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Care Specialist @Pharvaris
Medical
Salary $110,000 - $150..
Remote Location
πŸ‡ΊπŸ‡Έ USA Only
Employment Type full-time
Posted 3wks ago

[Hiring] Care Specialist @Pharvaris

3wks ago - Pharvaris is hiring a remote Care Specialist. πŸ’Έ Salary: $110,000 - $150,000 per year πŸ“Location: USA

Role Description

The Care Specialist will exercise independent judgment and sound business discretion in administering complex patient-access operations for an assigned geography. This role:

  • Assesses patient, provider, payer, and reimbursement needs.
  • Determines appropriate access-support strategies, case actions, and escalation pathways for complex or non-routine matters.
  • Interprets and applies patient-services policies and payer requirements.
  • Serves as a knowledgeable resource for patients, healthcare providers, partners, insurance companies, and internal stakeholders seeking access to Pharvaris products.
  • Provides case-management oversight for an assigned caseload while identifying risks, trends, barriers, and opportunities for process improvement.
  • Identifies and manages broader patient-support program improvements impacting launch readiness and ongoing program effectiveness.

Responsibilities

  • Independently assess patient and caregiver access needs and determine appropriate support strategies to facilitate timely access to therapy.
  • Exercise discretion in overseeing and prioritizing assigned caseload activities, identifying access barriers, determining next steps, and advancing cases through required access processes.
  • Interpret patient-services policies and payer requirements to guide complex benefits investigations, prior authorization and appeal support, and stakeholder communications.
  • Maintain case documentation for the assigned geography and use case insights to identify reimbursement trends, access risks, and opportunities for process improvement.
  • Oversee resolution of complex patient-access matters, evaluate reimbursement pathways, and determine appropriate escalation or resolution strategies within delegated authority.
  • Serve as an internal reimbursement subject matter expert by guiding cross-functional partners on payer requirements, access barriers, and strategic case considerations.
  • Provide ongoing adherence and compliance support to patients in alignment with program requirements and approved processes.
  • Contribute insights and recommendations in patient services and commercial strategy meetings based on reimbursement trends, case escalations, and program performance.
  • Lead special projects and recommend operational improvements that enhance patient-support program efficiency, compliance, scalability, and launch readiness.
  • Serve as a compliance role model for the commercial organization and broader Pharvaris community by identifying compliance concerns and recommending appropriate improvements.
  • Conduct all activities with the highest ethical standards and in compliance with applicable legal and regulatory requirements, including the U.S. Food, Drug, and Cosmetic Act, U.S. anti-kickback laws, and the PhRMA Code.

Qualifications

  • Bachelor’s degree preferred; equivalent experience in rare disease patient support services, access and reimbursement, or related biotech/pharmaceutical roles involving independent decision-making may be considered.
  • Minimum of 7 years of progressive case management experience required, including responsibility for evaluating complex patient-access matters, determining appropriate resolution pathways, and managing non-routine reimbursement issues; rare disease experience strongly preferred.
  • Demonstrated experience supporting patients, caregivers, and healthcare providers in a call center, customer service, or patient support environment requiring professional judgment, prioritization, and effective issue resolution.
  • Advanced experience supporting pharmacy and medical benefit investigations, prior authorizations, appeals, reimbursement processes, and case escalations requiring analysis of payer requirements and application of program guidelines.
  • Strong understanding of commercial and government payer requirements, coverage policies, access pathways, and the ability to interpret and apply those requirements to complex patient-access situations.
  • Ability to identify reimbursement trends, assess access risks, recommend process improvements, and communicate strategic insights to internal stakeholders and management.
  • Proven ability to work independently in a remote environment, exercise discretion with sensitive patient and reimbursement information, and manage priorities across an assigned geography.
  • Ability to travel up to 10% as business needs require.

Benefits

  • Base salary range of $110,000-$150,000 per year, depending on various factors including experience and education.
  • Competitive compensation and benefits package.
  • Opportunity to help build and shape an early-stage commercial organization.
  • Meaningful ownership through equity.
  • Workplace flexibility and flexible time off.
Before You Apply
️
πŸ‡ΊπŸ‡Έ Be aware of the location restriction for this remote position: USA Only
β€Ό Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more.
Back to Remote jobs   >   Medical   >   care specialist
Care Specialist @Pharvaris
Medical
Salary $110,000 - $150..
Remote Location
πŸ‡ΊπŸ‡Έ USA Only
Employment Type full-time
Posted 3wks ago
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πŸ‡ΊπŸ‡Έ Be aware of the location restriction for this remote position: USA Only
β€Ό Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more.
Apply for this position
Did not apply βœ“
Applied βœ“
Sent Follow-Up βœ“
Interview Scheduled βœ“
Interview Completed βœ“
Offer Accepted βœ“
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