5 часов назад
Case Manager - Rare Disease- West Coast Remote (Rare Disease)
81 851 - 110 740$
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Описание вакансии
Текст:
TL;DR
Case Manager - Rare Disease- West Coast Remote (Rare Disease): Managing patient access to rare disease therapies across insurance approvals, specialty pharmacies, reimbursement, and patient support programs with an accent on case oversight, access coordination, and patient counseling. Focus on resolving prior authorizations, denials, appeals, and reauthorizations, tracking U.S. patient status, and reporting reimbursement and adherence trends.
Location: Remote within the United States; listed location is Phoenix, Arizona. 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, hubs, pharmacies, medical offices, patients, and families to secure therapy access.
- Manage prior authorizations, denials, appeals, reauthorizations, overrides, billing problems, and other reimbursement hurdles.
- Maintain case histories and track insurance approvals, reimbursement, patient status, and therapy shipping for U.S. patients.
- Report adverse events and product complaints through medical information and partner with Safety and Pharmacovigilance.
- Identify adherence and reimbursement trends, advise on insurance and financial assistance programs, and report progress and roadblocks.
Requirements
- Master’s degree; or bachelor’s degree with 2 years of case management experience; or associate’s degree with 6 years of case management experience; or high school diploma/GED with 8 years of case management experience.
- Bachelor’s degree strongly preferred.
- Excellent communication and customer service skills, with the ability to resolve multiple cases simultaneously.
- Ability to learn product and disease information and familiarity with HIPAA and FDA requirements.
- Ability to coordinate communication across multiple geographies and time zones.
- Remote work within the United States and up to 20% travel are required.
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 for employees and eligible dependents.
- Retirement and savings plan with company contributions.
- Discretionary annual bonus program.
- Stock-based long-term incentives.
- Paid time off, biannual company-wide shutdowns, and flexible work models including remote arrangements where possible.
- Career development opportunities and work-life balance support.
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