Case Manager 930am - 6pm shift
Case Manager 930am - 6pm shift
Posted on :
06-04-2025
Employer Active
1 Vacancy
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Monthly Salary
Not Disclosed
Salary Not Disclosed
Vacancy
1 Vacancy
Posted on :
06-04-2025
Job Description
Important Notice
Due to an increase in hiring scams please be aware that if you are selected to move forward in our hiring process a member of our Talent Acquisition team will contact you directly using an official @pharmacord and/or @echo.newtonsoftware email address regarding next steps in our interview process.
Please Note:
- PharmaCord will never use Microsoft Teams to reach out to candidates for interview scheduling. However video interviews are typically conducted via Microsoft Teams. Official meeting links will always be sent from an @pharmacord or @echo.newtownsoftware email address or through our scheduling platform Calendly.
- We will never request your bank account information at any stage of the hiring process.
- We will never send a check (electronic or physical) to purchase home office equipment.
If you receive any suspicious communication regarding employment with PharmaCord please report it to our Talent Acquisition team immediately at
We are rapidly growing and invite you to be a part of this exciting opportunity to support a new program launch! Beginning Day 1 you will embark on a oneofakind opportunity learning about the drug manufacturers disease states and therapies youll be supporting. New program launches are a unique opportunity where you will work together with your team members in an inclusive environment contributing to the overall success of your program.
When you join the team as the Case Manager youll have the opportunity to make a difference in the lives of our patients each day as they look to you as part of their dedicated support team for helping them navigate the tricky process to getting access to their complex medication. Youll compassionately deliver an exceptional experience to many patients per day always remembering that every prescription or document belongs to a real person who is looking for thorough and efficient management of their records. Youll adjust your approach to their needs by communicating clearly focusing on the accuracy of the details of their medical records and your mastery of the program requirements and ensuring their prescriptions or cases are handled timely. This role may be eligible for a hybrid schedule after 6 months (or sooner once proficiency in role is demonstrated). Review our Benefits & Perks below to learn more!
A typical day in this role will include ownership of your patients cases from initiation to closure to include; benefit investigations prior authorizations / denial appeals determining financial qualifications for assistance programs and assisting patients or other callers/stakeholders through resolution (via email inbound/outbound calls and using our patented technology Lynk) by using your critical thinking skills and your knowledge of the program and industry rules and standards. This role requires a high level of ownership attention to detail and patient focus and will put your problemsolving skills to the test!
A typical day in the life of a Case Manager will include the following:
The responsibilities include but are not limited to the following:
- Relationship Management
- Builds trusted relationships with patients prescribers client stakeholders through proactive communication timely and accurate of deliverables and demonstrated relentless passion for helping patients
- Manages all relationships in a manner that adheres to healthcare laws and regulations
- Communications
- Performs program welcome calls to patients
- Performs post Benefits Investigation calls to patients and physicians explaining coverage options
- Manages all client inquiries unable to be determined by client through reporting
- Manages HCP inquiries as applicable pursuant to business rules
- Inbound Call Management
- Manages inbound calls as directed by the programapproved FAQs
- Triage patients to internal or external resources as appropriate
- Personalized Case Management
- Provides personalized case management to patients and HCPs including outbound communication to HCPs and patients to communicate benefit coverage and next steps in obtaining coverage
- Leverages electronic tools to identify benefits and payer coverage; completes manual benefit investigation as needed
- Identifies and communicates patients plan benefit coverage including the need for prior authorization appeal tier exception and/or formulary exclusions
- Uses electronic resources to obtain benefit coverage outcome and if needed outbound call to payers and HCPs to follow up on proper submission and/or outcome
- Coordinates nurse teach with fieldbased nurse educators as applicable to program
- Supports adherence services through coordination of nurse follow up as applicable to program
- Identifies peer support resources for patients
- Coordinates shipment of product through patient assistance program and/or bridge program from the PharmaCord pharmacy
- Proactively communicates needs for reverification of prior authorization or reenrollment for patient assistance program
- Reports adverse events Product complaints special situation reports and/or medical inquiries received in accordance with SOPs and the Business Rules
- Documents all activities within the PharmaCord Lynk system in accordance with business requirements
This job might be for you if (must have requirements of the role):
Successful candidates possess the following personal attributes:
- Detail oriented
- Professional telephone etiquette
- Selfawareness of your own emotions and the potential impact on others
- Basic computer knowledge
- Ability to multitask effectively
- Ability to recognize emotions and their effects
- Sureness about selfworth and capabilities
- Manage disruptive impulses
- Maintain standards of honesty and integrity
- Takes responsibility for performance
- Adapts and handles change with flexibility
- Is innovative and open to new ideas
- Achievement driven; constant striving to improve or to meet a standard of excellence
- Aligns with the goals of the group or organization
- Ready to take initiative and act on opportunities
- Be optimistic and pursue goals persistently despite obstacles and setbacks
- Be service oriented and anticipate recognize and meet needs of others including patients and care partners
- Clear and concise communication
- Positive attitude!
Requirements:
- Bachelors degreestrongly preferred or equivalent experience required
- Customer service and healthcare industry experience is preferred but not required
- Ability to work an 8.5hour shift between 8 am to 11 pm Monday to Friday required
- Bilingual in English and Spanish or Chinese/Mandarin is a plus
- We are located in Jeffersonville IN. You must be willing to work in this location; PharmaCord does reimburse for tolls if applicable at the frequent user rate. This rate is applied after 40 trips per month (valued at $678.60 per year).
Physical Demands & Work Environment:
- While performing the duties of this job the employee is regularly required to talk or hear. The employee is frequently required to sit for long periods of time use hands to type handle or feel; and reach with hands and arms. Must be able to type 35 WPM with 97 accuracy.
- Although very minimal flexibility to travel as needed is preferred.
- This job operates in a professional office environment. This role routinely uses standard office equipment such as computers phones photocopiers etc.
Once you land this position youll get to enjoy:
Our Benefits & Perks
- Company paid Shortterm Disability (STD)
- Increased competitive 401(k) company match up to 4
- Affordable Medical Dental and Vision benefits PharmaCord covers 75 of Medical Premiums for our employees
- Wellness discounts of up to $260 per year for participation in wellness program
- Annual HSA employer contribution
- Company paid and voluntary Life Insurance options
- Voluntary Life AD&D and LongTerm Disability Insurances
- Paid Parental Leave of Absence
- Wellness and Employee Assistance Programs
- PTO benefits flex days and paid holidays
- Employee Referral Program
- Ambassador Program
- Tuition reimbursement program up to $5000 per year
Competitive Compensation & Flexible Working
- Competitive starting pay rates
- Toll reimbursement program (valued at $678.60 per year)
- This role may be eligible for a hybrid schedule 50 in office 50 remote). To qualify for a hybrid schedule you are required to work a minimum of 6 months onsite at our headquarters location. You must show youve successfully completed training are in good performance and attendance standing and are consistently meeting KPIs as outlined within the program business rules.
- Multiple shift options between 8 AM and 11 PM Monday Friday
A Career Youll Love
- Working for PharmaCord voted Best Places to Work in Kentucky for 2019 and 2021
- Work for a company that values diversity and makes deliberate efforts to create in inclusive workplace
- Opportunities for advancement with a company that supports personal and professional growth
- A challenging stimulating work environment that encourages new ideas
- Exposure to many learning and development opportunities
- Playing a crucial part in the lives of our patients physicians and pharmacies by enhancing the patient services experience
- Our new state of the art Headquarters building offering many amenities including collaborations spaces outdoor dining walking path marketplace caf and more!
Any offer of employment is contingent on completion of a background check to company standard. Please note this job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the employee for this job. Duties responsibilities and activities may change at any time with or without notice.
At PharmaCord we dont just accept difference we celebrate it support it and we thrive on it for the benefit of our employees our products and our community. PharmaCord is proud to be an equal opportunity employer.
PharmaCord is unable to sponsor employees at this time.
Want to learn more about us Find us on LinkedIn Glassdoor Twitter & Facebook!
Required Experience:
Manager
Employment Type
Part-Time
Key Skills
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