Case Manager – Patient Access

Cardinal Health Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions—driving brand and patient markers of success. We’re continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence.

Our non‑commercial specialty pharmacy is centralized at our custom‑designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.

Together, we can get life‑changing therapies to patients who need them—faster.

• Manage the entire care process with a sense of urgency from benefit investigation and verification to medication delivery, ensuring an exceptional patient experience.

• Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services.

• Assist in obtaining insurance, prior authorization, and appeal requirements and outcomes.

• Help patients understand their insurance plan coverage, including out-of-pocket costs, and provide guidance on the appeals process if needed.

• Resolve patient’s questions and any representative for the patient’s concerns regarding status of their request for assistance.

• Demonstrate expertise in payer landscapes and insurance processes. Remain knowledgeable about long and short‑range changes in the reimbursement environment including Medicare, Medicaid, Managed Care, and Commercial medical and pharmacy plans while planning for various scenarios that may impact prescribed products.

• Process enrollments via fax, phone, and electronically as needed.

• Scrutinize forms and supporting documentation thoroughly for any missing information or new information to be added to the database.

• Support inbound phone queue from patients, healthcare provider offices, SPs, and customers, striving for one‑call resolution.

• 2‑4 years of industry experience with patient‑facing or high‑touch customer interaction experience preferred.

• Previous Hub or Patient Support Service experience preferred.

• High School diploma or equivalent preferred.

• Knowledge of Medicare (A, B, C,
  
  D), Medicaid & Commercial payers policies and guidelines for coverage, preferred.

• Strong people skills that demonstrate flexibility, persistence, creativity, empathy, and trust.

• Robust computer literacy skills including data entry and MS Office‑based software programs.

• Strong understanding of pharmaceutical therapies, disease states, and medication adherence challenges preferred.

• Excellent written and oral communication, mediation, and problem‑solving skills, including the ability to connect with patients, caregivers, and providers.

• Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments.

• In‑depth knowledge in technical or specialty area.

• Applies advanced skills to resolve complex problems independently.

• May modify process to resolve situations.

• Works independently within established procedures; may receive general guidance on new assignments.

• May provide general guidance or technical assistance to less experienced team members.

Your new hire training will take place 8:00 am‑5:00 pm CST, mandatory attendance is required. This position is full‑time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday‑Friday, 7:00 am‑8:00 pm CST.

You will work remotely, full‑time. It will require a dedicated, quiet, private, distraction‑free environment with access to high‑speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high‑speed internet. Internet requirements include the following:

Maintain a…