Case Manager

Job Summary

A company is looking for a Case Manager.

Key Responsibilities

• Monitor system accounts for new patient cases and conduct outbound calls to confirm coverage approvals
• Contact insurance companies to obtain accurate benefit information and mediate complex payer/pharmacy issues
• Enter detailed case information into proprietary software and maintain quality service while supporting patients and healthcare providers

Required Qualifications

• High school diploma required; additional education preferred
• Healthcare experience in insurance or pharmaceutical industry preferred
• Pharmacy benefits management experience is highly desired
• Experience with Medicare, Medicaid, or prior authorization is preferred
• Ability to work any 8-hour shift between 7AM-7PM CST