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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
TitleCase 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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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 Case Manager is a professional external facing role responsible for various functions, including proactive outreach and support as well as accurate and timely response to inquiries regarding specific referral status or escalation . The Case Ma nager must develop a deep understanding of program deliverables and will be responsible for ensuring program compliance to documented business rules. The Case Manager is responsible for the educational support and managing efficiently the service delivery of assigned program. The Case Manager serves as a p rimary point of contact for professional, concise internal and external communication regarding case status updates, next steps in prescription processing, communication of reimbursement support , etc. The Case Manager will interact directly with patients, healthcare providers, and insurance payers as well as internal teams including Operations and Program Management to ensure cases are moving forward. The Case Manager will also collaborate and work closely with the field teams. The Case Manager will be communicating updates on internal activities and will be required to collaborate with internal , external , and clinical teams to support the patient journey. The role will require sound judgement and the highest level of professional standards in all interactions with not only our patients, but HCP offices, program and specialty pharmacies, payers and our client manufacturer. The Case Manager will be directly involved with the development and enhancement of program efficiencies and evaluating opportunities for improvement of the program experience for referred patients and HCP offices. Responsibilities : Primary point of contact for patient journey. Coordinates services with internal program operations and Program Management. Ability to accurately assess, plan, implement, and evaluate patient/caller needs for guidance throughout patient journe y . Possess a broad and deep understanding of assigned disease states, products, and support programs. Work independently to complete assigned work in accordance with Standard Operating Procedures and defined service levels to complete program enrollment, answer inquiries, and coordinate access to therapies . Processing of patient and prescriber requests in order to ensure access to therapy in a timely manner . Utilizing strategic intervention, collaborate efficiently and with urgency with key personnel to expedite processing of referrals from initiation to delivery of product. Assist with challenges by demonstrating appropriate judgement skills to be able to make independent solid decisions. Assist in coordination of available reimbursement resources for our patients to ensure the efficient processing of referrals from initiation to delivery of prescribed product . Maintain frequent phone contact to resolve any inquires or requests with internal operational staff, external teams and patients , and external specialty pharmacies . Provides exceptional, white glove, customer service to internal and external customers; resolves any customer and client requests in a timely and accurate manner; escalates appropriately . Provides support to ensure efficient referral processing and triaging of prescription . Ability to support payer processes, product access, and navigating prior authorization process in order to help patients gain access to product Ability to understand payer trends, product access, and reporting reimbursement trends and/or delays ( i.e. denials, underpayment, access delays, etc.) 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. Create program training materials, standard operation procedures, and quick reference guides for operational use. Collaborate with leadership to identify opportunities to improve program efficiency and patient care solutions. Remains flexible and responsive when changes occur in patient activity, workload and scheduling. Assumes accountability for own professional practice in achieving optimal patient outcomes. Use problem solving skills and professional judgement to independently make decisions. Other duties as assigned. Required Qualifications : Bachelor’s Degree or 3-5 years case management or patient advocacy experience Advanced knowledge and experience in healthcare setting , with 2 + years experience in a pharmacy, healthcare setting, and/or insurance background Strong analytical and organizational skills with attention to detail. Ability to independently manage case load, prioritize work, and us e time management skills to manage deliverables Excellent verbal and written communication skills Strong reimbursement knowledge of BI/BV prescription benefits; PA authorizations , access management Ability to proficiently use Microsoft Excel, Outlook and Word Preferred Qualifications: Pharmaceutical industry, reimbursement case management and /or specialty pharmacy experience a plus Ability to build productive internal/external working relationships Case Management Experience Professional interpersonal skills with patients, HCP and manufacturer clients. Empathy, drive and commitment to exceptional service Ability to coordinate and manage deliverables with a sense of urgency. Meticulous attention to detail. Ability to exercise independent judgment. Ability to demonstrate empathy, handles stressful patient situations with realistic expectations while S upporting a positive outlook Stays current in developments related to specific disease state. Ability to learn and navigate the CRM platform with ease Ability to learn new processes quickly 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 ID8f8817a4b63513f609451fbcfe70fa663ae4df5e
Org ID19825dad-1f1c-453f-8d0f-fdf24a0b3847
Source ID4938e2ce-97fd-46d9-ab63-859ac1d2f3b5
Board ID4938e2ce-97fd-46d9-ab63-859ac1d2f3b5
Provideradp_workforcenow
Provider Job Key589419
TitleCase 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=589419&jwId=9201692011220_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=589419&jwId=9201692011220_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 20:19:00Z
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><p><br></p><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;color: rgb(82, 82, 82);font-size:15px;line-height: 16px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;font-weight: bold;\"><span style=\"margin: 0px;padding: 0px;\">Purpose:</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;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: 16px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;border-bottom: 1px solid transparent;\">The </span><span style=\"margin: 0px;padding: 0px;border-bottom: 1px solid transparent;\">Case Manager</span><span style=\"margin: 0px;padding: 0px;border-bottom: 1px solid transparent;\"> is a </span><span style=\"margin: 0px;padding: 0px;border-bottom: 1px solid transparent;\">professional external</span><span style=\"margin: 0px;padding: 0px;border-bottom: 1px solid transparent;\"> </span><span style=\"margin: 0px;padding: 0px;border-bottom: 1px solid transparent;\">facing role responsible for various functions, </span><span style=\"margin: 0px;padding: 0px;border-bottom: 1px solid transparent;\">including proactive outreach and support as well as accurate and timely response to inquiries regarding specific referral status or escalation</span><span style=\"margin: 0px;padding: 0px;border-bottom: 1px solid transparent;\">.</span><span style=\"margin: 0px;padding: 0px;\"> </span><span style=\"margin: 0px;padding: 0px;\">The </span><span style=\"margin: 0px;padding: 0px;\">Case Ma</span><span style=\"margin: 0px;padding: 0px;\">nager</span><span style=\"margin: 0px;padding: 0px;\"> must develop a deep understanding of program deliverables and will </span><span style=\"margin: 0px;padding: 0px;\">be responsible for</span><span style=\"margin: 0px;padding: 0px;\"> ensuring program compliance </span><span style=\"margin: 0px;padding: 0px;border-bottom: 1px solid transparent;\">to</span><span style=\"margin: 0px;padding: 0px;\"> documented business rules. The </span><span style=\"margin: 0px;padding: 0px;\">Case Manager</span><span style=\"margin: 0px;padding: 0px;\"> </span><span style=\"margin: 0px;padding: 0px;\">is responsible for</span><span style=\"margin: 0px;padding: 0px;\"> the educational support and managing efficiently the service delivery of </span><span style=\"margin: 0px;padding: 0px;border-bottom: 1px solid transparent;\">assigned</span><span style=\"margin: 0px;padding: 0px;\"> program. </span><span style=\"margin: 0px;padding: 0px;\">The </span><span style=\"margin: 0px;padding: 0px;\">Case Manager</span><span style=\"margin: 0px;padding: 0px;\"> serves as a </span><span style=\"margin: 0px;padding: 0px;\">p</span><span style=\"margin: 0px;padding: 0px;\">rimary point of contact for professional, concise internal and external communication </span><span style=\"margin: 0px;padding: 0px;\">regarding</span><span style=\"margin: 0px;padding: 0px;\"> case status updates, next steps in prescription processing, communication of reimbursement </span><span style=\"margin: 0px;padding: 0px;\">support</span><span style=\"margin: 0px;padding: 0px;\">, </span><span style=\"margin: 0px;padding: 0px;\">etc. </span><span style=\"margin: 0px;padding: 0px;\">The </span><span style=\"margin: 0px;padding: 0px;\">Case Manager</span><span style=\"margin: 0px;padding: 0px;\"> will interact directly with </span><span style=\"margin: 0px;padding: 0px;\">patients, healthcare providers, and insurance payers </span><span style=\"margin: 0px;padding: 0px;\">as well as internal teams including Operations and Program Management</span><span style=\"margin: 0px;padding: 0px;\"> to ensure cases are moving forward.</span><span style=\"margin: 0px;padding: 0px;\"> </span><span style=\"margin: 0px;padding: 0px;\">The Case Manager will also collaborate and work closely with the field teams. </span><span style=\"margin: 0px;padding: 0px;\">The Case Manager will </span><span style=\"margin: 0px;padding: 0px;\">be</span><span style=\"margin: 0px;padding: 0px;\"> communicating updates on internal activities and will </span><span style=\"margin: 0px;padding: 0px;\">be required</span><span style=\"margin: 0px;padding: 0px;\"> to collaborate with internal</span><span style=\"margin: 0px;padding: 0px;\">, </span><span style=\"margin: 0px;padding: 0px;\">external</span><span style=\"margin: 0px;padding: 0px;\">, and </span><span style=\"margin: 0px;padding: 0px;\">clinical teams to support the </span><span style=\"margin: 0px;padding: 0px;border-bottom: 1px solid transparent;\">patient</span><span style=\"margin: 0px;padding: 0px;\"> journey.</span><span style=\"margin: 0px;padding: 0px;\"> </span><span style=\"margin: 0px;padding: 0px;\">The role will require sound judgement and the highest level of professional standards in all interactions with not only our patients, but HCP offices, program and specialty pharmacies, </span><span style=\"margin: 0px;padding: 0px;\">payers</span><span style=\"margin: 0px;padding: 0px;\"> and our client manufacturer. The </span><span style=\"margin: 0px;padding: 0px;\">Case Manager</span><span style=\"margin: 0px;padding: 0px;\"> will be directly involved with the development and enhancement of program efficiencies and evaluating opportunities for improvement</span><span style=\"margin: 0px;padding: 0px;\"> </span><span style=\"margin: 0px;padding: 0px;\">of the program experience for referred patients and HCP offices.</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;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: 16px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;font-weight: bold;\"><span style=\"margin: 0px;padding: 0px;\">Responsibilities</span><span style=\"margin: 0px;padding: 0px;\">:</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><ul style=\"list-style-type: disc;margin-left:0px;\"><li><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW91132041 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 SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;\">Primary point of contact </span><span class=\"NormalTextRun SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;\">for patient journey.</span></span></li><li><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW91132041 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 SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;\">Coordinates services with internal program operations and Program Management.</span></span></li><li><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW91132041 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 SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;\">Ability to accurately assess, plan, implement, and evaluate patient/caller needs for guidance throughout patient journe</span><span class=\"NormalTextRun SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;\">y</span><span class=\"NormalTextRun SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;\">.</span></span></li><li><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 20px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span class=\"NormalTextRun SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;\">Possess a broad and deep understanding of assigned disease states, products, and support programs.&nbsp;</span></span></li><li><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW91132041 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 SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;\">Work independently to complete assigned work </span><span class=\"NormalTextRun SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;\">in accordance with</span><span class=\"NormalTextRun SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;\"> Standard Operating Procedures and defined service levels to complete program enrollment, answer inquiries, and coordinate access to therapies</span><span class=\"NormalTextRun SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;\">.</span></span></li><li><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW91132041 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 AdvancedProofingIssueV2Themed SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;border-bottom: 1px solid transparent;\">Processing of patient and prescriber requests </span><span class=\"NormalTextRun AdvancedProofingIssueV2Themed SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;border-bottom: 1px solid transparent;\">in order to</span><span class=\"NormalTextRun AdvancedProofingIssueV2Themed SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;border-bottom: 1px solid transparent;\"> ensure access to therapy in a timely manner</span><span class=\"NormalTextRun AdvancedProofingIssueV2Themed SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;border-bottom: 1px solid transparent;\">.</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><span style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 20px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Utilizing strategic intervention, collaborate efficiently and with urgency with key personnel to </span><span style=\"margin: 0px;padding: 0px;\">expedite</span><span style=\"margin: 0px;padding: 0px;\"> processing of referrals from initiation to delivery of product.</span></span></li><li><span style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 20px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Assist</span><span style=\"margin: 0px;padding: 0px;\"> with challenges by </span><span style=\"margin: 0px;padding: 0px;\">demonstrating</span><span style=\"margin: 0px;padding: 0px;\"> </span><span style=\"margin: 0px;padding: 0px;\">appropriate judgement</span><span style=\"margin: 0px;padding: 0px;\"> skills to be able to make independent solid decisions.</span></span></li><li><span 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 style=\"margin: 0px;padding: 0px;\">Assist</span><span style=\"margin: 0px;padding: 0px;\"> in coordination of available reimbursement resources for our patients to ensure the efficient processing of referrals from initiation to delivery of prescribed product</span><span style=\"margin: 0px;padding: 0px;\">. </span></span></li><li><span 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 style=\"margin: 0px;padding: 0px;\">Maintain</span><span style=\"margin: 0px;padding: 0px;\"> frequent phone contact </span><span style=\"margin: 0px;padding: 0px;\">to resolve any </span><span style=\"margin: 0px;padding: 0px;border-bottom: 1px solid transparent;\">inquires</span><span style=\"margin: 0px;padding: 0px;\"> </span><span style=\"margin: 0px;padding: 0px;\">or requests </span><span style=\"margin: 0px;padding: 0px;\">with internal operational staff, external </span><span style=\"margin: 0px;padding: 0px;\">teams</span><span style=\"margin: 0px;padding: 0px;\"> and patients</span><span style=\"margin: 0px;padding: 0px;\">, and external specialty pharmacies</span><span style=\"margin: 0px;padding: 0px;\">.</span></span></li><li><span 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 style=\"margin: 0px;padding: 0px;\">Provides exceptional, white glove, customer service to internal and external customers; resolves any customer and client requests in </span><span style=\"margin: 0px;padding: 0px;\">a timely</span><span style=\"margin: 0px;padding: 0px;\"> and </span><span style=\"margin: 0px;padding: 0px;\">accurate</span><span style=\"margin: 0px;padding: 0px;\"> manner; escalates appropriately</span><span style=\"margin: 0px;padding: 0px;\">.</span></span></li><li><span 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 style=\"margin: 0px;padding: 0px;\">Provides support to ensure efficient referral processing and triaging</span><span style=\"margin: 0px;padding: 0px;\"> of prescription</span><span style=\"margin: 0px;padding: 0px;\">.</span></span></li><li><span 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 style=\"margin: 0px;padding: 0px;\">Ability to support payer processes, product access, and navigating prior authorization process </span><span style=\"margin: 0px;padding: 0px;border-bottom: 1px solid transparent;\">in order to</span><span style=\"margin: 0px;padding: 0px;\"> help patients gain access to </span><span style=\"margin: 0px;padding: 0px;\">product</span></span></li><li><span 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 style=\"margin: 0px;padding: 0px;\">Ability to understand payer trends, product access, and reporting reimbursement trends and/or delays (</span><span style=\"margin: 0px;padding: 0px;\">i.e.</span><span style=\"margin: 0px;padding: 0px;\"> denials, underpayment, access delays, etc.)</span></span></li><li><span style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 20px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Strong compliance mindset, </span><span style=\"margin: 0px;padding: 0px;\">demonstrating</span><span style=\"margin: 0px;padding: 0px;\"> clear understanding of patient privacy laws</span><span style=\"margin: 0px;padding: 0px;\">.</span></span></li><li><span style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 20px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Active participation in building and </span><span style=\"margin: 0px;padding: 0px;\">maintaining</span><span style=\"margin: 0px;padding: 0px;\"> respectful, collaborative internal/external team relationships, </span><span style=\"margin: 0px;padding: 0px;\">exercising</span><span style=\"margin: 0px;padding: 0px;\"> and encouraging positivity. </span></span></li><li><span style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 20px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Create program training materials, standard operation procedures, and quick reference guides for operational use.</span></span></li><li><span style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 20px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Collaborate with leadership to </span><span style=\"margin: 0px;padding: 0px;\">identify</span><span style=\"margin: 0px;padding: 0px;\"> opportunities to improve program efficiency and patient care solutions.</span></span></li><li><span style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 20px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Remains flexible and responsive when changes occur in patient activity, </span><span style=\"margin: 0px;padding: 0px;\">workload</span><span style=\"margin: 0px;padding: 0px;\"> and scheduling.</span></span></li><li><span style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 20px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Assumes accountability for own professional practice in achieving </span><span style=\"margin: 0px;padding: 0px;\">optimal</span><span style=\"margin: 0px;padding: 0px;\"> patient outcomes.</span></span></li><li><span style=\"margin: 0px;padding: 0px;color: rgb(82, 82, 82);font-size:15px;line-height: 20px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">Use problem solving skills and professional judgement to independently make decisions. </span><span style=\"margin: 0px;padding: 0px;\">Other duties as assigned.</span></span></li></ul><p style=\"margin: 0px 0px 0px 72px;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: 16px;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;color: rgb(82, 82, 82);font-size:15px;line-height: 16px;font-family: Arial, Arial_EmbeddedFont, Arial_MSFontService, sans-serif;\"><span style=\"margin: 0px;padding: 0px;\">:</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><ul style=\"list-style-type: disc;margin-left:0px;\"><li><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW91132041 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 SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;\">Bachelor&rsquo;s Degree or 3-5 years </span><span class=\"NormalTextRun SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;\">case management</span><span class=\"NormalTextRun SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;\"> </span><span class=\"NormalTextRun SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;\">or patient advocacy experience</span></span></li><li><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW91132041 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 SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;\">Advanced knowledge and experience in healthcare setting</span><span class=\"NormalTextRun SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;\">, with 2</span><span class=\"NormalTextRun SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;\">+</span><span class=\"NormalTextRun SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;\"> </span><span class=\"NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;border-bottom: 1px solid transparent;\">years experience</span><span class=\"NormalTextRun SCXW91132041 BCX0\" style=\"margin: 0px;padding: 0px;\"> in a pharmacy, healthcare setting, and/or insurance background</span></span></li><li><span data-contrast=\"none\" lang=\"EN-US\" class=\"TextRun SCXW91132041 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 SCXW91132041 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><span 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 style=\"margin: 0px;padding: 0px;\">Ability to independently manage case load, prioritize work, and us</span><span style=\"margin: 0px;padding: 0px;\">e</span><span style=\"margin: 0px;padding: 0px;\"> time management skills to manage </span><span style=\"margin: 0px;padding: 0px;\">deliverables</span></span></li><li><span 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 style=\"margin: 0px;padding: 0px;\">Excellent verbal and written communication skills&nbsp;</span></span></li><li><span 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 style=\"margin: 0px;padding: 0px;\">Strong reimbursement</span><span style=\"margin: 0px;padding: 0px;\"> </span><span style=\"margin: 0px;padding: 0px;\">knowledge of BI/BV prescription benefits; PA authorizations</span><span style=\"margin: 0px;padding: 0px;\">, access management</span></span></li><li><span 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 style=\"margin: 0px;padding: 0px;\">Ability to proficiently use Microsoft Excel, </span><span style=\"margin: 0px;padding: 0px;\">Outlook</span><span style=\"margin: 0px;padding: 0px;\"> and Word</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: 16px;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: 16px;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><span 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 style=\"margin: 0px;padding: 0px;\">Pharmaceutical industry, reimbursement case management and /or specialty pharmacy experience a plus&nbsp;</span></span></li><li><span 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 style=\"margin: 0px;padding: 0px;\">Ability to build productive internal/external working </span><span style=\"margin: 0px;padding: 0px;\">relationships</span></span></li><li><span 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 style=\"margin: 0px;padding: 0px;\">Case Management Experience</span></span></li><li><span 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 style=\"margin: 0px;padding: 0px;\">Professional interpersonal skills with patients, </span><span style=\"margin: 0px;padding: 0px;\">HCP</span><span style=\"margin: 0px;padding: 0px;\"> and manufacturer clients.</span></span></li><li><span 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 style=\"margin: 0px;padding: 0px;\">Empathy, </span><span style=\"margin: 0px;padding: 0px;\">drive</span><span style=\"margin: 0px;padding: 0px;\"> and commitment to exceptional service</span></span></li><li><span 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 style=\"margin: 0px;padding: 0px;\">Ability to coordinate and manage deliverables with a sense of urgency.</span></span></li><li><span 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 style=\"margin: 0px;padding: 0px;\">Meticulous attention to detail.&nbsp;</span></span></li><li><span 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 style=\"margin: 0px;padding: 0px;\">Ability to exercise independent judgment.</span></span></li><li><span 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 style=\"margin: 0px;padding: 0px;\">Ability to </span><span style=\"margin: 0px;padding: 0px;\">demonstrate</span><span style=\"margin: 0px;padding: 0px;\"> empathy, handles stressful patient situations with realistic expectations while </span></span></li><li><span 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 style=\"margin: 0px;padding: 0px;\">S</span><span style=\"margin: 0px;padding: 0px;\">upporting a positive outlook </span></span></li><li><span 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 style=\"margin: 0px;padding: 0px;\">Stays current in developments related to specific disease state.</span></span></li><li><span 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 style=\"margin: 0px;padding: 0px;\">Ability to learn and </span><span style=\"margin: 0px;padding: 0px;\">navigate the CRM platform with </span><span style=\"margin: 0px;padding: 0px;\">ease</span></span></li><li><span 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 style=\"margin: 0px;padding: 0px;\">Ability to learn new processes </span><span style=\"margin: 0px;padding: 0px;\">quickly</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;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);\">&nbsp;</span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:.25in;font-size:11.0pt;font-family:\"Calibri\",sans-serif;background:white;' data-pasted=\"true\"><span style='font-family:\"Arial\",sans-serif;color:#525252;'>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></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: 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: 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);\"><span style=\"margin: 0px;padding: 0px;\"> </span><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 </span><span style=\"margin: 0px;padding: 0px;\">is regularly required to</span><span style=\"margin: 0px;padding: 0px;\"> talk or hear. The employee </span><span style=\"margin: 0px;padding: 0px;\">frequently</span><span style=\"margin: 0px;padding: 0px;\"> </span><span style=\"margin: 0px;padding: 0px;\">is required to</span><span style=\"margin: 0px;padding: 0px;\"> 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><p><br></p></div></div>\n",
    "sponsoredVisaTypeCodes": []
  },
  "list_job": {
    "links": [],
    "itemID": "9201692011220_1",
    "postDate": "2026-05-27T16:19:00.000-04:00",
    "workLevelCode": {
      "shortName": "Full Time"
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    },
    "requisitionTitle": "Case Manager",
    "clientRequisitionID": "1488",
    "organizationalUnits": [],
    "postingInstructions": [],
    "additionalProperties": {},
    "requisitionLocations": [
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        },
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}
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