6 дней назад
Case Manager - Rare Disease - BKEMV- West Coast Remote
81 851 - 110 740$
Мэтч & Сопровод
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Описание вакансии
Текст:
TL;DR
Case Manager - Rare Disease - BKEMV- West Coast Remote (Patient Access and Rare Disease): Managing patient access cases involving insurance approvals, specialty pharmacies, reimbursement, and support programs with an accent on resolving authorization, denial, appeal, and adherence issues. Focus on coordinating with business managers, access liaisons, medical teams, pharmacies, patients, and families while tracking U.S. patient status and reporting reimbursement trends.
Location: Remote role associated with Los Angeles, California, United States; up to 20% travel required.
Salary: $81,851.60–$110,740.40 per year.
Company
is a biotechnology company focused on developing treatments that serve patients worldwide.
What you will do
- Oversee patient customer service issues involving insurance, specialty pharmacies, and patient support programs.
- Coordinate with Regional Business Managers, Patient Access Liaisons, Medical Science Liaisons, pharmacies, medical offices, patients, and families to secure therapy access.
- Resolve reimbursement challenges, including prior authorizations, denials, appeals, reauthorizations, overrides, and billing issues.
- Maintain case histories and update reimbursement, adjudication, shipping, and patient status records for U.S. patients.
- Partner with Safety and Pharmacovigilance to report adverse events and product complaints.
- Track adherence and reimbursement trends, report case developments, and manage annual open-enrollment efforts.
Requirements
- Master’s degree, or a Bachelor’s degree with 2 years of case management experience.
- Alternatively, an Associate’s degree with 6 years of case management experience, or a high school diploma/GED with 8 years of case management experience.
- Bachelor’s degree strongly preferred.
- Strong communication and customer-service skills, with the ability to resolve hurdles across multiple cases.
- Ability to learn product and disease information; familiarity with HIPAA and FDA requirements.
- Excel and PowerPoint skills; ability to coordinate across multiple geographies and time zones.
Nice to have
- 5+ years of pharmaceutical industry experience.
- 2+ years of prior case management experience.
Culture & Benefits
- Health, dental, vision, life, disability, and flexible spending benefits.
- Retirement and savings plan with company contributions.
- Annual bonus program or sales-based incentive plan for field sales representatives.
- Stock-based long-term incentives.
- Paid time off, company-wide shutdowns, work-life balance support, and career development opportunities.
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