Case Manager

Are you a compassionate, communication-focused healthcare professional looking for a high-impact, 100% remote opportunity to support patients navigating complex therapies? We are seeking dedicated Patient Access Case Managers to join our expanding team at Sonexus™ Access and Patient Support! In this rewarding virtual role, you will act as a vital lifeline for specialty pharmaceutical programs, helping patients dismantle financial and insurance barriers to access life-changing treatments.

This fast-paced position balances intensive benefits investigation, provider coordination, and empathetic patient contact to drive seamless onboarding and medication adherence. If you possess a strong background in healthcare reimbursement, exceptional data integrity, and a true dedication to client care, this full-time contract is your chance to elevate your hub services career from the comfort of your home office. All critical processing hardware and computer technology are fully provided! INDSCGMH

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

Responsibilities

Position Summary: Manage the end-to-end patient onboarding and qualification process for specialty pharmaceutical therapies. This high-touch role focuses on executing comprehensive benefits investigations, processing enrollments, and navigating complex payer landscapes to ensure fast, unhindered medication delivery.

Key Responsibilities:

• Handle inbound and outbound calls from patients, insurance carriers, and healthcare provider offices to facilitate one-call issue resolution.

• Manage the complete care pathway with urgency, conducting detailed benefit verifications and tracking medication fulfillment.

• Investigate insurance plan rules and assist with securing complex prior authorization and medical appeal requirements.

• Scrutinize medical intake forms and enrollment documentation thoroughly to add new information into the tracking database.

• Help patients and caregivers clearly interpret their specific insurance plan coverage, out-of-pocket costs, and external assistance options.

Requirements:

• 2 to 4 years of industry experience featuring high-touch customer or patient-facing interactions.

• Prior administrative experience in a healthcare Hub setting or Patient Support Services environment is highly preferred.

• strong knowledge of Medicare (Parts A, B, C, D), Medicaid, and commercial medical/pharmacy reimbursement landscapes.

Skills

• Google for Business Suite
• Microsoft Office
• Scheduling Appointments
• Answering Phones
• Decision Making

Qualifications

• Years of experience: 2 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.