Case Manager, Rare Disease Patient Services

Responsibilities

• Manage a caseload while meeting key performance indicators
• Oversee enrollment from receipt through product shipment, including benefits investigations and prior authorization
• Serve as primary point of contact for patients from enrollment through treatment
• Educate patients and caregivers on insurance benefits and financial assistance programs
• Coordinate treatment access with providers, payers, specialty pharmacies and internal teams
• Monitor treatment progress and proactively identify barriers to therapy
• Identify trends in reimbursement challenges and recommend process improvements
• Maintain accurate documentation in line with HIPAA and program guidelines

Requirements

• Bachelor's degree or equivalent experience
• 5+ years in pharmaceutical or biotechnology industry
• 2-5 years in case management, patient access, specialty pharmacy or reimbursement
• Knowledge of insurance verification, benefits investigations and prior authorizations
• Proficiency in MS Office Suite
• Excellent communication, organizational and problem-solving skills

Preferred Qualifications

• Rare disease experience
• Experience with specialty medications in oncology, immunology or neurology

Benefits

• 401(k) with company match, annual bonus, long-term incentive program
• Medical, dental, vision and prescription coverage, HSA and FSA
• Generous PTO, sick time, life and disability insurance, tuition assistance

About the Company

• Specialty pharmaceutical company developing medicines across bone and mineral, hematology, oncology and rare disease.