Help patients access life-changing therapies by handling the behind-the-scenes work that actually gets their treatment approved and paid for. This fully remote role is perfect for someone who knows their way around benefits, prior auths, and reimbursement hubs and wants a stable, mission-driven position.
About CareMetx
CareMetx supports the full patient journey “from intake to outcomes” by providing hub services, technology, and data solutions to pharmaceutical, biotech, and medical device companies. They specialize in removing reimbursement barriers, coordinating access to specialty therapies, and connecting patients, providers, and payers. You’ll be part of a niche, growing space where your work directly impacts patients’ ability to start and stay on treatment.
Schedule
- Full-time, remote position
- Must be flexible with schedule and hours based on program needs
- Overtime may be required at times
- Willingness to work some weekends when needed to meet company demands
- Quiet, professional home workspace required
What You’ll Do
- Act as a single point of contact and advocate for patients and providers, ensuring a positive and compassionate experience
- Coordinate access to therapies, including follow-ups and connection to appropriate support services
- Manage an assigned caseload according to program guidelines and timelines
- Collect and review patient information in line with program SOPs and validate completeness of required data
- Guide provider office staff and patients on completing and submitting program applications, including patient assistance and copay programs
- Perform reimbursement activities such as benefit investigations, prior authorizations, and appeals
- Provide reimbursement information to providers and/or patients and address account inquiries
- Maintain frequent phone contact with patients, providers, third-party payers, and pharmacies
- Document all interactions in the CareMetx Connect system in compliance with HIPAA regulations
- Coordinate with internal teams as needed and work within SOPs to resolve issues and move cases forward
- Report all Adverse Events (AEs) in line with training and standard operating procedures
- Adapt to new processes, systems, and program changes as needed
What You Need
- 3+ years of experience in a specialty pharmacy, medical insurance, reimbursement hub, physician’s office, healthcare setting, or insurance-related role (preferred)
- Bachelor’s degree preferred (equivalent experience considered)
- Strong knowledge of pharmacy and medical benefits; familiarity with commercial and government payers preferred
- Excellent verbal and written communication skills with a customer-focused mindset
- Ability to multi-task, manage changing priorities, and handle a steady caseload
- Proficient keyboard skills and competency in MS Word and Excel
- Working knowledge of HIPAA regulations and comfort handling sensitive health information
- High attention to detail, strong organization, and solid problem-solving ability
- Ability to work independently and as part of a remote team
Benefits
- Salary range of approximately $38,418.30–$51,224.15, depending on experience
- Fully remote work environment
- Opportunity to grow in a specialized, mission-driven niche supporting patient access to specialty products and devices
- Inclusive, equal-opportunity culture with a focus on doing right by employees and patients
- Potential for long-term stability and advancement within a growing organization
This is a solid step up if you’ve done reimbursement, hub, or payer work and want to own cases instead of just pushing tasks.
Don’t sit on it—roles where you can work from home and still make a real impact on patients go quickly.
Happy Hunting,
~Two Chicks…