Dedicated Care Coordinator NY Metro

About This Opportunity

Our talent team is representing a confidential biopharmaceutical organization in their search for a Dedicated Care Coordinator based in the NY Metro area. This is a remote, field-based role supporting patient access to specialty medications in inflammation and immunology. You will own the complete patient journey—from enrollment through post-fill follow-up—working directly with patients, caregivers, healthcare providers, payers, and third-party partners.

This is a non-promotional position requiring exceptional case management skills, reimbursement expertise, and the ability to navigate complex insurance landscapes while maintaining the highest standards of compliance and patient care.

Responsibilities

• Own 100% of assigned patient cases from enrollment through post-fill follow-up, serving as the central point of contact for patients, caregivers, and healthcare providers
• Conduct benefits investigation and verification, including Summary of Benefits discussions covering product costs, out-of-pocket expenses, deductibles, and copay options
• Manage the complete prior authorization process, including submission, verification, and appeals support with both patients and providers
• Coordinate patient appointments and baseline assessments with providers and third-party vendors, ensuring timely completion and follow-up
• Administer interim care programs, voucher eligibility and shipment, and copay card enrollment and troubleshooting
• Triage prescriptions and conduct post-fill follow-up at 10 days and 45 days to confirm no outstanding logistical or financial issues
• Maintain detailed case documentation in the CRM system, including real-time updates on every patient and provider interaction
• Report adverse events in accordance with regulatory requirements—this role has elevated AE reporting obligations due to frequent direct patient contact
• Collaborate compliantly with cross-functional colleagues and hub partners to resolve patient access barriers
• Manage high-volume concurrent cases averaging approximately 20 days per patient journey with disciplined documentation and follow-through

What We're Looking For

Required:

• Bachelor's degree required
• 8+ years of pharmaceutical or related industry experience in customer-facing roles
• Minimum 6 months as a Field Reimbursement Manager, Patient Access Coordinator, Field Access Specialist, or similar access and reimbursement role
• Working proficiency in Polaris CRM or similar system, including case management, documentation, and prescription triage
• Demonstrated ability to communicate directly with patients, providers, and cross-functional colleagues
• Experience conducting benefit investigation and verification directly with payers
• Working knowledge of prior authorization and appeals processes
• Strong understanding of copay programs, maximizers, accumulators, vouchers, and interim care programs
• Knowledge of specialty pharmacy networks, government payment systems, and specialty medication landscape
• Ability to manage high case volumes with exceptional attention to detail and organizational skills
• Exceptional critical thinking skills and ability to explain complex processes to diverse patient populations
• Eastern time zone availability

Preferred:

• Experience in patient-facing roles requiring access and reimbursement education
• Prior hub experience
• Experience with encrypted email platforms (Kite works or similar), DocuSign, and copay portal administration
• Experience coordinating with third-party vendors on patient assessments, testing, or specialty pharmacy logistics
• Experience supporting interim care, free goods, or bridge programs
• Knowledge of both pharmacy benefit (PBM) and major medical benefit coverage pathways
• Exceptional relationship-building skills with elderly populations
• Experience working across different time zones

How We Work with You

Candidates apply directly through Get A Job.ai. Our recruiting team will screen qualified applicants and coordinate interviews. If selected, we will submit your profile to our client for consideration. Please do not contact the employer directly—all communication regarding this opportunity should go through Get A Job.ai to ensure proper representation and coordination.

This is a fully remote position with approximately 10-20% travel. Candidates must be authorized to work in the U.S. by any employer. Visa sponsorship (H-1B, TN, O-1, etc.) is not available for this role now or in the future.

Pay

Compensation details will be discussed during the screening process with our recruiting team.

Equal Employment Opportunity: Get A Job.ai is committed to equal opportunity employment. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic under applicable law.