Case Manager

Overview In this role, you will help patients navigate their medication coverage by coordinating directly with healthcare providers, pharmacies, and insurance companies. You will resolve complex payer issues and ensure a seamless, empathetic, and supportive patient experience. Key Responsibilities Steward patient cases from initial contact through final coverage approval or denial. Conduct outbound calls to patients to communicate coverage status, co-pays, and specialty pharmacy dispensing details. Contact insurance companies to obtain and accurately document benefit information. Resolve complex payer and pharmacy issues independently. Accurately type notes and enter detailed data into proprietary software during live customer calls. Research alternative funding and foundation options to determine patient eligibility for financial assistance. Identify, document, and compliantly submit Adverse Events. Qualifications & Skills Education: High School diploma required; additional education preferred. Experience: Previous healthcare, pharmaceutical, pharmacy benefits management (PBM), Medicare/Medicaid, or prior authorization/appeals experience is highly preferred. Technical Skills: Minimum typing speed of 40 WPM. proficiency with Microsoft Office and video conferencing tools (Teams, Zoom). Soft Skills: Exceptional professional communication, high empathy, multitasking abilities, and strict adherence to attendance policies. Workspace & Technical Requirements A dedicated, private, and distraction-free home office environment. Hardwired broadband internet connection (DSL, Cable, or Fiber ONLY; Wi-Fi, satellite, dial-up, and cellular are not acceptable). Minimum Internet Speeds: 15 Mbps download / 5 Mbps upload / Maximum 30ms ping rate. Surge protector with Network Line Protection.

salary: $19.99 - $20 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School

Responsibilities

• Ability to multitask, utilizing specific software programs while speaking with patients and/or healthcare staff.
• Ability to type a minimum of 40 WPM.
• Ability to transcribe (type) accurate notes while speaking to customer.
• Microsoft Products experience required.
• Ability to navigate video conferencing tools such as Microsoft Teams and Zoom.
• video conferencing experience.
• Must have the ability to work via video conferencing as required by leadership.

Skills

• multitask
• Microsoft Products
• video conferencing experience

Qualifications

• Years of experience: 0 years
• Experience level: Experienced

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact View email address on randstadusa.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.

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.