Case Manager

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $17 - $32 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

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Inizio Engage

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

💼 Consulting

📣 Marketing

🏥 Healthcare

Consulting • Marketing • Healthcare

Inizio Engage is a company that partners with clients in healthcare and beyond to drive strategic, commercial, and creative engagement solutions. Leveraging advanced analytics, unique methodologies, and a team of over 5,000 experts worldwide, Inizio Engage focuses on optimizing decision-making, enhancing patient solutions, and promoting healthcare professionals. The company designs experiences that inspire lasting change, enrich cultures, and enhance business performance. They specialize in areas like medical affairs, patient solutions, and omnichannel commercial engagement, aiming to improve health decisions and treatment outcomes globally.

📋 Description

• Manage assigned patient cases from referral through therapy initiation • Conduct benefits investigations to determine coverage, prior authorization requirements, and patient financial responsibility • Manage prior authorization and appeals processes, including initiating, submitting, tracking, and following up on requests • Facilitate patient enrollment in copay and patient assistance programs • Support communications with patients, healthcare providers, payers, and specialty pharmacies • Provide education on insurance coverage, access pathways, and treatment journey next steps • Collaborate with internal teams and external partners to ensure timely therapy initiation and adherence to service level agreements • Document case activity accurately within HUB systems in compliance with SOPs and regulatory requirements • Monitor case progress and escalate complex reimbursement issues • Respond to incoming calls from patients, caregivers, and prescriber offices • Track and resolve escalations with leadership support • Support quality initiatives, audits, and continuous process improvement • Ensure compliance with HIPAA, privacy, and regulatory standards

🎯 Requirements

• Bachelor’s Degree or equivalent experience preferred • Experience in patient access, HUB services, reimbursement support, specialty pharmacy, or healthcare case management preferred • Working knowledge of benefits investigation, prior authorization, appeals, and patient assistance programs • Strong communication and interpersonal skills with a patient-focused approach • Ability to manage a high volume of cases in a fast-paced environment while meeting service level expectations • Proficiency with CRM systems and Microsoft Office applications • Strong organizational, analytical, and problem-solving skills • Ability to prioritize workload and manage multiple tasks effectively • Compliance with HIPAA, privacy, and regulatory standards

🏖️ Benefits

• Competitive pay • Medical, dental, and vision coverage • Accrued paid time off • 401(k) with company match • Disability and life insurance • Paid maternity and paternity leave • Company-paid holidays • Recognition programs, contests, and awards • Learning, leadership development, and career advancement support