthcare • Healthcare Insurance

CareMetx, LLC is a company that specializes in transforming patient access to specialty therapeutics by reducing the time to therapy. They offer a digital Hub service that addresses emotional, financial, and clinical barriers for patients, aiming to improve treatment timelines and ongoing therapy use. CareMetx provides high-touch support and utilizes advanced technology to offer solutions for access, affordability, and adherence, benefiting both patients and healthcare providers. They partner with specialty pharmaceutical brands, healthcare providers, and hospital systems to enhance patient outcomes.

📋 Description

• Act as a single point of contact for providers, patients, caregivers, and product/sales teams • Help patients gain access to therapy • Work with Specialty Pharmacy and Hub teams to obtain reimbursement coverage • Provide information about reimbursement and financial assistance options • Coordinate therapy access, conduct follow-up, and facilitate access to support services • Manage a regional caseload • Maintain case histories for assigned patients in the CRM system • Resolve reimbursement issues, including insurance changes and prior authorizations • Work with Field Sales Representatives and the Market Access team • Answer patient inquiries and resolve access and reimbursement problems • Provide ongoing support through regular calls with patients and caregivers • Assist with patient access requests and application processes • Maintain regular and reliable attendance • Perform other related duties as assigned

🎯 Requirements

• Bachelor’s Degree (general business, health sciences, public policy, or other related degrees) preferred • Minimum 5 years of reimbursement experience, including benefits investigation, prior authorization, medical benefit, and Medicaid experience • Bilingual English/Spanish preferred • Exceptional listening, written, and analytical skills • Proficient in Word, Excel, and PowerPoint for presentation and report development • Strong knowledge of customer care processes and techniques • Excellent leadership, communication, and interpersonal skills • Flexible, detailed, and able to successfully adapt to change • Proven track record of meeting or exceeding goals and objectives • Must maintain regular and reliable attendance • Must have a dedicated, quiet, distraction-free home office • Must attend in-person onboarding training for 3 days • Must be flexible on schedule and hours • Some travel may be required

🏖️ Benefits

• Work from home position • Dedicated office space that is quiet and free from distractions • Equivalent combinations of experience and education considered • Equal employment opportunity protections