Senior Case Manager
Company: VirtualVocations
Location: Vista
Posted on: May 10, 2025
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Job Description:
A company is looking for a Sr. Case Manager, Reimbursement.
Key Responsibilities
Provide oversight and coordination of assigned caseload, ensuring
timely completion of case elements
Act as the primary contact for prior authorization and appeal
processing communications
Serve as a patient advocate, coordinating additional patient access
services within program guidelines
Required Qualifications
Bachelor's degree or six years of relevant working experience
Five or more years of experience in pharmacy benefit management or
patient support/access services preferred
Three or more years of experience in pharmacy and/or medical
benefit verifications, prior authorization, and/or appeals
required
Experience as a Medical Assistant, Social Worker, or Senior
Reimbursement Specialist preferred
Proficient in Microsoft Office applications and knowledgeable in
medical and claims processing terminology
Keywords: VirtualVocations, Vista , Senior Case Manager, Executive , Vista, California
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