Case Manager

Description

Case Managers may be regionally aligned and will serve as an expert on all aspects of benefit coordination, and other forms of available support and will be responsible for handling healthcare provider and/or patient interactions May serve as an advocate to patients regarding eligibility requirements, program enrollment, affordability support, and general access for prescribed therapy Establishes relationships, develop trust, and maintain rapport with healthcare providers and/or patients Serves as point of contact to health care providers for ongoing support and relationship development by acquiring and delivering detailed information regarding a program and/or a patient Strong working knowledge and ability to understand and explain benefits offered by all payer types including private/commercial and government (i.e., Medicare, Medicaid, VA and DOD); with expertise in Medicare Part B Navigates through payer challenges by asking appropriate questions to obtain the necessary result Acts as an assigned liaison to client contacts (e.g., regional contact for sales representatives) Maintains records in accordance with applicable standards and regulations to the programs/promotion Job Description: Follows program guidelines and escalates complex cases according to SOPs, Call Guides, and other program materials. Liaison between Program Management, other internal stakeholders, and healthcare providers Provides unparalleled customer service, with attention to detail, while serving as a brand advocate and program representative; understands the importance of achieving quality outcomes and commits to the appropriate use of resources Works with all levels of Program Management on a day-to-day basis to maintain open lines of communication and share awareness regarding patient status, prescriber feedback/satisfaction, coordination challenges and program effectiveness Understands the nature of the disease states of patients of the program Assesses situations to act and intervene where needed to obtain a timely result Maintains a high level of ethical and professional conduct regarding confidentiality and privacy Helps maintain team morale by consistently demonstrating a positive attitude and strong work ethics Utilizes the necessary resources for conflict resolution as needed.

Skills

Phone support, Customer service, insurance verification, call center

Top Skills Details

Phone support,Customer service,insurance verification

Additional Skills & Qualifications

Perform additional tasks or projects as assigned Utilize Valeris values as the driving force behind the teams success On time adherence to training deadlines for all corporate policies and procedures Ensure all SOPs are followed with consistency Perform additional tasks or projects as assigned Experience: Previous HUB or Patient Services experience Contact Center Experience Pharmaceutical Benefit Processes experience =< 1-year experience =< 2-year experience > 2-year experience Medical Benefit Processes experience =< 1-year experience =< 2-year experience > 2-year experience Telephony and/or email communications with a Any Other Information: Call Types Capability: Inbound Only Outbound Only Both Hiring Requirements: Telephony and/or email communications with a Patient Physicians office Specialty Pharmacy Pharmacist Pharmaceutical Field Sales Liaison Pharmaceutical Field Reimbursement Representative

Experience Level

Intermediate Level

Job Type & Location

This is a Contract position based out of Morrisville, NC.

Pay and Benefits

The pay range for this position is $21.00 - $22.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Oct 13, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

Were a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. Were a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. Were strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. Were building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.