[Hiring] Case Manager @Inizio Engage

Role Description

A successful candidate will play a critical role in supporting patient access and reimbursement services, acting as a key liaison between patients, providers, payers, and internal HUB teams. The ideal candidate will demonstrate strong case management capabilities, attention to detail, and a patient-centric approach while navigating complex access and reimbursement processes.

This is your opportunity to join Inizio Engage and represent a leading biotechnology company as part of an exciting new product launch bringing innovative therapy options to patients who need them most.

What will you be doing?

• Manage assigned patient cases from referral through therapy initiation, ensuring timely, accurate, and compliant case progression.
• Conduct benefits investigations electronically or by calling the insurance company to determine coverage information, prior authorization requirements, and patient financial responsibility.
• Manage the prior authorization and appeals process, including obtaining plan-specific criteria and requirements, initiating, submitting, and tracking requests, and following up with plans, patients, and HCPs as needed to ensure timely outcomes.
• Identify and facilitate patient enrollment in financial assistance programs, including copay and patient assistance programs.
• Support communications with patients, healthcare providers, payers, and specialty pharmacies as needed.
• Provide education on insurance coverage, access pathways, and next steps in the treatment journey when needed.
• Collaborate with internal teams and external partners to ensure timely therapy initiation and adherence to service level agreements.
• Document all case activity accurately within HUB systems in compliance with SOPs and regulatory requirements.
• Monitor case progress and escalate complex reimbursement issues as needed.
• Respond to incoming calls from patients/caregivers and prescriber’s offices and addressing or routing calls as needed.
• Support leadership with tracking and resolving escalations.
• Support quality initiatives, audits, and continuous process improvement efforts.
• Ensure compliance with HIPAA, privacy, and regulatory standards at all times.

Qualifications

• Bachelor’s Degree or equivalent experience preferred.
• Experience in patient access, HUB services, reimbursement support, specialty pharmacy, or healthcare case management preferred.
• Working knowledge of benefits investigation, prior authorization, appeals, and patient assistance programs.
• Strong communication and interpersonal skills with a patient-focused approach.
• Ability to manage a high volume of cases in a fast-paced environment while meeting service level expectations.
• Proficiency with CRM systems and Microsoft Office applications.
• Strong organizational, analytical, and problem-solving skills.
• Ability to prioritize workload and manage multiple tasks effectively.

Requirements

• The base pay range for this position is $17.50/hr – $32.50/hr. The final compensation offered to a successful candidate will be determined by factors such as experience, skills, internal equity, and business needs.

Benefits

• Competitive pay that recognizes your experience, expertise, and impact.
• Comprehensive benefits including medical, dental, and vision coverage; accrued paid time off; 401(k) with company match; disability and life insurance; and paid maternity and paternity leave.
• Company-paid holidays so you can rest, recharge, and focus on what matters most.
• Recognition programs, contests, and awards that celebrate your contributions.
• Continuous growth opportunities through learning, leadership development, and career advancement support.
• A collaborative culture where your ideas are valued and your work makes a difference.