Case Manager

In this 100% remote role, you will be the primary advocate for patients navigating complex specialty medication access. Your mission is to provide compassionate guidance, clarify insurance coverage, resolve payer and pharmacy hurdles, and ensure timely delivery of essential therapies. You will work in a fast-paced, highly collaborative virtual environment where your attention to detail and empathy directly impact patient outcomes. Job Posting Details Schedule & Training Shift: 8-hour shift between 7:00 AM – 7:00 PM CST (Assigned) Training: First 4–6 weeks, 8:00 AM – 5:00 PM CST (Mandatory virtual attendance) Key Responsibilities Monitor accounts and manage patient cases from intake through final determination Conduct outbound calls to patients to explain coverage approvals, copays, and specialty pharmacy delivery Coordinate with insurance payers and providers to verify benefits and resolve coverage barriers Maintain accurate, timely documentation in proprietary software in strict compliance with PHI/HIPAA regulations Research foundations and alternative funding sources to support patient eligibility Qualifications & Skills High school diploma or GED required; college coursework preferred Experience in healthcare, pharmacy benefit management, or insurance verification preferred Knowledge of Medicare, Medicaid, commercial insurance, or prior authorizations 40+ WPM typing speed and proficiency with MS Office and video tools (Teams/Zoom) Excellent phone etiquette, active listening, and empathetic communication skills

salary: $19.99 - $20 per hour shift: First work hours: 7 AM - 7 PM education: High School

Responsibilities

Monitor accounts and manage patient cases from intake through final determination Conduct outbound calls to patients to explain coverage approvals, copays, and specialty pharmacy delivery Coordinate with insurance payers and providers to verify benefits and resolve coverage barriers Maintain accurate, timely documentation in proprietary software in strict compliance with PHI/HIPAA regulations Research foundations and alternative funding sources to support patient eligibility

Skills

• healthcare
• pharmacy benefit management
• insurance verification

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 HRsupport@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.