Earth City, MO, US
22 days ago
Utilization Management Case Manager - Archimedes
Returning Candidate? Log back in! Utilization Management Case Manager - Archimedes Location US-MO-Earth City ID 2025-4793 Category Archimedes Position Type Full-Time Remote No Company Archimedes About Us Archimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide the necessary ingredients for the sustainability of the prescription drug benefit – alignment, value and transparency – Archimedes achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, rebate retention and pharmacy ownership and delivering the most rigorous clinical management at the lowest net cost. .______________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range USD $0.00 - USD $0.00 /Hr. Work Schedule Description (e.g. M-F 8am to 5pm) Core Business Hours Overview

Archimedes is a rapidly growing leader in the specialty drug benefit management space.  We are looking for a Case and Utilization Manager to coordinate care between physicians, patients and pharmacies. This is a great opportunity for a dependable and dedicated candidate with a passion for helping patients taking specialty medications to treat complex disease states. 

Responsibilities

Responsibilities:

Review chart notes and perform utilization management on patient/drug specific case basis.Coordinate facilitation of patients’ specialty drug treatment, ensuring timely delivery to the appropriate site of care. Handle case assignments, review case progress, properly document case notes and determine case closure.Follows established procedures, processes, and standards for production, productivity, quality, and customer-service. Meets performance targets for speed, efficiency, and quality.Complete care management clinical escalations. Escalate to account management as appropriate.Ensure all external and internal customers receive the level of customer service required by Archimedes and serves as a representative of Archimedes to all external customers. Qualifications

Skills, Competencies and Abilities:

Case management experienceUtilization management experienceExperience with managing specialty medications for patients with chronic illness strongly preferred.Strong communication skills to ensure a high-quality patient experience.Experience in an infusion setting, physician office or pharmacySelf-motivated and able to thrive in a results-driven environmentAbility to prioritize among competing tasksAbility to work independently with limited supervisionCritical thinking and problem-solving skillsExcellent time and project management skills.Keen attention to detail and adherence to deadlinesMinimum Requirement: Associate’s DegreeBachelor’s Degree in appropriate field of study or nursing background is a plusExpert at Microsoft Office Suite Location : Address 502 Earth City Expy STE 300 Location : City Earth City Location : State/Province MO Location : Postal Code 63045 Location : Country US Options ApplyApplySubmit a ReferralRefer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Application FAQs

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