Remote Care Specialist: Access & Reimbursement Leader

7Seventy; United States; Hybrid; USD 110,000 - 150,000; Full time

Job summary

7Seventy is seeking a Care Specialist to manage complex patient-access cases across an assigned geography, using independent judgment to assess needs and resolve barriers to therapy. Reporting to the Lead, Care Specialists within the Patient Services Team, this role determines support strategies and escalation pathways while contributing to launch readiness and ongoing program effectiveness.

The work centers on benefits investigations, prior authorizations, appeals, and reimbursement support for

Qualifications

• 7 years of progressive case management experience including evaluating complex patient-access matters.
• Experience supporting patients, caregivers, and providers in a call center or patient support environment.
• Advanced experience with pharmacy and medical benefit investigations, prior authorizations, appeals, and reimbursement processes.

Responsibilities

• Evaluate patient and caregiver access needs and select appropriate support strategies.
• Prioritize an assigned caseload and move cases through required access processes.
• Interpret payer requirements to guide complex benefits investigations, prior authorizations and appeal support, and stakeholder communications.
• Maintain case documentation and analyze insights to identify reimbursement trends and risks.
• Advise cross-functional partners on payer requirements, access barriers, and strategic case considerations.
• Provide ongoing patient adherence and compliance support per program requirements.

Skills

Case management

Payer requirements

Benefits investigations

Prior authorizations

Appeals

Reimbursement

Patient adherence support

Remote work

Travel 10%

Education

Bachelor’s degree

Job description

7Seventy is seeking a Care Specialist to manage complex patient-access cases across an assigned geography, using independent judgment to assess needs and resolve barriers to therapy. Reporting to the Lead, Care Specialists within the Patient Services Team, this role determines support strategies and escalation pathways while contributing to launch readiness and ongoing program effectiveness.

The work centers on benefits investigations, prior authorizations, appeals, and reimbursement support for