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Added 17 mins ago
C
Customer Engagement Manager
Coursedog
Remote, United States
- $120,000 to $140,000 USD / year
As a Customer Engagement Manager at Coursedog, you’ll turn our customers’ success into stories, references, and programs that help other institutions see what’s possible, while working…
Added 25 mins ago
Digital Program Management Sr Manager
The Freeman Company
IL · NV · TX
We are seeking a Digital Program Management Senior Manager to lead how our Digital Commerce organization plans, governs, and delivers its portfolio of programs. Reporting to the VP, Digital…
Added 52 mins ago
Senior Construction Manager
IREN
Childress, TX
IREN is a vertically integrated AI Cloud provider, delivering large-scale data centers and GPU clusters for AI training and inference. IREN’s platform is underpinned by its expansive…
Added 1 hour ago
C|
Sr. Talent Acquisition Specialist
Connexity | Skimlinks, a Taboola company
Remote, United States
- $135,000 to $150,000 USD / year
Connexity, a Taboola company, is a data-driven retail performance marketing and commerce platform that helps online retailers acquire new customers and drive incremental sales at a cost…
Added 2 hours ago
USG Contracts Manager
Nominal
NY · WA
…into the real world faster. It brings together the systems, data, intelligence, and applications hardware engineering requires to meet the AI moment. Hardware engineering teams use Nominal…
Added 2 hours ago
Digital Program Manager
The Freeman Company
IL · NV · TX
We are seeking a Digital Program Manager to help deliver a portfolio of digital commerce programs that drive revenue and improve how we serve our customers. Reporting to the VP, Digital…
Added 2 hours ago
VP
Pain Territory Account Manager, Provo Utah
Vertex Pharmaceuticals Incorporated
Colorado Springs, CO
- $133,600 to $200,400 USD / year
…new options for the treatment of pain. The Territory Account Manager will be responsible for establishing and maintaining relationships with key institutional decision makers and affiliated…
Added 3 hours ago
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UKG Testing Lead
Insight Global
Remote, United States
- From $60 USD / hour
We are seeking a senior Program Quality Engineering Lead / End-to-End Testing Manager to support a large-scale global workforce management transformation.
Added 3 hours ago
Customer Success Manager
Commify
Remote, United States
We are seeking a skilled and motivated Customer Success Manager to join our dynamic team and help drive customer satisfaction and business growth.
Added 3 hours ago
Federal Business Development Representative
GovSignals
Washington, DC
…over time, and knowing when to push and when to listen. When a program manager asks whether GovSignals can run under an OTA they already have, you are the one who…
Added 4 hours ago
Manager, Ops KPI, Ramp - Austin, TX - (M3)
Applied Materials, Inc
Austin, TX
Ensures that specific project and program objectives are defined for areas of responsibility, and that necessary preliminary activities (e.g., determination of outcomes, milestones,…
Added 4 hours ago
IT & Security Operations Manager
Clearstory
Remote, United States
…workflows, a vendor security review process, and a cross-functional data governance program. What we need is a dedicated owner to manage these programs day-to-day, project manage key…
Added 4 hours ago
Procure to Pay Functional Lead - Sr. Manager
Accenture
Oklahoma City, OK
Shape compelling value propositions - Translate complex transformation program into commercially clear narratives that win client CFO confidence and close large-scale managed services deals.
Added 4 hours ago
VC
ERS-NETA Electrical Testing Technician -
VERTIV CORPORATION
FORT ATKINSON, WI
- $95 USD / hour
Added 4 hours ago
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ERS-NETA Electrical Testing Technician -
VERTIV CORPORATION
APPLETON, WI
- $95 USD / hour
Added 4 hours ago
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ERS-NETA Electrical Testing Technician -
VERTIV CORPORATION
GREEN BAY, WI
- $95 USD / hour
Added 4 hours ago
Manager IT Security
PROMEGA CORPORATION
MADISON, WI
Added 4 hours ago
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ERS-NETA Electrical Testing Technician -
VERTIV CORPORATION
MADISON, WI
- $95 USD / hour
Added 4 hours ago
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ERS-NETA Electrical Testing Technician -
VERTIV CORPORATION
MADISON, WI
- $95 USD / hour
Added 4 hours ago
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ERS-NETA Electrical Testing Technician -
VERTIV CORPORATION
MILWAUKEE, WI
- $95 USD / hour
Added 4 hours ago
VC
ERS-NETA Electrical Testing Technician -
VERTIV CORPORATION
MILWAUKEE, WI
- $95 USD / hour
Added 5 hours ago
MT
Program Manager II, Source to Pay - Value Optimization
Micron Technology, Inc.
Boise, ID · San Jose, CA
- $113,000 to $254,000 USD / year
The Program Manager II, Source to Pay - Value Optimization owns the business value layer of the S2P Reimagined program and serves as the business owner and single point of contact for…
Added 5 hours ago
AI Product Owner
Fuse Energy
San Francisco, CA
Experience as a product owner, product manager, or technical program manager on engineering-heavy, ideally AI/ML or data-heavy, products
Added 5 hours ago
Manager, Design and Development
WESTERN GOVERNORS UNIVERSITY
SALT LAKE CITY, UT
Added 5 hours ago
Delivery Management Engineer III
Deloitte
Kansas City, MO
+ 6+ years' experience as a technical program or project manager which should include structured planning, reporting, and risk management responsibilities.

Closed listing

CareMetx

Reimbursement Case Manager

Remote, United States

This opening has closed.

The original listing is kept below for reference.

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About employer

Job details

Posting language: English
Posted: Nov 6, 2026

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Original job description

Archived listing. The details below describe a past opening.

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Description

From intake to outcomes, CareMetx is dedicated to delivering industry-leading patient access solutions and support services that help patients quickly start and stay on specialty therapy treatments. We provide scalable, efficient digital hub services for pharmaceutical companies and healthcare providers, streamlining workflows with seamless integration for patient enrollment, consent, and prior authorization. Our best-in-class patient support services enhance every step of care, connecting patients, providers, and brands to drive better outcomes and accelerate time-to-therapy.

JOB TITLE: Reimbursement Case Manager

POSITION SUMMARY:

Under the general supervision of the operational program leadership, the Reimbursement Case Manager is responsible for customer service and case management. The Reimbursement Case Manager will work interactively with patients, healthcare providers, pharmacies, and manufacturer clients. The team will also support various reimbursement and patient assistance functions. The Reimbursement Case Manager responds to all patient, and provider account inquiries. Documents all interactions into the CareMetx Connect system in compliance with HIPAA regulations.

PRIMARY DUTIES AND RESPONSIBILITIES:

Acts as a single point of contact and voice for all providers and patients. Works as a patient advocate and always demonstrates compassion
Serves as a patient advocate and enhances the caller/contact experience
Coordinates access to therapies, conducts appropriate follow up and facilitates access to appropriate support services
Manages case load depending on the parameters of the program
Collects and review all patient information, to the degree authorized by the SOP of the program
Validates completeness of all required information and provides assistance to provider and/or patient
Provide guidance to physician office staff and patients on how to complete and submit all necessary program applications in a timely manner
Determines patient’s eligibility and conducts patient enrollment activities (example patient assistance programs and copay assistance)
Performs reimbursement related activities such as benefit investigations, prior authorizations, appeals, etc.
Provide exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly
Maintain frequent phone contact with patients, provider representatives, third party customer service representatives and pharmacy staff
Provides reimbursement information to providers and/or patients
Reports all Adverse Events (AE) disclosed in alignment with training and Standard Operational Procedures (SOP)
Coordinate with inter-departmental associates as necessary
Work on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercise judgment within defined standard operating procedures to determine appropriate action
Typically receives little instruction on day-to-day work, general instructions on new assignments
Extensive knowledge of HIPAA regulations and follows all company policies
Maintain regular and reliable attendance, including being present, on time, and prepared for work as scheduled.
Performs other related duties as assigned.

EXPERIENCE AND EDUCATIONAL REQUIREMENTS:

Previous 3+ years of experience in a specialty pharmacy, medical insurance, reimbursement hub experience, physician’s office, healthcare setting, and/or insurance background preferred
Bachelor’s Degree Preferred

MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:

Excellent verbal and written communication skills
Ability to multi-task and adapt to changing priorities
Proficient keyboard skills
Competency in MS Word and Excel
Knowledge of HIPAA regulations
Detailed oriented and highly organized
Excellent interpersonal skills
Knowledge of pharmacy benefits, and medical benefits
Global understanding of commercial and government payers preferred
Ability and initiative to work independently or as a team member
Ability to problem solve
Customer satisfaction focused

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit
The employee must occasionally lift and/or move up to 10 pounds.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

SCHEDULE:

Must be flexible on schedule and hours
Overtime may be required from time to time
Must be willing to work weekends if required to meet company demands

CareMetx considers equivalent combinations of experience and education for most jobs. All candidates who believe they possess equivalent experience and education are encouraged to apply. At CareMetx we work hard, we believe in what we do, and we want to be a company that does right by our employees. Our niche industry is an integral player in getting specialty products and devices to the patients who need them by managing reimbursements for those products, identifying alternative funding when insurers do not pay, and providing clinical services. CareMetx is an equal employment opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against based on race, color, sex, sexual orientation, gender identity, religion, disability, age, genetic information, veteran status, ancestry, or national or ethnic origin.

Artificial Intelligence in Our Recruiting and Employment Process

CareMetx uses artificial intelligence and automated decision-making technology to support parts of our recruiting, hiring, and employment process, including screening applications, scheduling interviews, and evaluating candidate qualifications. These tools support, not replace, human judgment. A qualified member of our team reviews and makes all final hiring and employment decisions.

CareMetx does not develop or use AI tools with the intent to discriminate against applicants or employees on the basis of race, color, religion, sex, age, sexual orientation, national origin, disability, veteran status, or any other protected characteristic.

About employer

More about this job

Skills

Leadership
Customer service
Case management
Regulatory compliance
Communication skills
Microsoft Word
Microsoft Excel
Interpersonal skills
Work independently

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