Help patients with rare diseases get on life changing specialty therapies faster, and stay on them with fewer barriers. If you know reimbursement, prior auth, and how to advocate with both empathy and precision, this is a high impact role that actually moves the needle.
About CareMetx
CareMetx provides patient access solutions and digital hub services that help patients start and stay on specialty therapies. They support pharma companies and providers by streamlining enrollment, consent, and prior authorization. Their patient support model connects patients, providers, and brands to accelerate time to therapy.
Schedule
• Fully remote, contact center environment
• Schedule flexibility with alternating coverage between 9:00 AM–9:00 PM EST
• Must attend in person onboarding training for 3 days
• Must be able to travel overnight up to 50% of the time
• Must live within 45 minutes of a major airport (based on territory)
What You’ll Do
⦁ Work directly with patients, caregivers, and providers to help patients gain access to therapy
⦁ Coordinate reimbursement support, benefits investigation, and prior authorization related needs
⦁ Educate patients and caregivers on reimbursement pathways and financial assistance options
⦁ Support transitions to home therapy by coordinating with specialty pharmacies, infusion providers, and nursing agencies
⦁ Maintain accurate case history and documentation in the CRM system
⦁ Troubleshoot ongoing reimbursement issues including insurance changes, PAs, and related barriers
⦁ Partner with Field Sales Reps and Market Access teams to support patient access
⦁ Respond to patient and medical office inquiries and resolve access and reimbursement related concerns
⦁ Provide ongoing follow up through regular calls and occasional in person meetings as needed
⦁ Assist with patient access requests and application processes
What You Need
⦁ Bilingual fluency in Spanish and English (required)
⦁ Social work license or equivalent relevant experience
⦁ 3+ years of reimbursement experience (benefits investigation, prior authorization, medical benefit, Medicaid experience preferred)
⦁ Master’s degree in Social Work preferred
⦁ Strong listening, writing, and analytical skills
⦁ Proficiency in Word, Excel, and PowerPoint
⦁ Ability to work from home with a dedicated, quiet workspace
⦁ Ability to travel overnight up to 50% of the time and live near a major airport
⦁ Comfort working in a fast paced hub or contact center supporting specialty therapy patients
Benefits
⦁ Fully remote role with mission driven patient impact
⦁ Opportunity to work in a niche specialty therapy access space with strong market demand
⦁ Collaborative work with providers, specialty pharmacies, and market access partners
If you’re qualified and ready to make access happen for patients who can’t afford delays, apply while this role is still open.
Bring your advocacy skills, your reimbursement brain, and your calm under pressure. Patients are counting on it.
Happy Hunting,
~Two Chicks…