Utilization Management Case Manager - Archimedes

ArchimedesArchimedes - 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.USD $0.00 - USD $0.00 /Hr.Core Business HoursArchimedes 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: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.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 Suite5250 Virginia Way Ste 300BrentwoodTN37027

Created: 2025-10-04