Case Manager

TEKsystems

. Serve as a subject matter expert on benefit coordination and patient support resources .

Posted 11/2/2026contractRemote • North Carolina • United StatesJuniorMid-Level💰 $21 - $22 per hourWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in pharmaceutical benefit processes and patient support resources, with a strong focus on Medicare Part B and effective communication with healthcare providers and patients. Proven ability to navigate complex payer challenges while maintaining compliance and delivering high-quality customer service.

Highest-signal resume keywords

Pharmaceutical Benefit ProcessesMedicare Part B ExpertisePatient Services ExperienceInsurance VerificationConflict Resolution Skills

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

Benefit CoordinationProgram Enrollment ProcessesMedical Benefit ProcessesSOP ComplianceDocumentation AccuracyPayer Policy NavigationPrior AuthorizationAffordability ProgramsPatient Assistance ProgramsReimbursement Support

Soft Skills

Empathetic CommunicationProblem-Solving SkillsOrganizational SkillsProfessionalismTeam Collaboration

Industry Keywords

HUB ProgramsPatient Support ResourcesTelephony CommunicationsHigh-Volume Call ManagementConfidentiality and Privacy

About the role

Key responsibilities & impact

Serve as a subject matter expert on benefit coordination and patient support resources
Handle inbound and outbound telephony and email communications with patients, physician offices, and specialty pharmacies
Explain eligibility requirements, program enrollment processes, and affordability support
Establish and maintain professional relationships with healthcare providers and patients
Serve as the primary point of contact for healthcare providers regarding program offerings and patient cases
Navigate benefits across private/commercial plans and government programs, including Medicare, Medicaid, VA, and DoD, with focus on Medicare Part B
Ask targeted questions to navigate payer challenges and achieve positive outcomes
Liaise between client contacts, internal program teams, and field representatives
Maintain accurate, compliant records according to applicable standards, regulations, and program requirements
Follow SOPs, call guides, and program materials; escalate complex or atypical cases
Collaborate daily with Program Management and internal stakeholders regarding patient status, prescriber feedback, coordination challenges, and program effectiveness
Deliver high-quality customer service and advocate for the brand and program
Apply disease-state understanding to support patient needs
Proactively assess situations and intervene to ensure timely therapy access
Protect confidential patient and provider information
Support a positive, collaborative team culture
Use appropriate resources and channels for conflict resolution
Complete required training and compliance modules on time
Perform additional tasks and special projects as assigned

Requirements

What you’ll need

2+ years of experience in pharmaceutical benefit processes
2+ years of experience in HUB or patient services roles
Previous experience working in a contact center environment
Hands-on experience with pharmaceutical benefit processes across multiple payer types
Experience with medical benefit processes, including Medicare, Medicaid, VA, and DoD, with expertise in Medicare Part B
Proven ability to manage inbound and outbound calls in a high-volume, service-oriented setting
Demonstrated experience providing phone-based support and customer service
Experience with insurance verification or similar benefit investigation activities
Ability to follow detailed SOPs, call guides, and program materials consistently
Strong organizational skills and ability to maintain accurate and compliant documentation
High level of professionalism, ethics, and respect for confidentiality and privacy requirements
Ability to work collaboratively with program management and cross-functional teams in a remote environment
Experience supporting patient services or HUB programs for specialty therapies
Familiarity with affordability programs, patient assistance programs, and reimbursement support
Comfort navigating payer policies, coverage criteria, prior authorization, and appeals processes
Strong problem-solving skills for complex situations
Ability to build rapport with patients and healthcare providers through empathetic, clear communication
Demonstrated conflict resolution and de-escalation skills
Positive attitude and resilience in a fast-paced, metrics-driven environment
Willingness to take on additional tasks or projects as needed

Benefits

Comp & perks

Medical, dental & vision
Critical Illness, Accident, and Hospital coverage
401(k) Retirement Plan with pre-tax and Roth post-tax contributions
Life Insurance, including voluntary Life & AD&D for the employee and dependents
Short- and long-term disability
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave)