Market Access Case Manager (Contract)

TL;DR

Market Access Case Manager (Contract): Manage prior authorization process for insurance coverage of IpsiHand stroke recovery device with an accent on reviewing medical records, establishing medical necessity, and negotiating Single Case Agreements. Focus on developing patient-specific tactics, submitting requests to health plans across all US states, and ensuring timely coverage decisions.

Location: Primarily remote across all US states and territories. Employment eligibility to work in the United States required. The company does not sponsor employment visas. Occasional travel for team meetings may be required.

Salary: $35 to $40 hourly

Company

Pioneering integrated stroke recovery by combining FDA-cleared brain-computer interface IpsiHand device with personalized telehealth services.

What you will do

• Review prescriptions, medical records, and documentation to develop patient-specific narratives supporting medical necessity for prior authorizations.
• Prepare, submit, and follow up on prior authorization requests and in-network gap exceptions to Medicare Advantage, Managed Medicaid, and Commercial insurers.
• Negotiate Single Case Agreements, shepherd through contract execution, and document all case information.
• Collaborate cross-functionally with intake, clinical, RCM, and commercial teams to optimize patient experience and share best practices.
• Maintain compliance with HIPAA, payer requirements, and report product quality issues.

Requirements

• High School Diploma or GED required; AA, BA, or BS desirable.
• Minimum three years experience in healthcare (medical devices, insurance, or services) with prior authorization submissions and appeals.
• Competency in Salesforce, Google Suite, and Microsoft Office.
• Deep understanding of market access, reimbursement, payer landscapes, insurance types (HMO, POS, D-SNP), and coordination of benefits.
• Employment eligibility to work in the United States required; no visa sponsorship.
• Strong problem-solving, communication, and independent case management skills.

Culture & Benefits

• Primarily remote work with standard business hours and flexibility for urgent matters.
• Competitive hourly compensation based on experience.
• Equal opportunity employer.