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HUB Case Manager

HUB Case Manager

MCKESSONCary, NC, United States
4 days ago
Job type
  • Full-time
Job description

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care.

What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow’s health today, we want to hear from you.

Biologics by McKesson Mission

At Biologics by McKesson, our mission is to simplify access to medication and deliver personalized care that helps patients achieve the best-possible outcomes - one patient, one partner, one therapy at time .

Position Description

The Hub Case Manager serves as the primary liaison between patients, health care providers, specialty pharmacies, payers, and internal hub operations teams to ensure timely access to prescribed therapies. This role is responsible for coordinating patient services, benefit investigations, prior authorizations, and ongoing support throughout the treatment journey. The Hub Case Manager will provide high-touch , personalized assistance to remove barriers to care, improve adherence, and optimize the overall patient and provider experience . Reporting to the Supervisor of Hub Services , the Hub Case Manager regularly interfaces with patients, providers, insurance companies, specialty phar macies, and manufacturer teams.

Key Responsibilities

  • Single Point of Contact : Serve as the central point of contact for patients, caregivers, and healthcare providers regarding patient access and support services.
  • Reimbursement Support : Co nduct benefit investigations, prior authorizations, and appeal submission with payers, providers, and specialty pharmacies.
  • Patient Services Coordination : Facilitate patient enrollment into hub services, including copay assistance , patient assistance programs, and bridge or quick start therapies. Coordinate product distribution with specialty pharmacies and ensure timely fulfillment of prescriptions. Provide education and support to patients regarding program services, financial assistance options, and treatment logistics . Monitor patient status, adherence, and refills; proactively follow up to address barriers or interruptions in therapy. Document all interactions in compliance with program policies, SOPs, and regulatory guidelines.
  • Cross Functional Collaboration : Collaborate cross- functionally with internal teams (field reimbursement, patient support, pharmacy operations, payer relations) to resolve escalated issues. Maintain up-to-date knowledge of payer policies, reimbursement landscapes, and industry compliance standards.

Minimum Requirements

Typically requires 3+ years of related experience.

Education

B.S. or higher or equivalent experience in healthcare, live sciences, social work, nursing, payer, or another related field .

Critical Skills

  • 3+ years experience in insurance, patient services, specialty pharmacy, or a biopharma hub environment required .
  • Demonstrated experience in reimbursement that includes benefit investigations, prior authorizations, and payer coverage policies .
  • Direct case management or patient-facing support experience in healthcare, payer, or pharmaceutical services.
  • Experience specialty medications with understanding of healthcare continuum and relationship between manufacturers, providers and payers
  • Exceptional written and verbal communication skill s, along with collaboration skills and ability to influence others; ability to build credible relationships across multi-business units, management teams, business partners, current and prospective clients
  • Proficiency with CRM Software such as Salesforce.co m and Microsoft Office Suite, includin g PowerPoint.
  • Additional Knowledge and Skills

  • Strong interpersonal and communication skills; able to engage empathetically with patients and caregivers.
  • Understanding of HIPAA, patient privacy, and compliance regulations.
  • Strong prioritization, time management and project management skills
  • Proficiency in quickly and thoroughly understanding patient and provider needs
  • Demonstrated ability to communicate complex concepts with high efficacy
  • Ability to function independently, demonstrate flexibility, as well as the ability to work effectively with internal and external teams
  • Critical thinking, analytical and problem-solving skills
  • Working Conditions

    Office environment

    Physical Requirements

    Ability to travel .

    We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here.

    Our Base Pay Range for this position

    $17.47 - $29.11

    McKesson is an Equal Opportunity Employer

    McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKesson’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.

    Join us at McKesson!

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    Case Manager • Cary, NC, United States

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