Sr/Care Manager, Patient Support Services – Remote
Raleigh, Wake County, North Carolina, 27601, USA
Listed on 2026-02-01
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Healthcare
Healthcare Administration, Medical Office
Sr/Care Manager, Patient Support Services – Remote
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IQVIA is the only global provider of commercial solutions, dedicated to helping biopharma bring medicine to patients and providing critical support to healthcare decision makers. As part of All Care Plus Pharmacy, an IQVIA company, this remote position enables you to play a key role in delivering medical breakthroughs in real world settings.
Position SummaryThe Care Manager will contact insurance companies and patients to verify eligibility, investigate benefits, assist with copay programs, obtain prior authorizations, and provide adherence support. Responsibilities vary by program and its lifecycle, requiring strong communication, problem‑solving, and HIPAA‑compliant work practices. Must be available for an 8‑hour shift between 8 am‑8 pm EST.
Primary Responsibilities- Perform outbound calls to obtain appropriate information and document accurately
- Answer inbound calls and assist customers with pharmacy‑related services
- Maintain strict professionalism in all communication while providing efficient, courteous, and friendly service
- Contact insurance companies for benefit investigation and coverage eligibility
- Provide prior authorizations and appeals support
- Assist patients with enrollment in manufacturer and non‑profit copay assistance programs
- Update job knowledge by participating in educational opportunities and training activities; work efficiently both individually and within a team to accomplish required tasks
- Maintain and improve quality results by adhering to standards and guidelines, meeting KPIs
- Report ADEs according to program policy and guidelines; adhere to all HIPAA guidelines; may assist with onboarding new employees
- Must reside in the same country where the job is located
- High School Diploma or equivalent; some college preferred
- Minimum one year experience in medical billing, reimbursement, insurance verification, or similar medical office experience
- Previous data entry experience (minimum three months) and ability to type 30wpm+
- High attention to detail
- Computer savvy, able to navigate multiple tabs, monitors, and applications
- Advanced proficiency in Microsoft Suite (Teams, Word, Excel, Outlook, etc.) and soft‑phone systems (Web Ex, Mitel, Shoretel, etc.)
- Exceptional written and verbal communication skills
- Ability to work in a virtual team environment, responsive during working hours
- Excellent follow‑through; remote work requires a private workspace free of distraction and HIPAA compliance
- Access to reliable internet;
Wi‑Fi not permitted for critical work
- Previous experience in Patient Support Services (Hub)
- Prior customer service experience in healthcare field
- Bilingual
- General Management – demonstrate analytic and problem‑solving skills, understand impact of decisions across the organization
- Quality improvement – apply techniques that continually improve quality of care, patient safety, performance, and financial health
- Health Care Systems and Organizations – understand how components are organized and financed, and interact to deliver care
- The Patient’s Perspective – understand patient experience, demonstrate commitment to patient rights and responsibilities, ensure safe environment for patients and families
- Relationship Management – build and maintain relationships with internal and external stakeholders anchored in trust and shared decision‑making
- Communication Skills – utilize verbal, written and presentation skills to communicate organization’s mission, vision, values and priorities to diverse audiences
- Professionalism – align personal and organizational conduct with ethical and professional standards, including responsibility to patient and community, service orientation, lifelong learning and improvement
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We accelerate…
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