Job Title: Case Manager II 
Location: Fully Remote
Duration: 6 months
Onsite for initial 1-2 weeks of training in Cambridge, MA.
 Manager stated this will be a reimbursable expense. Travel and accommodations.

HM Notes:
Fully Remote
• Must be flexible and able to work both shifts as needed
• Should be comfortable working either 9:00 AM - 5:00 PM or 11:00 AM - 7:00 PM (EST) depending on business needs
• 40 hours per week Possibility of extension
Initial onsite training required onsite at 450 Water St. Cambridge MA
Position will Not be patient facing however does require previous patient facing experience
Case manager will serve as a float for other team members who are OOO

Must have Skills/ Requirements
• Minimum of Bachelor's degree or higher
• Minimum 2-4 years patient-facing role experience in case management, reimbursement, or patient advocacy
• Experience working on the payer side of the business, coordinate next steps, ability to assist in moving cases forward
• Previous pharma or health care industry experience (reimbursement, coding) required
• Strong MS Office skills
Nice to Have Skills:
• Salesforce is preferred but not required
• Preferred experience hematology blood disorders, oncology
• Transition to new CRM, platform (patient case platform)

Description:
• Must be flexible and able to work both shifts as needed
• Should be comfortable working either 9:00 AM - 5:00 PM or 11:00 AM - 7:00 PM (EST) depending on business needs
• 40 hours per week
Must be available to travel for initial onsite training
Position Summary
The Case Manager - Operations serves as a key operational support role within Patient Support Services department, focused on executing internal processes and ensuring operational consistency in therapy access services. This role combines organizational skills, attention to detail, and operational knowledge to support day-to-day case management activities. As an essential internal resource, the Case Manager plays a crucial role in maintaining program efficiency, adhering to compliance standards, and supporting mission to improve access to therapy.
In this operational position, you will support case management operations, maintain operational documentation, and collaborate with cross-functional teams to ensure smooth service delivery. Your work directly impacts operational effectiveness by executing established workflows, maintaining data quality, and supporting internal processes. This role requires strong organizational abilities, attention to detail, and familiarity with operational procedures within a regulated environment.

Key Responsibilities
Operations Support
• Execute standard operating procedures for case management workflows
• Maintain operational documentation and records
• Support quality control measures to ensure consistent service delivery
• Identify and report operational challenges or inconsistencies
• Assist in maintaining system configurations and operational documentation
Operational Execution
• Follow established case management processes and procedures
• Ensure accurate and timely execution of operational tasks
• Maintain organized records of operational activities
• Support the implementation of operational changes as directed
• Assist in tracking operational metrics and key performance indicators
Quality Assurance & Compliance
• Adhere to quality standards and operational guidelines
• Follow regulatory requirements and company policies in all operational activities
• Support documentation efforts for audit readiness and compliance reporting
System Utilization
• Utilize case management platforms effectively for daily operations
• Follow established protocols for system use and data entry
• Report system issues or inconsistencies to appropriate teams
• Assist in maintaining system documentation and operational guides
Documentation & Knowledge Management
• Maintain accurate and up-to-date operational records
• Follow established documentation practices for workflows and processes
• Contribute to the development of operational reference materials
• Assist in creating and updating standard operating procedures

Required Qualifications
• Bachelor's degree required

Experience
• Minimum 2-4 years patient-facing role experience in case management, reimbursement, or patient advocacy
• Demonstrated experience in following complex operational procedures
• Track record of maintaining accurate records and documentation
• Experience working with operational systems and databases

Technical Skills
• Proficiency in Microsoft Office Suite, particularly Excel and Word
• Familiarity with CRM systems and operational platforms
• Strong attention to detail and data entry accuracy
• Basic understanding of operational workflows and procedures

Core Competencies
• Excellent organizational and time management skills
• Strong communication and interpersonal abilities
• Ability to follow detailed instructions and procedures
• Commitment to accuracy and quality in operational execution
• Adaptability to changing operational requirements

Preferred Qualifications
• Experience in pharmaceutical or healthcare operations
• Background in customer service or support roles
• Familiarity with healthcare industry regulations
• Experience with Salesforce or similar CRM platforms
Systems & Technology
• Basic understanding of database management
• Familiarity with quality management systems
• Experience with document management systems

Core Competencies & Skills
• Attention to Detail: Ensures accuracy in all operational tasks and documentation
• Organizational Skills: Effectively manages multiple tasks and priorities
• Communication: Clearly conveys information both verbally and in writing
• Teamwork: Collaborates effectively with cross-functional teams
• Adaptability: Adjusts to changing operational needs and processes
• Problem-Solving: Identifies and reports operational issues effectively
• Time Management: Efficiently manages workload and meets deadlines
• Compliance Orientation: Adheres to regulatory and company policies

Success Metrics
• Consistent adherence to standard operating procedures
• Accuracy and timeliness of operational task completion
• Quality of documentation and record-keeping
• Effective utilization of operational systems and tools
• Contribution to team operational goals and objectives
• Compliance with quality and regulatory standards
• Positive feedback from cross-functional team members

Travel Requirements
• Minimal travel expected, primarily for occasional team meetings or training sessions

Reporting Structure
• Reports to: Senior Director Operations and Case Management
• Direct Reports: None 
 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 47.00/hr.