Case Manager_SAN-DDD-10-07 at Software Galaxy Systems, LLC

Job Purpose:

Provide exceptional service to support patients/families starting and continuing therapy by demonstrating empathetic listening skills, care, and commitment. Coordinate between patients/families, healthcare providers, insurance providers, specialty pharmacy and local resources. Conduct benefit investigation, provide patient education, enroll in patient support programs, and coordinate drug delivery. Exceed in delivering a positive patient experience and be the resource of choice for the rare blood community. Be an active cross-functional team member to deliver best-in-class services to ensure access to therapy.

Job Responsibilities:

• Engage patients/families to create a long-term relationship, uncover patient needs, understand challenges, and provide education and support to start or continue therapy. Manage complex issues and utilize approved resources to reduce/remove barriers as needed
• Assist in obtaining insurance approval for therapy, proactively plans for maintenance of coverage by working with the patients/families, healthcare providers, insurance companies and specialty pharmacies
• Enroll patients who qualify in financial assistance or gap coverage
• Educate patients/families and healthcare providers about patient support services. Educate about patient insurance options, limitations, requirements. Connect patients/families with local resources
• Ensure close cross-functional collaboration with Patient Services field teams, Sales, and Market Access as appropriate to ensure consistent integrated approach to supporting patient access
• Establishes and maintains professional and effective relationships with all internal and external customers including but not limited to Patient Services colleagues, Medical, Sales, Market Access, Patient Advocacy, insurance company case managers, specialty pharmacies, home health agencies, infusion site staff and office coordinators.
• Represent client’s at patient meetings and conferences as the trusted community resource
• Document call details with attention to data integrity to ensure compliance and enhance our service offering
• Leverages CRM reporting tools and data analytics to make strategic decisions about their territory and prioritize patient and customer needs.
• Provide caseload coverage outside of assigned territory as needed.
• Seek coaching feedback to enhance service skills
• Ensure compliance with client’s policies
  

Basic qualifications:

• Master’s degree (2-4 years) or PhD degree (0-2 years) in Biotechnology, (Bio)Chemical engineering, Biology, Biochemistry, or a related field.
• Relevant knowledge, coursework and/or hands-on experience in mammalian cell culture process development (e.g., cell biology and biochemistry, cell culture engineering, recombinant protein production, bioreactor engineering, protein product characterization, sterility and aseptic techniques, technology transfer, etc.).
• Strong motivation, curiosity, attention to detail, multitasking ability and active problem-solving and troubleshooting skills.
• Ability to work both independently and in a team-oriented environment with strong project management and communication skills (oral/written).

   Must Have:

• 2-4 years patient experience (outside of nursing)
• Bachelor's degree • Soft skills: values respect and respects colleagues
• Positive in demeanor

Nice to Have/ Preferred:

• Previous health insurance reimbursement (nice to have)
• Case management experience is a plus
• Experience with Salesforce
• Spanish language knowledge
• Open to working later shifts