Associate Case Manager

This is a Fully Remote Job

About Our Client:

The organization operates within the pharmaceutical industry, focusing on RNA interference (RNAi) therapeutics aimed at transforming treatment for rare and common diseases. It addresses the challenges of delivering innovative therapies built on Nobel Prize-winning science and maintains a strong pipeline of late-stage programs. The organization is recognized globally for its inclusive culture and commitment to innovation and excellence.

About the Opportunity:

The ASSOCIATE CASE MANAGER role supports the Patient Services team by providing critical assistance in therapy management and access services for the organization’s product portfolio. This position contributes to efficient patient service operations and supports case managers by handling insurance verification, referral processing, and data management. The role is essential for maintaining smooth workflows that enable patients to receive necessary therapies.

Responsibilities:

• Verify and re-verify insurance coverage and benefit details through payer contact
• Receive and manage incoming referrals from providers
• Organize and distribute incoming communications such as faxes
• Prioritize tasks to maintain timely and efficient customer service
• Interpret patient insurance, prescription, and health documentation accurately
• Enter and maintain detailed records of individuals, insurance, and payer interactions
• Send Summary of Benefits to providers and reimbursement directors
• Research payer prior authorization processes and gather required documents
• Submit and track referrals to specialty pharmacies as needed
• Stay current on reimbursement processes, billing/coding guidelines, healthcare policies, and payer trends
• Participate in quality control and interdepartmental projects
• Support team members by demonstrating adaptability and flexibility
• Utilize customer-relationship management platforms in daily activities
• Maintain confidentiality and comply with legal and organizational policies
• Conduct outreach to treatment sites regarding initial and ongoing care

Requirements:

• Bachelor’s degree required
• 1-2 years of experience in customer service, account management, case management, or healthcare
• Preferred experience in rare disease
• Knowledge of private payer, Medicare, Medicaid systems, reimbursement, and medical terminology
• Experience in high-volume patient service programs preferred
• Strong communication, critical thinking, and problem-solving skills
• Ability to learn and adapt quickly in a fast-paced environment
• Team-oriented with strong interpersonal skills
• Self-motivated and passionate about rare diseases and organizational values

Pay Range and Compensation Package:

• U.S. Pay Range $74,000—$100,100 USD
• Eligible for annual short-term and long-term incentive awards

Benefits & Perks:

• Medical insurance
• Dental insurance
• Vision insurance
• 401(k) with company match
• Paid time off, wellness days, holidays, and company-wide breaks
• Life and disability insurance
• Flexible spending and health savings accounts
• Lifestyle reimbursement program
• Family resources and leave provisions

Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.

Note:

TalentHop is not the Employer of Record (EOR) for this role. Our purpose in this opportunity is to connect exceptional candidates with leading employers. We help job seekers worldwide discover roles that match their goals and guide them to complete their full application directly through the hiring company's career page or ATS.