Specialist, Medical Insurance II

📋 Description Primary contact for HCPs and patients on access challenges. Provide insurance details, prior authorizations, and funding options. Educate on patient benefits and access questions; support process improvements. Handle escalated access issues and coordinate with pharmacies, payors, and providers. Maintain current forms, portals, and submission methods for prior authorizations. Identify Adverse Event scenarios for pharmacovigilance compliance. 🎯 Requirements High school diploma or GED; degree preferred. 2-4 years in healthcare/reimbursement; call center experience is a plus. Knowledge of Medicare Part D, Medicaid, private payers, and alternate funding. Strong communication; detail-oriented; teamwork and leadership skills. Proficient in Microsoft Office; able to learn new systems quickly. 🎁 Benefits Competitive benefits package including health and wellness coverage. Flexible hybrid work model; on-site and remote options. Vacation, EAP, life insurance, and stock purchase plan. Transportation and meal subsidies; paid volunteer day and other perks.