Senior Case Manager

Key responsibilities: Provide day-to-day oversight and coordination of caseload to ensure timely completion of all case elements Act as the single point of contact for prior authorization and appeal processing communications with patients, healthcare providers, and external stakeholders Serve as a patient advocate, coordinating additional patient access services and performing quality checks on cases

Required qualifications: Bachelor's degree or six years of relevant working experience Five or more years of relevant experience in pharmacy benefit management, specialty pharmacy, or patient support/access services Three or more years of experience in pharmacy and/or medical benefit verifications, prior authorization, and appeals Preferred experience as a Medical Assistant, Social Worker, or Senior Reimbursement Specialist Proficiency in Microsoft Office applications and knowledge of medical and claims processing terminology