Case Manager

Inizio Engage • Yardley, PA

44d • $38,000 - $70,000

About The Position

Inizio Engage has a long-standing partnership with a leading Biotechnology company, across Commercial, Patient Solutions and Medical Affairs businesses. A successful candidate will play a critical role in supporting patient access and reimbursement services, acting as a key liaison between patients, providers, payers, and internal HUB teams. The ideal candidate will demonstrate strong case management capabilities, attention to detail, and a patient-centric approach while navigating complex access and reimbursement processes. This is your opportunity to join Inizio Engage and represent a leading biotechnology company as part of an exciting new product launch bringing innovative therapy options to patients who need them most.

Requirements

• Bachelor’s Degree or equivalent experience preferred
• Experience in patient access, HUB services, reimbursement support, specialty pharmacy, or healthcare case management preferred
• Working knowledge of benefits investigation, prior authorization, appeals, and patient assistance programs
• Strong communication and interpersonal skills with a patient-focused approach
• Ability to manage a high volume of cases in a fast-paced environment while meeting service level expectations
• Proficiency with CRM systems and Microsoft Office applications
• Strong organizational, analytical, and problem-solving skills
• Ability to prioritize workload and manage multiple tasks effectively

Responsibilities

• Manage assigned patient cases from referral through therapy initiation, ensuring timely, accurate, and compliant case progression
• Conduct benefits investigations electronically or by calling the insurance company to determine coverage information, prior authorization requirements, and patient financial responsibility
• Manage the prior authorization and appeals process, including obtaining plan-specific criteria and requirements, initiating, submitting, and tracking requests, and following up with plans, patients, and HCPs as needed to ensure timely outcomes.
• Identify and facilitate patient enrollment in financial assistance programs, including copay and patient assistance programs
• Support communications with patients, healthcare providers, payers, and specialty pharmacies as needed
• Provide education on insurance coverage, access pathways, and next steps in the treatment journey when needed
• Collaborate with internal teams and external partners to ensure timely therapy initiation and adherence to service level agreements
• Document all case activity accurately within HUB systems in compliance with SOPs and regulatory requirements
• Monitor case progress and escalate complex reimbursement issues as needed
• Response to incoming calls from patients/caregivers and prescriber’s offices and addressing or routing calls as needed
• Support leadership with tracking and resolving escalations
• Support quality initiatives, audits, and continuous process improvement efforts
• Ensure compliance with HIPAA, privacy, and regulatory standards at all times

Benefits

• Competitive pay that recognizes your experience, expertise, and impact
• Comprehensive benefits including medical, dental, and vision coverage; accrued paid time off; 401(k) with company match; disability and life insurance; and paid maternity and paternity leave
• Company-paid holidays so you can rest, recharge, and focus on what matters most
• Recognition programs, contests, and awards that celebrate your contributions
• Continuous growth opportunities through learning, leadership development, and career advancement support
• A collaborative culture where your ideas are valued and your work makes a difference

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree