The Nurse Patient Access Specialist serves as the primary point of contact for patients, healthcare providers, and field representatives within a Patient Support Services (PSS) program. This role is responsible for facilitating patient access to therapy by conducting benefit investigations, verifying insurance eligibility, supporting prior authorizations and appeals, and assisting with copay and patient assistance programs. Bilingual Clinical Care Managers may also discuss the patient’s disease state and treatment options. Nurse Patient Access Specialist support patients throughout their treatment journey while ensuring a high level of service, compliance, and coordination across stakeholders.

Job Responsibilities

Support clinical discussions with patients regarding the disease state and products supported by the program.
Provide patient education on self-injections or use of injectable devices in accordance with program SOPs
Serve as the primary point of contact for patients, providers, and stakeholders
Conduct inbound and outbound calls to support program services
Perform insurance benefit investigations and verify coverage
Support prior authorizations and appeals processes
Assist with copay and patient assistance program enrollment
Provide ongoing patient support and adherence coordination
Document all interactions accurately and timely
Deliver high-quality customer service across communication channels
Collaborate with field representatives and internal teams
Manage patient caseloads with timely follow-up
Ensure compliance with HIPAA and regulatory requirements
Identify and report adverse events and product complaints
Troubleshoot issues and escalate as needed
Maintain knowledge of program policies and processes
Support onboarding and training of new employees
Meet quality standards and KPIs
Perform additional duties as assigned

Schedule

Available for an 8-hour shift between 8:00 AM – 8:00 PM EST

8:00 AM – 5:00 PM EST

9:00 AM – 6:00 PM EST

11:00 AM – 8:00 PM EST

Ability to work varying shifts, including evenings as needed
Remote role requiring a compliant home workspace

Required Qualifications

Licensed Practical Nurse or Registered Nurse with 1 year post registration experience; or equivalent of education, training and experience with previous experience providing patients with education on self-injections or use of injectable devices.
3–5+ years of experience in medical billing, reimbursement, or insurance verification
Robust understanding of payer coverage and reimbursement (medical and pharmacy)
Experience in a contact center or patient support environment
Proficiency with Microsoft Office and CRM systems
Strong written and verbal communication skills
High attention to detail and multitasking ability
Ability to work independently in a virtual environment
Problem-solving and solution-oriented mindset
Knowledge of HIPAA and data privacy requirements
Must reside in the country where the role is posted

Preferred Qualifications

Licensed Practical Nurse or Registered Nurse with previous case/care manager experience in the hematology field and/or rare diseases.
Experience in a Patient Support Services (Hub) environment with focus on rare diseases
Healthcare or pharmaceutical customer service experience

This role is posted under a market-aligned title to better reflect the scope and candidate profile. The internal title for this position is Clinical Care Manager within PASS

IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at https://jobs.iqvia.com

IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe

IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.

The potential base pay range for this role is $62,000 – $104,000 annually. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.