Patient Access Appeals Case Manager Jobs

Noctrix Health is redefining the treatment of chronic neurological disorders with clinically validated therapeutic wearables. Our team of medical device specialists, neuroscientists, and consumer electronics engineers is dedicated to delivering prescription-grade therapy with an outstanding user experience. We have pioneered the world’s first drug-free wearable therapy, clinically proven to alleviate symptoms in adults with drug-resistant Restless Legs Syndrome (RLS). Be part of our mission to transform healthcare, improve lives, and drive meaningful change with Noctrix Health. The Patient Access Appeals Case Manager is responsible for supporting patients through the denial and appeal process, coordinating with healthcare providers, insurance companies, and patients to ensure seamless access to our innovative DME device. This position will play a supportive role in ensuring the successful commercialization of our product by developing and executing reimbursement strategies, establishing relationships with payers, and navigating the complex healthcare reimbursement landscape. Responsibilities: Support patients, healthcare providers, and insurance companies regarding access and reimbursement for our novel DME device Collaborate with healthcare providers to obtain necessary documentation and clinical information for insurance claims and prior authorization requests Coordinate with insurance companies to ensure timely and accurate processing of claims and prior authorization requests Stay up to date with insurance policies, coverage criteria, and reimbursement guidelines to provide accurate information and assist in obtaining coverage for patients. Help to identify and address any access or reimbursement challenges, working closely with cross-functional tea

Axsome Therapeutics is a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) conditions. We deliver scientific breakthroughs by identifying critical gaps in care and develop differentiated products with a focus on novel mechanisms of action that enable meaningful advancements in patient outcomes. Our industry-leading neuroscience portfolio includes FDA-approved treatments for major depressive disorder, agitation associated with dementia due to Alzheimer’s disease, excessive daytime sleepiness associated with narcolepsy and obstructive sleep apnea, and migraine, as well as multiple novel product candidates addressing a broad range of serious neurological and psychiatric conditions that impact over 150 million people in the United States. Together, we are on a mission to solve some of the brain’s biggest problems so patients and their loved ones can flourish. For more information, please visit us at www.axsome.com and follow us on LinkedIn and X . About This Role Axsome Therapeutics is seeking a a dynamic and skilled Field Access Manager (FAM). This field-based role will collaborate with internal and external stakeholders to eliminate access barriers, educate on prior authorization processes, and address roadblocks for eligible patients while enhancing conversion rates and treatment adherence. The Field Access Manager will have responsibilities at a territory level and exhibit business knowledge of the local landscape. This is a field-based role and candidates must live in their assigned geography. Job Responsibilities and Duties include, but are not limited to, the following: Educate customers and staff regarding payer policies and processes supporting patient access (i.e., eligibility and benefit verification, prior authorization, and appeals/denials) Ability to develop strong relationships with customers by understanding their needs and delivering solut

Axsome Therapeutics is a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) conditions. We deliver scientific breakthroughs by identifying critical gaps in care and develop differentiated products with a focus on novel mechanisms of action that enable meaningful advancements in patient outcomes. Our industry-leading neuroscience portfolio includes FDA-approved treatments for major depressive disorder, agitation associated with dementia due to Alzheimer’s disease, excessive daytime sleepiness associated with narcolepsy and obstructive sleep apnea, and migraine, as well as multiple novel product candidates addressing a broad range of serious neurological and psychiatric conditions that impact over 150 million people in the United States. Together, we are on a mission to solve some of the brain’s biggest problems so patients and their loved ones can flourish. For more information, please visit us at www.axsome.com and follow us on LinkedIn and X . About This Role Axsome Therapeutics is seeking a a dynamic and skilled Field Access Manager (FAM). This field-based role will collaborate with internal and external stakeholders to eliminate access barriers, educate on prior authorization processes, and address roadblocks for eligible patients while enhancing conversion rates and treatment adherence. The Field Access Manager will have responsibilities at a territory level and exhibit business knowledge of the local landscape. This is a field-based role and candidates must live in their assigned geography. Job Responsibilities and Duties include, but are not limited to, the following: Educate customers and staff regarding payer policies and processes supporting patient access (i.e., eligibility and benefit verification, prior authorization, and appeals/denials) Ability to develop strong relationships with customers by understanding their needs and delivering solut

Axsome Therapeutics is a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) conditions. We deliver scientific breakthroughs by identifying critical gaps in care and develop differentiated products with a focus on novel mechanisms of action that enable meaningful advancements in patient outcomes. Our industry-leading neuroscience portfolio includes FDA-approved treatments for major depressive disorder, agitation associated with dementia due to Alzheimer’s disease, excessive daytime sleepiness associated with narcolepsy and obstructive sleep apnea, and migraine, as well as multiple novel product candidates addressing a broad range of serious neurological and psychiatric conditions that impact over 150 million people in the United States. Together, we are on a mission to solve some of the brain’s biggest problems so patients and their loved ones can flourish. For more information, please visit us at www.axsome.com and follow us on LinkedIn and X. About This Role Axsome Therapeutics is seeking a a dynamic and skilled Field Access Manager (FAM). This field-based role will collaborate with internal and external stakeholders to eliminate access barriers, educate on prior authorization processes, and address roadblocks for eligible patients while enhancing conversion rates and treatment adherence. The Field Access Manager will have responsibilities at a territory level and exhibit business knowledge of the local landscape. This is a field-based role and candidates must live in their assigned geography. Job Responsibilities and Duties include, but are not limited to, the following: Educate customers and staff regarding payer policies and processes supporting patient access (i.e., eligibility and benefit verification, prior authorization, and appeals/denials) Ability to develop strong relationships with customers by understanding their needs and delivering solutions to overcome obstacles Expert on Axsome Ther

Noctrix Health is redefining the treatment of chronic neurological disorders with clinically validated therapeutic wearables. Our team of medical device specialists, neuroscientists, and consumer electronics engineers is dedicated to delivering prescription-grade therapy with an outstanding user experience. We have pioneered the world’s first drug-free wearable therapy, clinically proven to alleviate symptoms in adults with drug-resistant Restless Legs Syndrome (RLS). Be part of our mission to transform healthcare, improve lives, and drive meaningful change with Noctrix Health. The Patient Access Case Manager is responsible for guiding patients through the access and reimbursement process, coordinating with healthcare providers, insurance companies, and patients to ensure seamless access to our innovative DME device. The ideal candidate will have a strong background in patient access management, healthcare coordination, and possess excellent communication and problem-solving skills. Responsibilities: Serve as the primary point of contact for insurance companies regarding access and reimbursement for our novel DME device Guide internal teams through the reimbursement process, providing support and education on insurance coverage and prior authorization process Collaborate with internal teams to obtain necessary documentation and clinical information for prior authorization requests Coordinate with insurance companies to ensure timely and accurate processing of claims and prior authorization requests Stay up to date with insurance policies, coverage criteria, and reimbursement guidelines to provide accurate information and assist in obtaining coverage for patients Maintain accurate and up-to-date patient records, documentation, and case management notes Iden

Axsome Therapeutics is a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) conditions. We deliver scientific breakthroughs by identifying critical gaps in care and develop differentiated products with a focus on novel mechanisms of action that enable meaningful advancements in patient outcomes. Our industry-leading neuroscience portfolio includes FDA-approved treatments for major depressive disorder, excessive daytime sleepiness associated with narcolepsy and obstructive sleep apnea, and migraine, and multiple late-stage development programs addressing a broad range of serious neurological and psychiatric conditions that impact over 150 million people in the United States. Together, we are on a mission to solve some of the brain’s biggest problems so patients and their loved ones can flourish. For more information, please visit us at www.axsome.com and follow us on LinkedIn and X . About This Role Axsome Therapeutics is seeking an Associate Director, Patient Services to lead the establishment and growth of a new Patient Services Hub. This role will work closely with the Director, Patient Services for developing, implementing, and overseeing all aspects of the Hub's operations, ensuring efficient and seamless patient access to therapies and support services. This role requires a strong leader to build and manage the hub team, foster collaborative relationships, and drive continuous improvement within a fast-paced environment. This role will have close collaboration among, and provide ad hoc support to, Field Access and Patient Service functions within the Market Access team, as related to the HUB. This role reports directly to the Director, Patient Services. This role is based at Axsome’s HQ in New York City with an on-site requirement of at least three days per week. We are unable to consider candidates who are looking for fully remote roles.&nbsp

Axsome Therapeutics is a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) conditions. We deliver scientific breakthroughs by identifying critical gaps in care and develop differentiated products with a focus on novel mechanisms of action that enable meaningful advancements in patient outcomes. Our industry-leading neuroscience portfolio includes FDA-approved treatments for major depressive disorder, excessive daytime sleepiness associated with narcolepsy and obstructive sleep apnea, and migraine, and multiple late-stage development programs addressing a broad range of serious neurological and psychiatric conditions that impact over 150 million people in the United States. Together, we are on a mission to solve some of the brain’s biggest problems so patients and their loved ones can flourish. For more information, please visit us at www.axsome.com and follow us on LinkedIn and X . About This Role Axsome Therapeutics is seeking a Director, Market Access Deal Analytics to serve as a strategic leader in developing data-driven solutions that inform payer strategy, reimbursement optimization, pricing, and patient access. The ideal candidate will bring deep experience in payor and PBM deal analytics, strong understanding of payor incentives, Medicare and Medicaid reimbursement, understanding of specialty pharmacy, hub, patient services programs, and a pragmatic, action-oriented mindset that connects insights to execution. This position reports to the Senior Director, Pricing and Contracting Strategy. This role is based at Axsome’s HQ in New York City with an on-site requirement of at least three days per week . We are unable to consider candidates who are looking for fully remote roles. Job Responsibilities and Duties include, but are not limited to, the following: Conduct robust analytics to support business cases to be presented to Pricing Terms Committee

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Patient Relations Analyst Company: Oak Street Health Role Description: The purpose of the Patient Relations Analyst (PRA) at Oak Street Health is to educate patients about Medicare programs, resources, and affordable insurance coverage options available to them in order to increase patient access to care and retention. Patient Relations Analysts (PRAs) are an integral part of the Oak Street Health care team. Patient Relations Analysts are the insurance experts at each clinic and advocate for patients by helping them navigate through insurance options and bills. They are also a resource to the care team and outreach team for questions regarding medicare and eligibility. Patient Relations Analysts are daily key players, particularly during Medicare's Open Enrollment, ensuring that our patients are informed of all their options surrounding Medicare. The Patient Relations Analysts will report to the Associate Patient Relations Manager or Practice Manager. Responsibilities: Assist patients with navigating medicare and insurance issues which includes coverage, benefits, summaries, eligibility and getting the most out of their plan Serve as internal resource in the clinic on insurance questions for providers and staff Assist patients in navigating the healthcare system, help patients reso

We’re here for one reason and one reason only – to cure cancer. Every moment is dedicated to developing treatments and every action moves us one step closer to our goal. We’ve made incredible scientific breakthroughs and our pioneering personalized CAR T-cell therapies have changed the paradigm. But we're not finished yet. Join Kite, as we make even bigger advances in cancer therapies, and help shape where our business and medical science goes next. We believe every employee deserves a great leader. People Leaders are the cornerstone to the employee experience at Gilead and Kite. As a people leader now or in the future, you are the key driver in evolving our culture and creating an environment where every employee feels included, developed and empowered to fulfil their aspirations. Join Kite and help create more tomorrows. Job Description The US Market Access Key Account Director (MAx-KAD), Cell Therapy - Southern California , is a critical commercial role responsible for establishing and executing the company’s vision, strategy, and business relationships with assigned payer and provider accounts across the US. This role is accountable for driving improved access to cell therapy (CAR-T) products by engaging with national and regional payers, targeted authorized treatment centers (ATCs), potential new treatment centers, and key provider and payer networks. The Market Access Key Account Director will develop and implement strategic account plans, negotiate coverage and reimbursement, and build sustainable partnerships to expand patient access and support commercial success. The individual in this role is a key member of the US Strategic Account Management Team and collaborates closely with internal and external stakeholders to drive innovation i

This is where your work makes a difference. At Baxter, we believe every person—regardless of who they are or where they are from—deserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together, our community is driven by a culture of courage, trust, and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations, and we hold each other accountable for delivering exceptional results. Here, you will find more than just a job—you will find purpose and pride. Summary: This position supports Baxter's mission to save and sustain lives through advancing and protecting Baxter’s business interests and creating a favorable policy and market access environment to expand patient access to our products, therapies and solutions, to drive commercial opportunities and deliver value to Baxter. Working closely with country leadership teams, commercial, medical, regulatory, and global stakeholders, this involves: - Strategic external engagement with government stakeholders, payers, patients, professional and trade associations to shape legislation, policy adoption and healthcare priorities. - Building coalitions to advance and protect patient access to our products and services. - Payer engagement and evidence-based value demonstration to support reimbursement and funding decisions.

About Us InStride Health’s mission is to deliver specialty anxiety and OCD care that works for every kid, teen, young adult, and family who needs it. Through this mission, we are expanding access to insurance-based care, increasing engagement in treatment, and improving treatment outcomes. We are doing this by combining research-backed clinical care and innovative technology to eliminate the major problems with care today: difficulty finding providers, months of waiting to be seen, arduous onboarding processes, and inconsistent use of evidence-based therapies and outcomes tracking. Our vision is to become the nation’s most trusted provider of pediatric anxiety and OCD care. Team InStride Health: Our Core Values Give Heart : We lead with heart, treating patients and their families the way we want our loved ones to be treated. Work Smart : We find smarter ways to solve hard problems and fix the broken mental health system by leveraging technology, diversity of thought, and innovation. Have Humility : We leave our egos at the door, empowering our team to collaborate, celebrate diversity, and adopt a growth mindset. Embrace Community: We all belong. We are in this together, and we never worry alone. We believe in each other and recognize that every voice matters. About the Role We are looking for a Senior Manager, RCM Optimization & Strategy to find and fix the root causes of denials, front-end rejections, and revenue leakage across InStride’s Revenue Cycle Management (RCM) operations. Reporting directly to the Senior Director of RCM, this high impact senior individual contributor role serves as the strategic bridge between core RCM workflows (billing, cash posting, AR, and patient collections), Payor Operations, and the analytics and technology that power them. You will own billing system setup and payor billing logic, lead root-cause analysis on denials and underpayments, and build the KPI framework the RCM team uses to measure performance. This is an indivi

At Gilead, we’re creating a healthier world for all people. For more than 35 years, we’ve tackled diseases such as HIV, viral hepatitis, COVID-19 and cancer – working relentlessly to develop therapies that help improve lives and to ensure access to these therapies across the globe. We continue to fight against the world’s biggest health challenges, and our mission requires collaboration, determination and a relentless drive to make a difference. Every member of Gilead’s team plays a critical role in the discovery and development of life-changing scientific innovations. Our employees are our greatest asset as we work to achieve our bold ambitions, and we’re looking for the next wave of passionate and ambitious people ready to make a direct impact. We believe every employee deserves a great leader. People Leaders are the cornerstone to the employee experience at Gilead and Kite. As a people leader now or in the future, you are the key driver in evolving our culture and creating an environment where every employee feels included, developed and empowered to fulfil their aspirations. Join Gilead and help create possible, together. Job Description As an expert in Liver market access , the Senior Field Reimbursement Manager – Liver will remain informed about local and national payer policies and acquisition pathways, proactively addressing coverage and reimbursement challenges to ensure timely treatment access. Collaboration with internal teams, including Therapeutic Specialists (Sales), Marketing, and Patient Support, will be essential for aligning patient access strategies across the organization. The Sr. FRM – Liver will also engage in problem-solving to manage multiple projects and continuously identify opportunities for improving workflows, ultimately helping patients receive the necessary treatments without unnecessary delays

ROLE SUMMARY As a leading biopharmaceutical company, Pfizer is dedicated to the discovery and delivery of high value therapies across a variety of disease areas. It is our mission to bring innovative medicines to patients that significantly improve their lives, and our priority is to ensure patients have access to these medicines. The Health Technology Assessment (HTA), Value & Evidence (HV&E) team is responsible for ensuring patients have affordable, timely access to medicines and vaccines by advancing innovative value and evidence solutions to inform healthcare decision-making. The HV&E Senior Manager is responsible for development and execution of high-quality HV&E strategic efforts to support optimal access and reimbursement for breast cancer medicines. This role directly impacts business objectives on a global basis by providing strategic guidance and robust evidence development relevant to achieve optimal global patient access by demonstrating the value of Pfizer’s breast cancer medicines. This position will be part of Pfizer’s dynamic HV&E team, part of Pfizer’s US Medical Affairs department and will have an important role of managing health economics and outcomes research (HEOR) to generate data to support patient access to breast cancer with a primary focus on Prifetrastat. This position will be working closely with the broader breast cancer team, various cross-functional teams (e.g., medical, clinical, commercial, etc.), and country colleagues to foster a culture that promotes innovation and thrives on doing better for Pfizer’s patients and society in general. This position will function in a closely aligned fashion with the Global Access Strategy and Pricing (GASP) team to ensure there is a single and coordinated view on strategy and project execution for optimizing access evidence generation. This position will function with a “One Pfizer” mindset and will be expect

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we’re helping people on their path to better health— from advising patients on their prescriptions to helping them manage their chronic and specialty conditions. Because we’re present in so many moments, big and small, we have an active, supportive role in shaping the future of health care. Pharmacy Technicians are at the forefront of our purpose as they deliver compassionate care to our millions of patients every day. Come join our team of dedicated and caring Pharmacy Technicians who demonstrate our core values of Accountability, Caring, Collaboration,Innovation and Integrity in everything they do in our pharmacies every day. Whether you are new to working in pharmacies or are an experienced Pharmacy Technician, we have a place for you on our team to use your skills and talents to serve and care for our patients and customers. The Pharmacy Technician position provides individuals with an opportunity to work in a leading retail pharmacy company and in a role that positively impacts the lives and health of others. You will work in an environment where the highest professional and ethical standards are maintained as well as full compliance with all Federal, State and Local laws and regulations. Pharmac

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we’re helping people on their path to better health— from advising patients on their prescriptions to helping them manage their chronic and specialty conditions. Because we’re present in so many moments, big and small, we have an active, supportive role in shaping the future of health care. Pharmacy Technicians are at the forefront of our purpose as they deliver compassionate care to our millions of patients every day. Come join our team of dedicated and caring Pharmacy Technicians who demonstrate our core values of Accountability, Caring, Collaboration,Innovation and Integrity in everything they do in our pharmacies every day. Whether you are new to working in pharmacies or are an experienced Pharmacy Technician, we have a place for you on our team to use your skills and talents to serve and care for our patients and customers. The Pharmacy Technician position provides individuals with an opportunity to work in a leading retail pharmacy company and in a role that positively impacts the lives and health of others. You will work in an environment where the highest professional and ethical standards are maintained as well as full compliance with all Federal, State and Local laws and regulations. Pharmac