Case Manager

Inizio Engage; Fort Washington (Montgomery County); On-site; USD 25,000 - 45,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

401(k) with company match

Paid time off

Disability and life insurance

Paid maternity and paternity leave

Company holidays

Recognition programs

Career growth opportunities

Job summary

Inizio Engage is seeking a dedicated patient access and reimbursement specialist to support a leading biotechnology product launch. You will manage patient cases from referral to therapy initiation, conduct benefits investigations, and drive timely approvals and patient enrollment in financial assistance programs.

You will collaborate with internal HUB teams, providers, and payers, ensuring compliant case progression while upholding high standards of patient-centric service.

Qualifications

• Bachelor’s degree or equivalent experience preferred.
• Experience in patient access, HUB services, or reimbursement support.
• Knowledge of benefits investigations, prior authorizations, and patient assistance programs.
• Excellent communication, interpersonal, and patient-focused skills.
• Ability to manage high caseload in a fast-paced environment and meet SLAs.

Responsibilities

• Manage assigned patient cases from referral through therapy initiation, ensuring timely progression.
• Conduct benefits investigations electronically or by calling insurers to determine coverage and patient financial responsibility.
• Manage prior authorization and appeals, including gathering criteria and tracking requests.
• Identify and enroll patients in financial assistance programs (copay and patient assistance).
• Support communications with patients, providers, payers, and specialty pharmacies as needed.
• Provide education on insurance coverage and next steps in the treatment journey.

Skills

Patient access

HUB services

Reimbursement support

Specialty pharmacy

Healthcare case management

Benefits investigations

Prior authorization

Appeals

Patient assistance programs

CRM systems

Microsoft Office

Education

Bachelor's degree or equivalent experience

Tools

CRM systems

Microsoft Office

Job description

Inizio Engage has a long-standing partnership with a leading Biotechnology company, across Commercial, Patient Solutions and Medical Affairs businesses.A successful candidate will play a critical role in supporting patient access and reimbursement services, acting as a key liaison between patients, providers, payers, and internal HUB teams. The ideal candidate will demonstrate strong case management capabilities, attention to detail, and a patient-centric approach while navigating complex access and reimbursement processes.This is your opportunity to join Inizio Engage and represent a leading biotechnology company as part of an exciting new product launch bringing innovative therapy options to patients who need them most.Why You’ll Love Working HereWe believe great people deserve great support—at work and beyond. That’s why we offer a rewards experience designed to help you thrive personally, professionally, and financially:Competitive pay that recognizes your experience, expertise, and impactComprehensive benefits including medical, dental, and vision coverage; accrued paid time off; 401(k) with company match; disability and life insurance; and paid maternity and paternity leaveCompany-paid holidays so you can rest, recharge, and focus on what matters mostRecognition programs, contests, and awards that celebrate your contributionsContinuous growth opportunities through learning, leadership development, and career advancement supportA collaborative culture where your ideas are valued and your work makes a differenceWe’re also proud to be recognized for creating an exceptional employee experience:Best Place to Work in BioPharma — 2022, 2023, 2025Certified Great Place to Work — 2021, 2023, 2025, 2026Learn more: https://www.greatplacetowork.com/certified-company/7003732What will you be doing?Manage assigned patient cases from referral through therapy initiation, ensuring timely, accurate, and compliant case progressionConduct benefits investigations electronically or by calling the insurance company to determine coverage information, prior authorization requirements, and patient financial responsibilityManage the prior authorization and appeals process, including obtaining plan-specific criteria and requirements, initiating, submitting, and tracking requests, and following up with plans, patients, and HCPs as needed to ensure timely outcomes.Identify and facilitate patient enrollment in financial assistance programs, including copay and patient assistance programsSupport communications with patients, healthcare providers, payers, and specialty pharmacies as neededProvide education on insurance coverage, access pathways, and next steps in the treatment journey when neededCollaborate with internal teams and external partners to ensure timely therapy initiation and adherence to service level agreementsDocument all case activity accurately within HUB systems in compliance with SOPs and regulatory requirementsMonitor case progress and escalate complex reimbursement issues as neededResponse to incoming calls from patients/caregivers and prescriber’s offices and addressing or routing calls as neededSupport leadership with tracking and resolving escalationsSupport quality initiatives, audits, and continuous process improvement effortsEnsure compliance with HIPAA, privacy, and regulatory standards at all timesWhat do you need for this position?Bachelor’s Degree or equivalent experience preferredExperience in patient access, HUB services, reimbursement support, specialty pharmacy, or healthcare case management preferredWorking knowledge of benefits investigation, prior authorization, appeals, and patient assistance programsStrong communication and interpersonal skills with a patient-focused approachAbility to manage a high volume of cases in a fast-paced environment while meeting service level expectationsProficiency with CRM systems and Microsoft Office applicationsStrong organizational, analytical, and problem-solving skillsAbility to prioritize workload and manage multiple tasks effectivelyThe base pay range for this position is $17.50/hr – $32.50/hr. The final compensation offered to a successful candidate will be determined by factors such as experience, skills, internal equity, and business needs.About Inizio EngageInizio Engage is a strategic, commercial, and creative engagement partner that specializes in healthcare. Our passionate, global workforce augments local expertise and diverse mix of skills with data, science, and technology to deliver bespoke engagement solutions that help clients reimagine how they engage with their patients, payers, people, and providers to improve treatment outcomes. Our mission is to partner with our clients, improving lives by helping healthcare professionals and patients get the medicines, knowledge and support they need.We believe in our values: We empower everyone/We rise to the challenge/We work as one/We ask what if/We do the right thing, and we will ask you how your personal values align to them.To learn more about Inizio Engage, visit us at: https://inizio.com/Equal Opportunity & InclusionInizio Engage is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, gender, gender identity or expression, genetic information, marital status, medical condition (including pregnancy, childbirth, or related conditions), mental or physical disability, national origin, protected family care or medical leave status, race, religion (including beliefs and practices or the absence thereof), sexual orientation, military or veteran status, or any other characteristic protected by applicable federal, state, or local law.Inizio Engage is committed to providing reasonable accommodations in accordance with applicable law.Inizio Engage complies with applicable fair chance hiring laws and will consider qualified applicants regardless of criminal history. Where permitted by applicable law, employment offers may be contingent upon the successful completion of a background check. Any information obtained from a background check will be considered in relation to the requirements of the relevant position, consistent with applicable law.Candidate Use of Artificial Intelligence in InterviewsAs part of our commitment to a fair and equitable hiring process, candidates are expected to complete all interview activities without the use of artificial intelligence tools or external assistance unless such assistance is authorized in advance by Inizio Engage or otherwise required in accordance with applicable law. This includes, but is not limited to, using generative artificial intelligence platforms to produce, edit, or guide responses in real time. Candidates may be asked to confirm compliance with this policy. Any violation of this policy may result in disqualification from consideration of employment. Candidates may submit requests for reasonable accommodation in accordance with applicable law to the Inizio Engage Talent Acquisition team.