Case Manager – Rare Disease

Vaga não está no LinkedIn

🔥 21 horas atrás

🌵 Arizona – Remoto

🌵 Arizona – Remote

💵 $81.851 - $110.740 / ano

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

👔 Gerente

🚫👨‍🎓 Sem graduação necessária

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Amgen

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1980

🏥 Saúde

🧬 Biotecnologia

💊 Farmacêutico

💰 $28.500.000.000 Post-IPO Debt em 2022-12

Healthcare • Biotechnology • Pharmaceuticals

A Amgen está comprometida a liberar o potencial da biologia para pacientes que sofrem de doenças graves, descobrindo, desenvolvendo, fabricando e fornecendo terapias humanas inovadoras. Esta abordagem começa utilizando ferramentas como genética humana avançada para desvendar as complexidades das doenças e entender os fundamentos da biologia humana.

Descrição

• Oversee and maintain awareness of patient customer service issues involving insurance, specialty pharmacy, and patient support programs • Interact daily with Regional Business Managers, Patient Access Liaisons, and Medical Science Liaisons regarding insurance approvals and reauthorizations • Case manage all steps required to gain patient access to therapy in collaboration with RBMs, PALs, the hub, pharmacy, and patients/families • Partner with Safety and Pharmacovigilance; report adverse events and product complaints through medical information • Maintain case histories for all U.S. patients, including relevant notes from hubs, pharmacies, insurers, support programs, medical offices, nurses, patients, and families • Maintain and update patient status to track reimbursement and shipping status • Triage, troubleshoot, and resolve reimbursement issues, including prior authorizations, denials, appeals, reauthorizations, overrides, and billing problems • Liaise with medical offices to obtain insurance authorizations • Counsel patients and families on insurance and reimbursement options • Identify adherence trends and suggest appropriate action • Report weekly changes in patient status, adjudication status, reimbursement trends, successes, and roadblocks • Manage, track, and report on annual Open Enrollment efforts • Advise patients and families on insurance, financial assistance, and therapeutic access programs • Attend patient meetings, industry conferences, and sales meetings

🎯 Requisitos

• Master’s degree OR Bachelor’s degree and 2 years of Case Management experience OR Associate’s degree and 6 years of Case Management experience OR High school diploma / GED and 8 years of Case Management experience • Bachelor’s Degree strongly preferred • 5+ years of experience in the pharmaceutical industry • 2+ years prior experience as a Case Manager • Excellent communication skills and commitment to customer service • Ability to effectively resolve hurdles across multiple cases at the same time • Ability to learn product and disease information • Familiarity with HIPAA and FDA • Ability to manage communication with case managers and sales reps across multiple geographies and time zones • Excel and PowerPoint skills required • Up to 20% travel required

🏖️ Benefícios

• Comprehensive employee benefits package • Retirement and Savings Plan with generous company contributions • Group medical, dental and vision coverage • Life and disability insurance • Flexible spending accounts • Discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan • Stock-based long-term incentives • Award-winning time-off plans • Bi-annual company-wide shutdowns • Flexible work models, including remote work arrangements, where possible • Career development opportunities • Work/life balance