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Case Manager (Healthcare/Pharmacy) Cary, NC

Adecco Healthcare & Life Sciences is partnering with a leading healthcare organization to hire an experienced **Case Manager** for an onsite assignment in Cary, NC with the potential to convert to full-time employment. This role is ideal for candidates with strong healthcare, pharmacy, and reimbursement experience who thrive in a fast-paced environment.

**Pay Rate** $22.00-$24.00/hr.(based on experience)

**Schedule** Monday–Friday

_Shift options include:_

• 8:00 AM – 5:00 PM

• 10:00 AM – 7:00 PM

• 11:00 AM – 8:00 PM

**Location** Cary, NC

Mandatory Skills

• 2+ years of Pharmacy or Healthcare experience

• Detail-oriented, independent, and able to meet SLAs

• Comfortable working with minimal supervision

• Experience handling high-volume benefits verification & insurance re-verifications

Position Overview

The Case Manager will interact closely with healthcare providers, patients, and drug manufacturer programs to resolve complex reimbursement cases. This role requires strong knowledge in insurance plans, benefit structures, Medicare and Medicaid guidelines, and prior authorization procedures.

Key Responsibilities

• Handle inbound calls and customer questions within SLAs

• Assist providers and patients with claim denials and appeal management

• Advocate with payers for product-specific coverage

• Communicate product benefits and support payer policy influence

• Monitor drug coverage policies across multiple payers

• Identify denial trends and create summary findings for client reporting

• Conduct external research to locate alternate funding sources

• Manage escalated issues and complex reimbursement inquiries

• Maintain detailed documentation and work independently with minimal oversight

Qualifications

• High School Diploma or GED required

• 5+ years’ experience in healthcare, insurance verification, Medicare/Medicaid, billing, pharmacy, or manufacturer support

• 2+ years of customer service and 2+ years of medical/insurance experience

• Strong problem-solving, organization, and decision-making skills

• Excellent communication skills

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria

**Pay Details:** $24.00 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

Military connected talent encouraged to apply

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://uat.adecco.com/en-us/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

+ The California Fair Chance Act

+ Los Angeles City Fair Chance Ordinance

+ Los Angeles County Fair Chance Ordinance for Employers

+ San Francisco Fair Chance Ordinance

**Massachusetts Candidates Only:** It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.