Lead Remote Social Worker

Employee Relations Associates, Inc.; Northern (KY); Hybrid; USD 90,000 - 130,000; Full time

Job summary

TalentBridge partners with a leading national healthcare organization to recruit an experienced Lead Patient Navigator Social Worker who will oversee field-based teams supporting patients receiving specialty therapies.

The role combines people leadership, patient advocacy, reimbursement expertise, and cross-functional collaboration to improve outcomes and ensure successful patient support programs. Remote work with travel required.

Qualifications

• 10+ years of experience in the pharmaceutical or healthcare industry.
• 3+ years of reimbursement management experience.
• 3+ years of direct people management experience.
• Licensed Social Worker (LSW, LMSW, LCSW, or equivalent).
• Bachelor's degree in Social Work, Health Sciences, Healthcare Administration, Business, Public Policy, or a related field preferred.
• Strong leadership, communication, and relationship management skills.

Responsibilities

• Lead, coach, and develop a team of field-based Patient Navigator Social Workers.
• Oversee patient access strategies to meet productivity, quality, and service objectives.
• Partner with patients, caregivers, providers, specialty pharmacies, and internal teams to facilitate access to therapies.
• Provide guidance on insurance coverage, prior authorizations, reimbursement challenges, and financial assistance programs.
• Support coordination of specialty pharmacy services, infusion therapies, and home-based treatment transitions.
• Set and monitor individual and team performance goals and coaching plans.
• Collaborate with leadership to support new therapy launches and improve patient access workflows.
• Maintain compliant patient documentation in CRM systems and ensure privacy requirements.

Skills

People leadership

Patient advocacy

Reimbursement expertise

Communication

Education

Licensed Social Worker

Bachelor's degree in a related field

Job description

TalentBridge is partnering with a leading national healthcare organization to hire an experienced Lead Patient Navigator Social Worker to oversee a team of field-based Patient Navigator Social Workers supporting patients receiving specialty therapies.

This is an exciting opportunity for an experienced healthcare leader who is passionate about patient advocacy, improving access to life-changing therapies, and developing high-performing teams.

The ideal candidate brings a strong background in specialty pharmacy, patient access, reimbursement, and healthcare operations, along with proven experience leading and developing teams.

Position Overview

The Lead Patient Navigator Social Worker will provide leadership, coaching, and operational oversight for a team of field-based Patient Navigator Social Workers. This individual will ensure patients and their families receive the education, resources, and support needed to navigate insurance coverage, reimbursement, financial assistance, and specialty therapy access.

This role combines people leadership, patient advocacy, reimbursement expertise, and cross-functional collaboration to improve patient outcomes and ensure the successful delivery of patient support programs.

Key Responsibilities

• Lead, coach, mentor, and develop a team of field-based Patient Navigator Social Workers across multiple geographic territories.
• Oversee patient access strategies and ensure team performance meets established productivity, quality, and service objectives.
• Partner with patients, caregivers, healthcare providers, specialty pharmacies, and internal teams to facilitate timely access to specialty therapies.
• Provide guidance on insurance coverage, prior authorizations, reimbursement challenges, and patient financial assistance programs.
• Support the coordination of specialty pharmacy services, infusion therapies, and transitions to home-based treatment.
• Establish individual and team performance goals, monitor results, and implement coaching and development plans.
• Collaborate with program leadership to support new therapy launches, improve patient access workflows, and enhance existing patient support programs.
• Maintain accurate patient documentation and case histories within CRM systems while ensuring compliance with applicable healthcare regulations and patient privacy requirements.
• Provide direct patient navigation and operational coverage when needed to support staffing needs and maintain continuity of care.
• Work collaboratively with field-based teams, market access professionals, and healthcare providers to resolve complex patient access and reimbursement challenges.

Required Qualifications

• 10+ years of experience in the pharmaceutical or healthcare industry, preferably within specialty pharmacy, patient access, reimbursement, or patient support programs.
• 3+ years of reimbursement management experience, including knowledge of insurance coverage, prior authorizations, specialty pharmacy, and patient financial assistance.
• 3+ years of direct people management experience, with a demonstrated ability to lead, coach, and develop high-performing teams.
• Licensed Social Worker (LSW, LMSW, LCSW, or equivalent) or equivalent relevant professional experience.
• Bachelor's degree in Social Work, Health Sciences, Healthcare Administration, Business, Public Policy, or a related field preferred.
• Strong understanding of patient navigation, specialty therapy access, healthcare reimbursement, and patient support services.
• Experience working with specialty pharmacies, healthcare providers, pharmaceutical manufacturers, and/or patient support HUB programs preferred.
• Excellent leadership, communication, problem-solving, and relationship management skills.
• Proficiency in Microsoft Office and experience utilizing CRM or patient case management systems.

Location, Schedule & Travel

Location: Remote / Work From Home

Territory: Candidates must reside within 45 minutes of a major airport and be available to travel across the Eastern, Central, Mountain, and Pacific territories.

Travel: Approximately 25% overnight travel required.

Schedule: Must have flexibility to provide coverage during operating hours of 9:00 AM–9:00 PM EST, including alternating coverage and additional operational support as needed.

Training: Must be available to attend three days of in-person onboarding and product training.

Candidates must have a dedicated, quiet home office environment suitable for confidential patient interactions.

Why Consider This Opportunity?

This position offers the opportunity to combine healthcare leadership with meaningful patient advocacy while supporting individuals navigating complex specialty therapy treatments.

You will play an important role in developing patient navigation professionals, improving access to care, and supporting patients and families throughout their treatment journeys.

Benefits

“ TalentBridge employees are eligible for many benefit offerings such as medical, dental, vision, life insurance, short term disability, 401(k) and holiday pay!”