BrightOwl Loader Loading

Case Manager - United States  

Company managed [?] Still accepting applications

Posted on : 26 February 2017

Project Description

Description:
  • Our company is a clinical-stage biopharmaceutical company focused on the development and commercialization of novel cancer immunotherapy products designed to harness the power of a patient’s own immune system to selectively target and kill cancer cells.  
  • Our core technology involves the genetic engineering of T cells, or white blood cells, to express either chimeric antigen receptors (CARs) or T cell receptors (TCRs) for the treatment of advanced solid and hematological malignancies. 
  • We are on a rapid growth trajectory and have a highly energized and accomplished team. 
  • The Case Manager is responsible for monitoring all activities and successfully facilitating a patient’s case from enrollment to the program through case completion while providing an exceptional customer experience throughout the entire process.


Responsibilities (include but are not limited to):
  • Manages patient cases from the beginning of the referral to final resolution including appeal approvals 
  • Leads coordination efforts between multiple parties including but not limited to patients, providers, physicians and their staff, treatment center billing departments, insurance companies, and patient assistance programs 
  • Reviews case upon receipt of referral to determine appropriate next steps based on defined process 
  • Contacts patients / caregivers to discuss copay assistance programs as needed 
  • Places follow up calls to patients / caregivers to retrieve program documentation including but not limited to patient authorization / consent form, obtaining missing information, and retrieving denial letters 
  • Constantly keeps physician and physician’s team updated on status of the case 
  • Ensures timelines and customer commitments are met 
  • Facilitates and manages coordination of the product and ancillary supplies needed for treatment, documenting and managing all communication during the process 
  • Minimizes obstacles to coverage by using judgment to successfully plan next steps 
  • Makes constant case assessments and makes informed, methodical decisions throughout a very complex process 
  • Assists customers to navigate healthcare insurance reimbursement issues through education, information, and exceptional communication 
  • Constantly updates the tracking system to ensure patient treatment is timely and hassle free for the patient and providers 
  • Coordinates with internal quality, supply chain and other internal teams to resolve issues 
  • Supports the Operations Program Manager on program initiatives and departmental goals 
  • Answers incoming hotline calls as needed 
  • Enters case data into the program system 
  • Responds to internal team member case-related questions 
  • Participates in daily informal check-in’s with team 
  • Attends weekly team meeting 
  • Responds to emails from internal and external customers that need to be addressed immediately by a case manager 
  • Fields customer complaints and responds in a timely manner 
  • Travels, attends, and presents at customer and patient meetings as requested 


Requirements:
Key attributes:
  • Excellent leadership, oral communication, and customer service skills 
  • Effective case management skills 
  • Proven ability to think strategically and to prioritize 
  • Strong presentation skills 
  • Exceptional problem solving skills 
  • Ability to work enthusiastically with others 
  • Self-confident and resourceful 
  • Exhibits initiative, flexibility, and dependability 
  • Quality work and attention to detail 
  • Humility and integrity 
  • Team player 
  • Customer-focused 
  • Business acumen / business savvy 


Work experience:
  • Three or more years of reimbursement / patient services experience preferably in a pharma / biotech or health services environment specializing in oncology 
  • Strong understanding of the healthcare insurance reimbursement market 
  • Previous experience working in a pharmaceutical patient assistance program preferred 


Education:
  • Undergraduate degree or Graduate degree preferred 
  • Nursing or social work education a plus although not required 


About Us:
  • Our company is an equal opportunity employer. 
  • We are able to offer the opportunity to be part of the first 200 employees in this successful, fast growing company.  
  • A place everyone knows your name and respects your opinion while at the same time offering benefits and time off packages commensurate to any large corporation.