Case Manager – Rare Disease Patient Services

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $95k - $118k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Kyowa Kirin, Inc.- U.S.

WebsiteLinkedInAll Job Openings

501 - 1000 employees

💊 Pharmaceuticals

🧬 Biotechnology

🏥 Healthcare

Pharmaceuticals • Biotechnology • Healthcare

Kyowa Kirin, Inc. - U. S. is a specialty pharmaceutical company dedicated to making a profound impact on patient lives. As a part of a global enterprise, it focuses on using advanced biotechnologies to discover and deliver innovative medicines, primarily targeting hard-to-treat diseases and aiming for life-changing outcomes. The North America division, with offices in New Jersey and California, emphasizes drug discovery, product development, and commercialization in areas such as oncology, immunotherapy, and rare diseases.

📋 Description

• Manage a caseload efficiently while consistently meeting established key performance indicators (KPIs) • Review new and restart patient enrollments for completeness and oversee the entire enrollment process from receipt through product shipment, including benefits investigations, prior authorization, specialty pharmacy, nurse training coordination, and shipment scheduling • Serve as the primary point of contact for patients, providing consistent support from enrollment through treatment initiation and throughout their treatment journey • Build and maintain relationships with patients, caregivers, and healthcare providers through timely, personalized communication • Educate patients and caregivers on insurance benefits, financial assistance programs, patient support services, and available resources • Coordinate treatment access, initiation, and ongoing therapy with healthcare providers, payers, specialty pharmacies, and internal cross-functional teams • Monitor treatment progress, identify barriers to therapy, and implement solutions to prevent delays or interruptions in care • Maintain compliant relationships with internal stakeholders and external partners to ensure a seamless patient experience • Identify and communicate trends related to reimbursement challenges, access delays, patient concerns, and operational issues, recommending process improvements • Maintain accurate and timely documentation in compliance with program guidelines, HIPAA regulations, and applicable privacy and regulatory requirements • Participate in team meetings and continuous process improvement initiatives to enhance operational efficiency and patient outcomes

🎯 Requirements

• Bachelor’s degree or equivalent experience required. • 5+ years of experience in pharmaceutical or biotechnology industry • 2–5 years of experience in case management, patient access, patient support, healthcare, specialty pharmacy, reimbursement, or a related healthcare setting • Experience managing a high-volume caseload while meeting productivity goals and service-level expectations. • Ability to prioritize multiple cases, manage competing deadlines, and work independently in a fast-paced environment. • Knowledge of insurance verification, benefits investigations, prior authorizations, appeals, and reimbursement processes. • Previous experience with Specialty and Medical Benefits process and billing • Experience collaborating with patients, healthcare providers, specialty pharmacies, payers, and multidisciplinary teams. • Excellent communication, customer service, organizational, and problem-solving skills. • Proficient in MS Office Suite. • Demonstrated ability to organize, prioritize, meet deadlines, make sound decisions, and adapt quickly in a fast-paced environment. • Strong interpersonal, communication, and relationship-building skills. • Strong work ethic with exceptional attention to detail and follow-through. • Ability to manage multiple priorities and adapt to changing business needs in a dynamic, high-growth environment. • Commitment to continuous learning, professional development, and ongoing improvement. • Requires up to 10% domestic and international travel

🏖️ Benefits

• 401(k) with company match • Annual Bonus Program (Sales Incentive Plan for eligible sales positions) • Generous Paid Time Off (PTO) and holiday schedule, including Summer and Winter Company Shut-Downs • Sick Time and Volunteer Time Off • Medical, Dental, Vision, and Prescription Drug Coverage • Health Savings Account (HSA) and Flexible Spending Account (FSA) Programs • Well-Being and Work/Life Programs • Life and Disability Insurance • Concierge Services • Long-Term Incentive Program (based on job level and performance) • Pet Insurance • Tuition Assistance • Employee Referral Awards