3 дня назад
Case Manager/PAP (Medtech)
80 444 - 108 836$
Мэтч & Сопровод
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Описание вакансии
Текст:
TL;DR
Case Manager/PAP (Medtech): Supporting patients, healthcare professionals, and insurance companies in accessing therapies by verifying benefits, resolving reimbursement issues, and coordinating patient support with an accent on financial assistance, payor navigation, and data integrity. Focus on handling complex benefit programs, analyzing reimbursement trends, and expediting therapy access through pharmacies and healthcare partners.
Location: Jacksonville, Florida, United States
Salary: $80,444–$108,836 annually
Company
is a biotechnology company developing, manufacturing, and delivering medicines across oncology, inflammation, general medicine, and rare disease.
What you will do
- Support patients and healthcare professionals in accessing therapies through ’s patient support programs.
- Verify patient benefits and assist with copay, prior authorization, reimbursement, and financial assistance issues.
- Handle inbound and outbound calls from patients and healthcare professional offices while maintaining accurate system records.
- Work with commercial and government payors, pharmacies, and other stakeholders to expedite therapy access.
- Compile and analyze reimbursement trend data to support continuous improvement.
- Follow government regulations, company policies, and standard operating procedures.
Requirements
- Master’s degree, or a bachelor’s degree plus 2 years of customer service or call center experience.
- Alternatively, an associate’s degree plus 6 years of customer service or call center experience, or a high school diploma/GED plus 8 years of such experience.
- At least 6 months of experience working for AS+ or Tezspire Together HUB.
- Strong communication, attention to detail, prioritization, follow-through, and problem-solving skills.
- Experience with Microsoft Office and the ability to maintain high data integrity across supporting technologies.
- Knowledge of pharmacy operations, medical claims, accounting principles, or healthcare administration is relevant to the role.
Nice to have
- Experience in a regulatory environment and with timely adverse event reporting.
- Experience working with commercial and government payors or interacting with pharmacies.
- Knowledge of ICD-9 and ICD-10 claims coding.
- Experience identifying trends or gaps across people, processes, or systems.
Culture & Benefits
- Comprehensive health, dental, vision, life, disability, and flexible spending benefits.
- Retirement and savings plan with company contributions.
- Annual discretionary bonus program and stock-based long-term incentives.
- Paid time-off plans and career development opportunities.
- Flexible work models, including remote and hybrid arrangements, where possible.
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