Case Manager (Patient Support Services) – 8:00 AM to 8:00 PM
Location: Remote or Pittsburgh, PA area preferred
Industry: Patient Support Services/ Case Management Coordination
Employment Type: Full-Time, Direct Hire opportunity
Pay Range: $22.00-30.00/hour (based on experience)
Company Overview:
A leading specialty pharmacy partner is seeking an experienced and compassionate Case Manager to join their Patient Support Services team. This position focuses on guiding patients through the reimbursement and access process for specialty medications, ensuring a seamless experience from start to finish.
Schedule:
- Shift: 8:000 AM – 8:00 PM EST, Monday through Friday (8) hour shift schedule.
- Some flexibility may be required during program launch or high-volume periods.
Responsibilities:
- Serve as the primary liaison between patients, providers, and payers to support therapy access and reimbursement coordination.
- Conduct benefits investigations, verify insurance coverage, and assist with prior authorization and appeal submissions.
- Maintain accurate documentation in internal case management systems and ensure all updates meet compliance standards.
- Provide compassionate, patient-centered communication while troubleshooting access barriers.
- Collaborate with internal and external teams to support onboarding, adherence follow-up, and patient retention efforts.
- Ensure all activities align with HIPAA, program, and regulatory compliance requirements.
Qualifications:
- Bachelor’s degree preferred; equivalent healthcare experience accepted.
- 1–2+ years of experience in case management, reimbursement support, patient access programs, or specialty pharmacy.
- Familiarity with pharmacy and medical benefit structures, prior authorization, and payer processes.
- Excellent written and verbal communication skills with strong attention to detail.
- Comfortable working in a fast-paced, team-driven environment using CRM or case management software.
Interview Process:
- Step 1: TalentLNX recruiter phone screen
- Step 2: Video interview with program leadership
- Step 3: Offer pending background and credential verification
Equal Opportunity Statement
TalentLNX and its client partners are Equal Opportunity Employers. We value diversity and inclusion and encourage all qualified individuals to apply. Employment decisions are made based on qualifications, merit, and business needs.
Job Type: Full-time
Pay: $22.00 - $30.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Application Question(s):
- Have you worked within a pharmacy, PBM, health insurance, or healthcare reimbursement experience previously?
- Are you comfortable with training on-site for the first 4-6 weeks of employment before transitioning to fully remote 100%?
- Are you comfortable working any shift between 8:00am - 8:00pm EST (8 hour shift schedule)
Experience:
- reimbursement case management: 2 years (Preferred)
Location:
- Pittsburgh, PA (Preferred)
Shift availability:
- Day Shift (Preferred)
- Night Shift (Preferred)
Work Location: Remote
