Utilization Management Case Manager - Archimedes

Utilization Management Case Manager - Archimedes

US-TN-Brentwood

Category:
Archimedes

Position Type:
Full-Time

Remote:
No

Archimedes

Archimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide the necessary ingredients for the sustainability of the prescription drug benefit - alignment, value and transparency - Archimedes achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, rebate retention and pharmacy ownership and delivering the most rigorous clinical management at the lowest net cost.

Current associates must use SSO login option at  to be considered for internal opportunities.

USD $0.00 - USD $0.00 /Hr.

0.00 - Ineligible

Core Business Hours

Archimedes is a rapidly growing leader in the specialty drug benefit management space. We are looking for a Case and Utilization Manager to coordinate care between physicians, patients and pharmacies. This is a great opportunity for a dependable and dedicated candidate with a passion for helping patients taking specialty medications to treat complex disease states.

• Review chart notes and perform utilization management on patient/drug specific case basis.
• Coordinate facilitation of patients’ specialty drug treatment, ensuring timely delivery to the appropriate site of care.
• Handle case assignments, review case progress, properly document case notes and determine case closure.
• Follow established procedures, processes, and standards for production, productivity, quality, and customer-service. Meet performance targets for speed, efficiency, and quality.
• Complete care management clinical escalations. Escalate to account management as appropriate.
• Ensure all external and internal customers receive the level of customer service required by Archimedes and serve as a representative of Archimedes to all external customers.

• Case management experience.
• Utilization management experience.
• Experience with managing specialty medications for patients with chronic illness (strongly preferred).
• Strong communication skills to ensure a high-quality patient experience.
• Experience in an infusion setting, physician office or pharmacy.
• Self-motivated and able to thrive in a results-driven environment.
• Ability to prioritize among competing tasks.
• Ability to work independently with limited supervision.
• Critical thinking and problem-solving skills.
• Excellent time and project management skills.
• Keen attention to detail and adherence to deadlines.
• A minimum of a high school degree or equivalent is required.
• National Certification from an accredited pharmacy technician certification program approved by specific state regulations (e.g. PTCB, ExCPT, CPhT etc.) or Licensed Practical Nurse (LPN) degree or certificate preferred.
• Expert at Microsoft Office Suite.

5250 Virginia Way Ste 300, Brentwood, TN 37027, US