Hybrid Patient Access Case Manager

RareMed Solutions; Coraopolis Heights (PA); Hybrid; USD 52,000 - 74,000; Full time

Benefits offered by this job

Hybrid work structure

Job summary

RareMed Solutions is seeking a Case Manager in the Coraopolis, PA area for a full-time, hybrid schedule. The role focuses on patient and HCP communication, PA and appeals guidance, and timely case resolution to support access to therapy.

The position emphasizes strong communication, organizational skills, and knowledge of payer/reimbursement landscapes, with an expectation of regional collaboration across teams to ensure a seamless patient experience.

Qualifications

• High school diploma plus 2+ years recent case management experience.
• 2+ years in a pharmacy, healthcare setting, and/or insurance background.
• Advanced knowledge and experience in healthcare setting.
• Strong interpersonal skills; ability to communicate effectively both orally and in writing with a focus on customer satisfaction.
• Empathy, drive and commitment to exceptional service.
• Ability to independently manage case load, prioritize work, and meet deliverables.

Responsibilities

• Primary point of contact and case manager for client and customer needs, inquiries and escalations.
• Serve as the primary contact for patients and HCP offices regarding case status and documentation needs.
• Handle inbound calls and ensure first-call resolution whenever possible.
• Coordinate support across programs, including PA and appeals, and provider follow-ups.
• Maintain accurate documentation according to Standard Operating Procedures.
• Communicate progress and next steps to patients and providers throughout their journey.

Skills

Case management

Healthcare experience

Interpersonal skills

Time management

Communication skills

Empathy

Bilingual Spanish

Education

High school diploma and related experience

Tools

Microsoft Teams

Excel

Outlook

Word

Job description

RareMed Solutions is seeking a Case Manager in the Coraopolis, PA area for a full-time, hybrid schedule. The role focuses on patient and HCP communication, PA and appeals guidance, and timely case resolution to support access to therapy.

The position emphasizes strong communication, organizational skills, and knowledge of payer/reimbursement landscapes, with an expectation of regional collaboration across teams to ensure a seamless patient experience.