Case Manager, Healthcare, patient services, NJ

Location: Bridgewater, NJ
Our Client understands that its most valuable resource is its employees. They place great value on the unique skills, talents and qualities that each of our employees brings to our company. They are building a world-class team with a focus on innovation, teamwork and the desire and ability to change the way our patients live.
Our Client is a fast-paced, high-energy organization that seeks talented individuals who are leaders in their respective functional areas of expertise, who are creative problem solvers and who have the desire to make a difference.
Job Description - Case Manager
A unique opportunity to be a part of an industry-leading patient services program being built from scratch for the first commercial launch of an innovative biotech organization, dedicated to improving the lives of patients battling serious and rare diseases. 
Our Patient Services Mission: To be the champion for NTM (Nontuberculosis Mycobacteria) patients throughout their treatment journey, helping them access ALIS (Amikacin Liposome Inhalation Suspension) and supporting them every step of the way
Reporting to the Associate Director, Case Management, the Case Managers will have complete ownership to deliver upon a seamless ALIS patient experience within his/her region, in collaboration with internal as they’ll as external patient services partners. 
 Be a champion of each ALIS patient
-    Provide support and guidance to help ensure patients have access to ALIS, by compliantly navigating payer reimbursement, and mitigating any patient out-of-pocket barriers, as applicable
-    Understand a patient’s support needs, and interaction preferences, to deliver upon a seamless, tailored patient experience that helps each ALIS patient complete their treatment as prescribed by the HCP (Healthcare Professional)
-    Establish an ongoing relationship with each assigned ALIS patient, starting with theylcome, onboarding, treatment initiation, continuation, and leading up to his/her treatment completion
-    Communicate timely and effectively with each assigned ALIS patient; e.g. treatment expectations, patient insurance benefit information, available out-of-pocket support
-    Monitor each patient along his/her ALIS treatment journey, and proactively resolve any emerging treatment continuation barriers
-    Act as the primary point of contact for all ALIS patients within the assigned region
-    Serves as a patient advocate and act as a ‘quarterback’ on behalf of the patient to coordinate timely treatment initiation, training, and ongoing shipments across HCP office, payer, and specialty pharmacy
-    Communicate patient treatment status, as needed, with patient’s HCP office (aligned to HCP office communication preferences)

B.    Orchestrate the ALIS patient experience through collaboration and teamwork
-    Builds and maintains relationships with internal stakeholders, including HUB team, Clinical Educators, Specialty Pharmacies, Therapeutic Specialists, and Market Access to ensure seamless patient experience
-    Works with HUB partner to facilitate out-of-pocket cost support to patients, as eligible
-    Works closely with Clinical Educator partner to schedule patient treatment initiation training and follow-up, as needed
-    Communicates regularly with assigned HUB partner to improve workflow efficiencies and understand reimbursement trends
C.    Achieve ALIS patient support program goals
-    Successfully deliver upon patient support program goals, including pre-defined KPIs (time-to-fill, conversion rate, continuation rate, and compliance)
-    Manages regional case load in a timely and efficient manner, as defined by SLAs (Service Level Agreements) and KPIs (Key Performance Indicators)
-    Identifies trends regarding reimbursement delays, patient concerns, etc. and reports to Case Management leadership
-    Participates in regularly scheduled team meetings; recognizes opportunities for improvement, concerns or issues, and identifies solutions
-    Follows all requirements associated with compliance to program guidelines and relevant regulations, including HIPAA and patient privacy
•    Bachelor’s degree or equivalent experience required
•    Minimum 5+ years of industry experience with at least 3 years in pharmaceutical or biotech case management 
•    Working knowledge and experience with health insurance and Rx reimbursement, specifically in specialty drugs
•    Rare disease and product launch experience preferred
•    Understands HIPAA and privacy laws and requirements and maintains patient confidentiality
•    Experience with Adverse Event and Product Quality Complaint reporting
•    Maintains compliance with program business rules, standard operating procedures and guidelines
•    Outstanding case management skills required
•    Patient-centricity, empathy and compassion 
•    Curiosity, investigation, and creative problem-solving skills 
•    Passionate about learning and able to share/communicate that passion to others
•    Ability to work cross-functionally and exhibit teamwork and collaboration
•    Attention to detail and ability to follow up are essential
•    Ability to make presentations and facilitate meetings
•    Strong planning and organizational skills
•    Travel requirement of approximately 10% of work time
•    Must successfully exhibit Our Client’s five (5) core corporate competencies of: Excellence, Accountability, Driven, Collaborative and Solutions, along with any other position specific competencies.  
•    Individuals must demonstrate the ability to interact successfully in a dynamic and culturally diverse workplace.
Base Salary – 70-85k+ plus Bonus plus Equity.   Full Benes
Location: Bridgewater, NJ
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