Patient Navigator

CareMetx, LLC

. Act as a single point of contact for providers, patients, caregivers, and product/sales teams .

Posted 10/13/2026full-timeRemote • United StatesMid-LevelSenior💰 $25 - $31 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in reimbursement processes, including benefits investigation and prior authorization, while providing exceptional support to patients and caregivers. Proficient in managing caseloads and utilizing CRM systems to maintain case histories and facilitate therapy access.

Highest-signal resume keywords

Reimbursement ExperienceBenefits InvestigationPrior AuthorizationBilingual English/SpanishCustomer Care Processes

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Reimbursement ExperienceBenefits InvestigationPrior AuthorizationMedical Benefit KnowledgeMedicaid Experience

Soft Skills

Exceptional Listening SkillsAnalytical SkillsLeadership SkillsCommunication SkillsInterpersonal Skills

Tools & Technologies

CRM SystemMicrosoft WordMicrosoft ExcelMicrosoft PowerPoint

Industry Keywords

Therapy AccessFinancial Assistance OptionsPatient Support ServicesField Sales RepresentativesMarket Access Team

About the role

Key responsibilities & impact

Act as a single point of contact for providers, patients, caregivers, and product/sales teams
Help patients gain access to therapy
Work with Specialty Pharmacy and Hub teams to obtain reimbursement coverage
Provide information about reimbursement and financial assistance options
Coordinate therapy access, conduct follow-up, and facilitate access to support services
Manage a regional caseload
Maintain case histories for assigned patients in the CRM system
Resolve reimbursement issues, including insurance changes and prior authorizations
Work with Field Sales Representatives and the Market Access team
Answer patient inquiries and resolve access and reimbursement problems
Provide ongoing support through regular calls with patients and caregivers
Assist with patient access requests and application processes
Maintain regular and reliable attendance
Perform other related duties as assigned

Requirements

What you’ll need

Bachelor’s Degree (general business, health sciences, public policy, or other related degrees) preferred
Minimum 5 years of reimbursement experience, including benefits investigation, prior authorization, medical benefit, and Medicaid experience
Bilingual English/Spanish preferred
Exceptional listening, written, and analytical skills
Proficient in Word, Excel, and PowerPoint for presentation and report development
Strong knowledge of customer care processes and techniques
Excellent leadership, communication, and interpersonal skills
Flexible, detailed, and able to successfully adapt to change
Proven track record of meeting or exceeding goals and objectives
Must maintain regular and reliable attendance
Must have a dedicated, quiet, distraction-free home office
Must attend in-person onboarding training for 3 days
Must be flexible on schedule and hours
Some travel may be required

Benefits

Comp & perks

Work from home position
Dedicated office space that is quiet and free from distractions
Equivalent combinations of experience and education considered
Equal employment opportunity protections