Managing complex case management scenarios, the full-time Remote Case Management Specialist will coordinate medical benefits administration, vendor relationships, and issue resolution to support positive member outcomes. Key responsibilities Assess and maintain a caseload of members with significant medical conditions, including organ transplants Coordinate vendor contracting and manage workflow expectations related to claims processing and appeals Collaborate with internal departments and vendors to resolve escalated issues and maintain documentation Required qualifications Bachelor's degree in a relevant field or equivalent work experience preferred Minimum 2 years of experience managing complex case management scenarios required At least 2 years of experience in medical benefits, health insurance, or healthcare administration required Experience with organ transplant cases and/or transplant care coordination preferred Intermediate proficiency with Microsoft Office Suite