Virtual Case Manager

Inizio EngageLas Vegas, NV

About The Position

Inizio Engage has a long-standing partnership with a pharmaceutical company, across our Inizio Engage business to provide services to patients allowing access to care. The Virtual Case Manager provides services to patients allowing access to care for prescribed medications. You will talk with patients, physicians, and pharmacies related to providing access to care on behalf of our clients. You will be part of a patient access team to manage the patient experience from start to finish by providing services that may include benefits investigation, program information, eligibility, reimbursement support, and general resources. You will communicate with third parties to obtain benefits verification, enroll in copay support, and transfer patients to patient assistance programs. You are someone with extreme customer empathy, experience in patient care/healthcare case management and engagement, and someone with excellent software navigation skills. This is your opportunity to join Inizio Engage and represent a top pharmaceutical company!

Requirements

  • Bachelor’s degree
  • Minimum 1-2 years of industry experience with pharmaceutical or healthcare case management and knowledge of medical or pharmaceutical terminology.
  • Experience with health insurance and Rx reimbursement.
  • Understand HIPAA and privacy laws and requirements and maintain patient confidentiality
  • Experience with Adverse Event and Product Quality Complaint reporting
  • Maintain compliance with program business rules, standard operating procedures, and guidelines
  • Outstanding case management is required
  • Passionate about learning and able to share/communicate that passion to others
  • Exhibit collaboration and follow up is necessary
  • You must demonstrate the ability to work in a dynamic and culturally diverse workplace.

Responsibilities

  • Serve as a patient advocate on behalf of the patient to coordinate access to medicines for timely treatment initiation, training, and ongoing shipments across HCP office, payer, and specialty pharmacy
  • Understand a patient’s support needs and interaction preferences to deliver a seamless, tailored patient experience that helps each patient complete their treatment as prescribed by the HCP (Healthcare Professional)
  • Provide support to patients and HCPs (Health Care Professional) throughout the prior authorization and appeals processes.
  • Educate providers and patients on relevant payer policies to help ensure patients can start and stay on therapy.
  • Provide support to each assigned patient about their coverage status while maintaining accurate information in the designated computer system to support data integrity of information relayed to customers and clients

Benefits

  • Competitive compensation
  • Excellent Benefits – accrued time off, medical, dental, vision, 401k, disability & life insurance, paid maternity and paternity leave benefits, employee discounts/promotions
  • Employee discounts & exclusive promotions
  • Recognition programs, contests, and company-wide awards
  • Exceptional, collaborative culture
  • Best Places to Work in BioPharma (2022, 2023, & 2024)
  • Certified Great Place to Work (2022, 2023, 2025)
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