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HomeCompanies6c932ff8 0c5d 4b0f 916e 1348b61ffa49 19000101 000001Reimbursement Case Manager

Reimbursement Case Manager

6c932ff8 0c5d 4b0f 916e 1348b61ffa49 19000101 000001 · Coraopolis, PA, US, Coraopolis, PA · Remote · Active · ADP Workforce Now Recruiting

Job facts

FieldValue
Company6c932ff8 0c5d 4b0f 916e 1348b61ffa49 19000101 000001
TitleReimbursement Case Manager
Normalized title-
Department / team-
LocationCoraopolis, PA, United States
Work modelRemote / Remote
Employment typeFull Time
Salary-
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2026-05-27 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-06

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PageWhat it containsOpen
Company jobsActive postings from 6c932ff8 0c5d 4b0f 916e 1348b61ffa49 19000101 000001.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through ADP Workforce Now Recruiting.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Coraopolis.Open
Work model jobsActive Remote postings.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

Company6c932ff8 0c5d 4b0f 916e 1348b61ffa49 19000101 000001
Source4938e2ce-97fd-46d9-ab63-859ac1d2f3b5
ATS providerADP Workforce Now Recruiting

Description

Purpose: The Reimbursement Case Manager (RCM) is a professional client facing role responsible for various functions, including accurate and timely response to client inquiries regarding specific referral status or escalation. The RCM serves as a primary point of contact for payers. The RCM will manage the benefits investigation process to determine patient eligibility and coverage per their plan along with prior authorization and appeal support. The RCM will interact indirectly with external clients such as manufacturers and specialty pharmacies as well as internal teams including Operations and Program Management. Responsibilities: Serve as primary point of contact for client and customer reimbursement inquiries and escalations. Coordinate investigation and determination of patient benefits with internal program operations, insurance plans, and specialty pharmacy liaisons. Review forms for completeness and communicate any missing information required to complete benefit verification process. Apply defined business rules to qualify patients for manufacturer supported programs. Work independently to complete assigned work in accordance with Standard Operating Procedures and defined service levels to complete benefits verification process, prescription coverage, authorization and appeal support, and answer any reimbursement related inquiries. Use high-level problem-solving skills to research cases and resolve independently using creativity, innovation, and professional judgement to make sound decisions. Leverages both electronic and telephonic benefit investigation tools to verify eligibility, coverage, authorization and appeal process, specialty pharmacy mandates, and cost differences. Maintain frequent phone contact with payers to gather all necessary information related to case/patient information, insurance coverage, and where applicable, prior authorization (PA) or appeals processing. Maintain clear, concise, and accurate documentation on all accounts according to Standard Operating Procedures. Independently and effectively verify coverage and proactively enroll eligible patients into the commercial copay program. Efficiently process patient and prescriber requests to accelerate access to th erapy . Serve as operational expert on payer trends, product access, and reporting reimbursement insights and/or delays, i.e., denials, underpayment, access delays. Frequently communicate with program management on new insurance requirements and trends. Provide concierge-level service to internal and external customers; resolve any customer and client requests in a timely and accurate manner; escalate appropriately. Coordinate and collaborate with internal team members to provide reimbursement information to manufacturer representatives, HCP offices and other key personnel. Strong compliance mindset, demonstrating clear understanding of patient privacy laws. Active participation in building and maintaining respectful, collaborative internal/external team relationships, exercising, and encouraging positivity. This position may require flexibility in scheduling, with shifts occurring between 8:00AM and 8:00PM EST, Monday through Friday. Employees should be prepared to work within this timeframe as needed. Other duties as assigned. Required Qualifications: High school diploma plus 2+ years recent reimbursement experience Previous 2+ years of experience in a pharmacy, healthcare setting and/or pharmacy/medical insurance background Advanced knowledge and experience in healthcare setting Experience with benefit investigation and verification of prescription benefits Ability to communicate effectively both orally and in writing with a focus on customer satisfaction Ability to independently manage case load, prioritize work, and use time management skills to meet deliverables Empathy, drive, and commitment to exceptional service Strong analytical and organizational skills with attention to detail Ability to work flexible schedule per Program business needs Strong interpersonal skills; possess effective oral and written communication skills Possess a strong understanding of biologic/specialty pharma market and patient access challenges Ability to leverage professional expertise Apply company policies and procedures to resolve challenges Preferred Qualifications: Undergraduate Degree and/or equivalent work experience Certified Pharmacy Technician (CPhT) Understanding of plan types – Government, Commercial, Medicaid, VA, Fed Knowledge of insurance structure (ex PBM’s, major medical plans, co-pay assistance /cards) Experience with benefit investigation and verification of prescription benefits Working Knowledge of Third-Party and other Foundation programs Basic understanding of Co-Pay Assistance (if applicable) Understanding of HUB patient journey, workflow, and triage is a plus Ability to proficiently use Microsoft Teams, Excel, Outlook, and Word Strong analytical and organizational skills with meticulous attention to detail Work Environment : RareMed offers a hybrid work structure, combining remote work and in-office requirements. The frequency of onsite requirements will vary depending on role, operational needs, meetings, client visits, or team collaboration activities. Employees must be within commuting distance to Pittsburgh, PA, and able to report to the office when needed. We will provide advance notice when possible. This role routinely involves standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. When telecommuting, employees must have reliable internet access to utilize required systems and software required for the position's responsibilities. The amount of time the employee is expected to work per day or pay period will not change while working from home. Employees are responsible for the set-up of their home office environment, including physical set-up, internet connection, phone line, electricity, lighting, comfortable temperature, furniture, etc. Employee’s teleworking space should be separate and distinct from their “home space” and allow for privacy. Physical Demands: While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands and fingers, handle or feel; and reach with hands and arms. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function of the job.

Full job record

Job ID1862c2872468287631c33778a92e7bd5e8e0e8db
Org ID19825dad-1f1c-453f-8d0f-fdf24a0b3847
Source ID4938e2ce-97fd-46d9-ab63-859ac1d2f3b5
Board ID4938e2ce-97fd-46d9-ab63-859ac1d2f3b5
Provideradp_workforcenow
Provider Job Key589408
TitleReimbursement Case Manager
Normalized Title
Statusactive
Activeyes
Location TextCoraopolis, PA, US, Coraopolis, PA
Department
Team
Employment Typefull_time
Workplace Typeremote
Remote Policyremote
CountryUnited States
RegionPA
CityCoraopolis
Salary Raw
Salary Min
Salary Max
Salary Currency
Salary Period
Source URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=6c932ff8-0c5d-4b0f-916e-1348b61ffa49&ccId=19000101_000001&lang=en_US&type=JS&jobId=589408&jwId=9201691938259_1
Apply URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=6c932ff8-0c5d-4b0f-916e-1348b61ffa49&ccId=19000101_000001&lang=en_US&type=JS&jobId=589408&jwId=9201691938259_1
First Seen At2026-05-31 18:29:20Z
Last Seen At2026-06-06 13:05:53Z
Last Checked At2026-06-06 13:05:53Z
Last Changed At2026-06-06 13:05:53Z
Inactive At
Source Posted At2026-05-27 20:21:00Z
Source Updated At
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=adp_workforcenow/board=6c932ff8-0c5d-4b0f-916e-1348b61ffa49|19000101_000001/date=2026-06-06/2026-06-06T13-05-52-821Z-f59345bfb694706153e39b4f442958d7fd738462837935dc6141d0d0a32da1f5.json
Event Fields
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Extensions
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    "requisitionDescription": "<div><div><div><div><div style='margin: 0px;padding: 0px;color: rgb(0, 0, 0);font-family: \"Segoe UI\", \"Segoe UI Web\", Arial, Verdana, sans-serif;font-size: 12px;font-style: normal;font-weight: 400;text-align: start;text-indent: 0px;background-color: rgb(255, 255, 255);' id=\"isPasted\"><p style=\"margin: 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;color: rgb(82, 82, 82);\">&nbsp;<span style=\"margin: 0px;padding: 0px;font-style: normal;text-indent: 0px;background-color: rgb(255, 255, 255);color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;font-weight: bold;\" id=\"isPasted\"><span style=\"margin: 0px;padding: 0px;\">Purpose:</span></span><span style=\"margin: 0px;padding: 0px;font-style: normal;font-weight: 400;text-indent: 0px;background-color: rgb(255, 255, 255);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;color: rgb(82, 82, 82);\"> </span></span></p><p style=\"margin: 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">The Reimbursement Case Manager (RCM) is a professional client facing role responsible for various functions, including accurate and timely response to client inquiries regarding specific referral status or escalation. The RCM serves as a primary point of contact for payers. The RCM will manage the benefits investigation process to determine patient eligibility and coverage per their plan along with prior authorization and appeal support. The RCM will interact indirectly with external clients such as manufacturers and specialty pharmacies as well as internal teams including Operations and Program Management.</span></span><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;color: rgb(82, 82, 82);\">&nbsp;</span></p><p style=\"margin: 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;color: rgb(82, 82, 82);\">&nbsp;</span></p><p style=\"margin: 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;font-weight: bold;\"><span style=\"margin: 0px;padding: 0px;\">Responsibilities:</span></span><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;color: rgb(82, 82, 82);\">&nbsp;</span></p><ul style=\"list-style-type: disc;margin-left: 0px;\"><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Serve as primary point of contact for client and customer reimbursement inquiries and escalations.</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Coordinate investigation and determination of patient benefits with internal program operations, insurance plans, and specialty pharmacy liaisons.&nbsp;</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Review forms for completeness and communicate any missing information required to complete benefit verification process.</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Apply defined business rules to qualify patients for manufacturer supported programs.</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Work independently to complete assigned work in accordance with Standard Operating Procedures and defined service levels to complete benefits verification process, prescription coverage, authorization and appeal support, and answer any reimbursement related inquiries.</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Use high-level problem-solving skills to research cases and resolve independently using creativity, innovation, and professional judgement to make sound decisions.&nbsp;</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Leverages both electronic and telephonic benefit investigation tools to verify eligibility, coverage, authorization and appeal process, specialty pharmacy mandates, and cost differences.&nbsp;</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Maintain frequent phone contact with payers to gather all necessary information related to case/patient information, insurance coverage, and where applicable, prior authorization (PA) or appeals processing.</span></span></li></ul></div><div style='margin: 0px;padding: 0px;color: rgb(0, 0, 0);font-family: \"Segoe UI\", \"Segoe UI Web\", Arial, Verdana, sans-serif;font-size: 12px;font-style: normal;font-weight: 400;text-align: start;text-indent: 0px;background-color: rgb(255, 255, 255);'><ul style=\"list-style-type: disc;margin-left: 0px;\"><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Maintain clear, concise, and accurate documentation on all accounts according to Standard Operating Procedures.</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Independently and effectively verify coverage and proactively enroll eligible patients into the commercial copay program.</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Efficiently process </span><span class=\"NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;border-bottom: 1px solid transparent;\">patient</span><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\"> and prescriber requests </span><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">to </span><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">accelerate </span><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">access to th</span><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">erapy</span><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">.</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Serve as operational expert on payer trends, product access, and reporting reimbursement insights and/or delays, i.e., denials, underpayment, access delays.&nbsp;</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Frequently communicate with program management on new insurance requirements and trends.</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Provide concierge-level service to internal and external customers; resolve any customer and client requests in a timely and accurate manner; escalate appropriately.&nbsp;</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Coordinate and collaborate with internal team members to provide reimbursement information to manufacturer representatives, HCP offices and other key personnel.</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Strong compliance mindset, demonstrating clear understanding of patient privacy laws.</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Active participation in building and maintaining respectful, collaborative internal/external team relationships, exercising, and encouraging positivity.&nbsp;</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">This position may require flexibility in scheduling, with shifts occurring between 8:00AM and 8:00PM EST, Monday through Friday. Employees should be prepared to work within this timeframe as needed.&nbsp;</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Other duties as assigned.&nbsp;</span></span></li></ul><p style=\"margin: 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;font-weight: bold;\"><span style=\"margin: 0px;padding: 0px;\">Required Qualifications:</span></span><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;color: rgb(82, 82, 82);\">&nbsp;</span></p><ul style=\"list-style-type: disc;margin-left: 0px;\"><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">High school diploma plus 2+ years recent reimbursement experience</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Previous 2+ years of experience in a pharmacy, healthcare setting and/or pharmacy/medical insurance background</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Advanced knowledge and experience in healthcare setting</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Experience with benefit investigation and verification of prescription benefits</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Ability to communicate effectively both orally and in writing with a focus on customer satisfaction</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 16px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Ability to independently manage case load, prioritize work, and use time management skills to meet deliverables</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 16px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Empathy, drive, and commitment to exceptional service</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 16px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Strong analytical and organizational skills with attention to detail</span></span></li></ul></div><div style='margin: 0px;padding: 0px;color: rgb(0, 0, 0);font-family: \"Segoe UI\", \"Segoe UI Web\", Arial, Verdana, sans-serif;font-size: 12px;font-style: normal;font-weight: 400;text-align: start;text-indent: 0px;background-color: rgb(255, 255, 255);'><ul style=\"list-style-type: disc;margin-left: 0px;\"><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 16px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Ability to work flexible schedule per Program business needs</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 16px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Strong interpersonal skills; possess effective oral and written communication skills</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 16px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Possess a strong understanding of biologic/specialty pharma market and patient access challenges</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 16px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Ability to leverage professional expertise</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 16px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Apply company policies and procedures to resolve challenges</span></span></li></ul><p style=\"margin: 0px 0px 0px 78px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 16px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;color: rgb(82, 82, 82);\">&nbsp;</span></p><p style=\"margin: 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;font-weight: bold;\"><span style=\"margin: 0px;padding: 0px;\">Preferred Qualifications:</span></span><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;color: rgb(82, 82, 82);\">&nbsp;</span></p><ul style=\"list-style-type: disc;margin-left: 0px;\"><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Undergraduate Degree and/or equivalent work experience&nbsp;</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Certified Pharmacy Technician (CPhT)</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Understanding of plan types &ndash; Government, Commercial, Medicaid, VA, Fed&nbsp;</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Knowledge of insurance structure (ex PBM&rsquo;s, major medical plans, co-pay assistance /cards)&nbsp;</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Experience with benefit investigation and verification of prescription benefits</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Working Knowledge of Third-Party and other Foundation programs</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Basic understanding of Co-Pay Assistance (if applicable)</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Understanding of HUB patient journey, workflow, and triage is a plus&nbsp;</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Ability to proficiently use Microsoft Teams, Excel, Outlook, and Word</span></span></li><li style=\"margin-left: 48px;\"><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW76207157 BCX0\" style=\"margin: 0px;padding: 0px;\">Strong analytical and organizational skills with meticulous attention to detail</span></span></li></ul><p style=\"margin: 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 16px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;color: rgb(82, 82, 82);\">&nbsp;</span></p></div><p style=\"margin: 0px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;font-style: normal;line-height: 16px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;font-weight: bold;\"><span style=\"margin: 0px;padding: 0px;\">Work Environment</span></span><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 16px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;color: rgb(82, 82, 82);\">:</span></p><p style=\"margin: 0px 0px 10.6667px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\">RareMed offers a hybrid work structure, combining remote work and in-office requirements. The frequency of onsite requirements will vary depending on role, operational needs, meetings, client visits, or team collaboration activities. Employees must be within commuting distance to Pittsburgh, PA, and able to report to the office when needed. We will provide advance notice when possible. This role routinely involves standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. When telecommuting, employees must have reliable internet access to utilize required systems and software required for the position&#39;s responsibilities. The amount of time the employee is expected to work per day or pay period will not change while working from home. Employees are responsible for the set-up of their home office environment, including physical set-up, internet connection, phone line, electricity, lighting, comfortable temperature, furniture, etc. Employee&rsquo;s teleworking space should be separate and distinct from their &ldquo;home space&rdquo; and allow for privacy.<span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 17.2667px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;color: rgb(82, 82, 82);\">&nbsp;</span></p><p style=\"margin: 0px 0px 10.6667px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;font-style: normal;line-height: 16px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;font-weight: bold;\"><span style=\"margin: 0px;padding: 0px;\">Physical Demands:</span></span><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 16px;font-family: WordVisiCarriageReturn_MSFontService, Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;color: rgb(82, 82, 82);\"><br style=\"margin: 0px;padding: 0px;\"></span><span style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;font-style: normal;line-height: 16px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;font-weight: normal;\"><span style=\"margin: 0px;padding: 0px;\">While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands and fingers, handle or feel; and reach with hands and arms. </span></span><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 16px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;color: rgb(82, 82, 82);\">&nbsp;</span></p><p style=\"margin: 0px 0px 10.6667px;padding: 0px;font-weight: normal;font-style: normal;vertical-align: baseline;background-color: transparent;color: windowtext;text-align: left;text-indent: 0px;\"><span style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;font-style: normal;line-height: 16px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;font-weight: normal;\"><span style=\"margin: 0px;padding: 0px;\">Reasonable </span><span style=\"margin: 0px;padding: 0px;border-bottom: 1px solid transparent;\">accommodations</span><span style=\"margin: 0px;padding: 0px;\"> may be made to enable individuals with disabilities to perform the essential function of the job.</span></span><span style=\"margin: 0px;padding: 0px;font-size:15px;line-height: 16px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;color: rgb(82, 82, 82);\">&nbsp;</span></p></div></div></div></div>\n",
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    "requisitionTitle": "Reimbursement Case Manager",
    "clientRequisitionID": "1487",
    "organizationalUnits": [],
    "postingInstructions": [],
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    "requisitionLocations": [
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        "nameCode": {
          "shortName": " Coraopolis, PA, US"
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    "screeningRequirements": [],
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Get this page with API

Rendered from the bluedoor Job Postings API. Reproduce it:

GET https://api.bluedoor.sh/job-postings/v1/jobs/1862c2872468287631c33778a92e7bd5e8e0e8db?include=descriptionJSON
GET https://api.bluedoor.sh/job-postings/v1/orgs/19825dad-1f1c-453f-8d0f-fdf24a0b3847JSON
GET https://api.bluedoor.sh/job-postings/v1/sources/4938e2ce-97fd-46d9-ab63-859ac1d2f3b5JSON
GET https://api.bluedoor.sh/job-postings/v1/jobs/1862c2872468287631c33778a92e7bd5e8e0e8db/eventsJSON