Case Manager

Inizio Engage has a long-standing partnership with a leading Biotechnology company, supporting Commercial, Patient Solutions, and Medical Affairs businesses. This role focuses on patient access and reimbursement services, acting as a key liaison between patients, providers, payers, and internal HUB teams.

About the role

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 an 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.

Responsibilities

• 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, 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.

Requirements

• 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.

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.
• Paid maternity and paternity leave.
• Company-paid holidays.
• 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.

Inizio Engage has been recognized as a Best Place to Work in BioPharma (2022, 2023, 2025) and a Certified Great Place to Work® (2021, 2023, 2025, 2026).

Pay

The base pay range for this position is $38,000 – $70,000 per year. The final compensation offered to a successful candidate will be determined by factors such as experience, skills, internal equity, and business needs.

About Inizio Engage

Inizio Engage is a strategic, commercial, and creative engagement partner specializing in healthcare. Their global workforce combines local expertise with data, science, and technology to deliver bespoke engagement solutions that help clients reimagine how they engage with patients, payers, people, and providers to improve treatment outcomes. Their mission is to partner with clients to improve lives by helping healthcare professionals and patients get the medicines, knowledge, and support they need.