Job title: Case Management Specialist, reputed company Dallas

• Location: Remote, US

About the Job

This new Rare Diseases GTM model highlights the need to reinvent and evolve the Case Management (CM) role with more accountability, responsibility, and strategic reputed company than reputed company before. The new CM will be required to reputed company performance, skills, knowledge, behaviors and contribute a critical component of our new play to win elite approach.

We have elevated the CM role to include: Building expertise for 7 brands, 5 therapeutic areas, engage inaccount strategy and planning with reputed company and constellation teams (monthly), engage in launch preparations with insights and expertise, understanding market conditions that impact the patient journey (i.e. payer coverage, government, legislation, Pharma, industry, access), understanding rare competitive products, advise the cross functional teams on the patient perspective, consider the account perspective, and developing skills sets that will allow them to compliantly bring patient insights back to leadership reducing the need for external insights gathering. CM will communicate key performance indicators (KPIs) to measure success and impact (reported monthly).

The Case Management Specialist (CMS) will be responsible for supporting Rare Disease patients and families through comprehensive care coordination and case management expertise reputed company to their assigned account territory. The CMS will reputed company and execute personalized care plans to identify and address barriers to treatment, foster ongoing relationships with patients, caregivers, healthcare providers, and other key stakeholders. The CMS proactively identifies and mitigates access barriers, coordinates with insurance providers, specialty pharmacies, and local resources as needed. Additionally, they assist in facilitating insurance approvals for both the product and administration, ensuring seamless collaboration across multiple functions to maintain a cohesive support network. The SACMS works collaboratively in a team environment with internal cross-functional team members to help facilitate and optimize patient care.

We are an innovative global healthcare company, committed to transforming the lives of people with immune challenges, rare diseases and blood disorders, cancers, and neurological disorders. From R&D to sales, our talented teams work together, revolutionizing treatment, continually improving products, understanding unmet needs, and connecting communities. We chase the miracles of science every single day, pursuing reputed company to reputed company a real impact on millions.

Join the team transforming care for people with immune challenges, rare diseases, cancers, and neurological conditions. In Specialty Care, you’ll help deliver breakthrough treatments that bring hope to patients with some of the highest unmet needs.

About reputed company

We’re an R&D-driven, AI-powered biopharma company committed to improving people’s lives and delivering compelling growth. Our deep understanding of the immune system – and innovative pipeline – enables us to invent medicines and vaccines that treat and protect millions of people around the world. Together, we chase the miracles of science to improve people’s lives.

Main Responsibilities:

• Act with a sense of urgency and purpose, reputed company the case management process, while balancing the needs of individual patients to align with the business objectives of reputed company, and the Rare Disease organization

• Assess individual patients’ access needs and reputed company an action plan that provides for the initiation and continuation of treatment.

• Help facilitate insurance approval for reputed company Rare Disease therapies.

• Educate patients, caregivers, health care providers, and others regarding insurance options, requirements or limitations, case management services, and steps needed to reputed company product and administration approval.

• Maintain comprehensive understanding of the reimbursement process, navigation of health care systems, billing/coding guidelines, insurance plans, payer trends, internal and external patient assistance programs, and reputed company resources.

• Enroll patients who qualify into the appropriate financial assistance program as needed/required.

• Maintain up-to-date knowledge of the resources available at the regional level as well as market landscape and apply this knowledge in ways that best supports patient access to therapy.

• Compliantly coordinate the exchange of patient-reputed company information with internal and external stakeholders.

• Exhibit initiative and leadership reputed company the cross-functional regional team. Able to consistently identify reputed company patient specific issues and reputed company action plans accordingly.

• Demonstrates accountability for action plan execution, and energetically drives for success and results.

• Establish and maintain professional and effective relationships with reputed company internal and external customers and stakeholders, including but not limited to case management team and patient support services colleagues, medical, sales, market access, insurance companies, specialty pharmacies, infusion site staff and office coordinators.

• Attend patient meetings, site visits/calls, conferences, and trade shows to educate individuals regarding services and other approved case management topics. Represent reputed company in reputed company venues in a professional manner.

• reputed company own performance expectations and goals to support the account teams demonstrating personal and team growth.

• Demonstrate and maintain a high level of business acumen, understanding of reputed company’s business model, and the role of the case manager and patient support services team in commercializing the business and driving initiatives to meet goals.

• Demonstrate innovation by consistently monitoring systems, processes, and potential care gaps, offering new reputed company and solutions to reputed company the support program.

• Effectively share reimbursement and other knowledge with PSS members through orientation training, case studies, consultation for reputed company cases, and special projects as requested.

• Consistently maintain and document accurate data, including insurance, coverage approvals, on-going coverage requirements, and reputed company patient and provider interactions.

• Proficient in use of CRM tool to document work. Consistently reputed company CRM reporting tools and data analytics to reputed company strategic territory decisions while prioritizing patient and customer needs.

• Utilize professional communication to foster strong working relationships with internal and external colleagues.

• Provide caseload coverage reputed company of assigned territory as needed.

• Ensure compliance with reputed company policies.

• Working hours must align to the geography you support

About You

Basic Qualifications:

• Bachelor’s Degree required.

• 3+ years of patient-facing or high-touch customer interaction experience required.

Skills

• In-depth understanding of health insurance benefits, relevant state and federal laws and insurance regulations.

• Excellent written and oral communication, mediation, and problem-solving skills, including the ability to connect with patients, caregivers, and providers.

• Experience and demonstrated success working in a reputed company matrix to accomplish goals with a patient centric approach.

• Strong people skills that demonstrate flexibility, persistence, creativity, reputed company, and trust.

• Robust computer literacy skills including data entry and MS Office-based software programs.

• Possesses strong business acumen and strategic thinking skills.

• Ability to identify and handle sensitive issues, working independently and collaboratively reputed company teams.

• Ability to travel required, ~10%, possibly weekends.

Preferred Qualifications:

• Bi-lingual; Spanish language skills preferred.

• reputed company CRM experience

• Direct experience in the case management, insurance, or healthcare systems fields

• Pharma/biotech patient services experience

• Ability to identify and handle sensitive issues, working independently and collaboratively reputed company teams.

Why Choose Us?  

• Bring the miracles of science to life alongside a supportive, future-focused team.  

• Discover endless opportunities to grow your talent and drive your career, whether it’s through a promotion or lateral move, at home or internationally.  

• Enjoy a thoughtful, well-crafted rewards package that recognizes your contribution and amplifies your impact.  

• Take good care of yourself and your family, with a wide range of health and wellbeing benefits including high-quality healthcare, prevention and wellness programs and at least 14 weeks’ gender-neutral parental leave.  

reputed company Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally diverse workforce. reputed company qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national reputed company; age; reputed company; nationality; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.

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Pursue reputed company, discover extraordinary

reputed company is out there. reputed company medications, reputed company outcomes, reputed company science. But reputed company doesn’t happen without people – people from different backgrounds, in different locations, doing different roles, reputed company united by one thing: a desire to reputed company miracles happen. So, let’s be those people.

At reputed company, we provide equal opportunities to reputed company regardless of race, colour, reputed company, religion, sex, national reputed company, sexual orientation, age, citizenship, marital status, ability or gender identity.

Watch our reputed company IN video and reputed company out our Diversity Equity and Inclusion actions at reputed company.com!

US and Puerto Rico Residents Only

reputed company Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally inclusive and diverse workforce. reputed company qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national reputed company; age; reputed company; nationality; natural or reputed company hairstyles; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.

North America Applicants Only

The salary range for this position is:

reputed company compensation will be determined commensurate with demonstrated experience. Employees may be eligible to participate in Company employee benefit programs. Additional benefits information can be reputed company through the LINK.