Associate Market Access Case Manager – Contract

Kandu

. Supports the management of the prior authorization process for patients seeking insurance coverage for the IpsiHand Rehabilitation system .

Posted 4/22/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-Level💰 $25 - $30 per hourWebsite

About the role

Key responsibilities & impact

Supports the management of the prior authorization process for patients seeking insurance coverage for the IpsiHand Rehabilitation system
Responsible for in-network gap exceptions, and negotiation of Single Case Agreements (SCAs) for patient-level device coverage
Communicate with payer representatives to confirm receipt of clinical documentation and identify missing information
Document all payer communications, call reference numbers, outcomes, and next steps in case management systems
Provide ongoing status updates to patients, providers, and internal stakeholders regarding insurance approvals and next steps
Confirm authorization effective dates, approval durations, and renewal requirements to maintain continuity
Monitor payer portals and follow up via phone/fax to ensure authorization requests are actively being processed
Ensure timely follow-up on all open cases to meet service level expectations and improve patient outcomes
Partner cross-functionally with Commercial, Patient Intake, RCM and Clinical teams to share information, facilitate high-quality handoffs, and optimize patient experience
Identify and share best practices with peers and leadership team to support continued improvement in organizational competencies
Maintain up-to-date knowledge of payer requirements, clinical criteria, and regulatory changes that impact the prior authorization processes

Requirements

What you’ll need

High School Diploma Or GED required
AA, BA, or BS desirable
Minimum three years' experience working in a healthcare environment (medical devices, insurance, or healthcare services)
Experience in prior authorization submissions and appeals
Competency working in SalesForce, Google Suite, and Microsoft Office
Demonstrated customer service skills
Working understanding of market access, reimbursement, and payer landscapes
Strong problem-solving and escalation management skills
Advanced communication skills (providers, patients, payers)
Ability to prioritize workload and manage complex cases independently
Understand types of insurance and their implications, including HMO, POS, and D-SNP plans, out-of-pocket obligations, provider networks, and Coordination of Benefits between primary and secondary insurance
Employment eligibility to work in the United States is required
Ability to sit at a computer for extended periods and use standard office equipment
Ability to read and interpret clinical and insurance documents and communicate information clearly by phone and in writing.

Benefits

Comp & perks

Competitive Compensation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

prior authorization submissionsappealsmarket accessreimbursementpayer landscapesinsurance typesCoordination of Benefitsclinical documentationcase managementcustomer service

Soft Skills

problem-solvingescalation managementcommunicationprioritizationindependent case managementcollaborationbest practices sharingorganizational competenciespatient experience optimizationstatus updates

Certifications

High School DiplomaGEDAABABS