This role sits right where healthcare gets real: helping patients with rare diseases access specialty therapies without getting crushed by paperwork, approvals, and reimbursement barriers. If you’re bilingual in Spanish and fluent in the world of benefits, prior auth, and patient support, you’ll be the steady voice that keeps care moving.
About CareMetx
CareMetx delivers patient access solutions and hub services that help patients start and stay on specialty therapies faster. They support pharmaceutical companies and providers with digital enrollment, consent, prior authorization, and patient support services that improve outcomes and speed up time-to-therapy.
Schedule
- Fully remote, work-from-home (quiet, dedicated office space required)
- Schedule flexibility with alternating coverage between 9am–9pm EST
- Must attend in-person onboarding training for 3 days
- Must live within 45 minutes of a major airport in your designated territory (East, Central, Mountain, or Pacific)
- Must be able to travel overnight up to 50% of the time
What You’ll Do
⦁ Support patients, caregivers, and providers to help patients gain access to therapy and stay compliant with treatment
⦁ Coordinate with specialty pharmacies and the hub team to obtain reimbursement coverage
⦁ Educate patients and caregivers on reimbursement pathways and financial assistance options
⦁ Manage transitions to home therapy, partnering with infusion pharmacies and nursing agencies to align supplies and reimbursement
⦁ Maintain accurate case histories for assigned patients in the CRM system
⦁ Troubleshoot ongoing reimbursement issues, including insurance changes and prior authorizations
⦁ Collaborate with Field Sales Representatives and Market Access teams
⦁ Respond to patient and medical office inquiries and resolve access and reimbursement-related issues
⦁ Provide ongoing patient support through regular outreach and, when needed, scheduling in-person meetings
⦁ Assist with patient access requests and application processes
⦁ Maintain reliable attendance and readiness for scheduled work
⦁ Handle additional duties as assigned
What You Need
⦁ Required: Bilingual English/Spanish with fluency in Spanish
⦁ Licensed Social Worker or equivalent experience
⦁ Master’s Degree in Social Work preferred
⦁ Preferred: 3+ years of reimbursement experience (benefits investigation, prior authorization, medical benefits, Medicaid)
⦁ Strong listening, writing, and analytical skills
⦁ Proficiency with Microsoft Word, Excel, and PowerPoint
⦁ Knowledge of customer care processes and strong communication skills
⦁ Adaptable, detailed, and able to navigate change in a fast-moving hub environment
⦁ Ability to comply with laws, regulations, and CareMetx contact center policies
⦁ Willingness to travel extensively (overnight) up to 50%
Benefits
⦁ Fully remote work environment (with travel and onboarding requirements)
⦁ Meaningful patient-facing work supporting rare disease therapy access
⦁ Collaborative contact center and hub model supporting better outcomes
⦁ Equal opportunity employer
These roles don’t just “help,” they unblock care. If you’re ready to be the person who makes the system make sense for patients, step in.
Happy Hunting,
~Two Chicks…