Case Manager, Rare Disease Patient Services

Kyowa Kirin North America; United States; On-site; USD 95,000 - 118,000; Full time

Benefits offered by this job

401(k) with company match

Annual Bonus Program

PTO and holidays

Medical, Dental, Vision

HSA and FSA

Well-Being and Work/Life Programs

Life and Disability Insurance

Tuition Assistance

Employee Referral Awards

Concierge Services

Job summary

Kyowa Kirin North America is seeking a Case Manager to guide patients through access and initiation of rare disease therapies. You will support enrollment, benefits investigations, and therapy initiation while coordinating with providers, payers, and specialty pharmacies.

The role requires 5+ years in pharma/biotech, strong communication, and ability to manage high-volume caseloads. Travel up to 10% domestically and internationally; competitive benefits package offered.

Qualifications

• Bachelor’s degree required or equivalent experience.
• 5+ years in pharmaceutical or biotechnology industry.
• 2–5 years in case management, patient access, patient support, healthcare, specialty pharmacy, reimbursement, or related healthcare setting.
• Experience managing a high-volume caseload while meeting productivity goals.
• Knowledge of insurance verification, benefits investigations, prior authorizations, appeals, and reimbursement processes.
• Experience with Specialty and Medical Benefits process and billing; rare disease experience a plus.
• Excellent communication, customer service, organizational, and problem-solving skills.

Responsibilities

• Manage a caseload efficiently while consistently meeting KPIs.
• Review enrollments and oversee enrollment to shipment including benefits investigations and prior authorizations.
• Serve as the primary contact for patients from enrollment through treatment initiation.
• Build and maintain relationships with patients, caregivers, and HCPs with timely communication.
• Educate patients on insurance benefits, financial assistance programs, and patient support services.
• Coordinate treatment access and ongoing therapy with providers, payers, and internal teams.
• Monitor progress, identify barriers, and implement timely solutions to avoid delays.
• Maintain compliant relationships with Sales, Market Access, and external partners.

Skills

Case management

Healthcare coordination

Patient support

Communication

Attention to detail

Education

Bachelor’s degree

Tools

MS Office

Job description

Kyowa Kirin is a fast-growing global specialty pharmaceutical company that applies state-of-the-art biotechnologies to discover and deliver novel medicines in four disease areas: bone and mineral; intractable hematologic; hematology oncology; and rare disease. A Japan-based company, our goal is to make people smile by delivering breakthroughs where no adequate treatments currently exist, working from drug discovery to product development and commercialization. In North America, we are headquartered in Princeton, NJ, with offices in California, Massachusetts, and Ontario.

Summary Of Job

The Case Manager is responsible for working with patients, caregivers, and healthcare providers (HCPs) to guide patients through the access and initiation process for Kyowa Kirin's rare disease products while providing ongoing support throughout their treatment journey. The Case Manager collaborates with internal and external stakeholders to help meet each patient's individual needs.

Essential Functions

• 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 strong relationships with patients, caregivers, and healthcare providers by delivering timely, personalized communication based on individual needs and preferences
• Educate patients and caregivers on insurance benefits, financial assistance programs, patient support services, and available resources.
• Coordinate treatment access, initiation, and ongoing therapy by collaborating with healthcare providers, payers, specialty pharmacies, and internal cross-functional teams.
• Monitor each patient's treatment progress, proactively identify barriers to therapy, and implement timely solutions to prevent delays or interruptions in care.
• Establish and maintain compliant relationships with internal stakeholders, including Sales and Market Access teams, as well as external partners such as specialty pharmacies and HCP staff to ensure seamless patient experience.
• Identify and communicate trends related to reimbursement challenges, access delays, patient concerns, and operational issues, providing recommendations for process improvements.
• Maintain accurate and timely documentation while ensuring compliance with program guidelines, HIPAA regulations, and all applicable privacy and regulatory requirements.
• Participate in team meetings, contribute to continuous process improvement initiatives, and collaborate on solutions to enhance operational efficiency and patient outcomes

Education

• Bachelor’s degree or equivalent experience required.

Experience

• 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
• Rare disease experience a plus
• Experience collaborating with patients, healthcare providers, specialty pharmacies, payers, and multidisciplinary teams.
• Excellent communication, customer service, organizational, and problem-solving skills.
• Experience working with specialty medications, rare disease, oncology, immunology, neurology, or other specialty therapeutic areas is preferred

Technical Skills

• Proficient in MS Office Suite.

Non-Technical Skills

• 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.

Travel

Requires up to 10% domestic and international travel

Compensation & Benefits

The anticipated salary for this position is $95,000 to $118,000. The actual salary offered at the commencement of employment may vary based on several factors, including but not limited to relevant experience, skill set, qualifications, education (including applicable licenses and certifications), job-related knowledge, geographic location, and other business and organizational needs.

The listed salary is one component of Kyowa Kirin North America's total rewards package. We offer a comprehensive benefits program that includes:

• 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

The compensation and benefits information set forth in this posting applies to candidates hired in the United States. Candidates hired outside of the United States will be eligible for compensation and benefits in accordance with their local market.

Our Commitment

KKNA and all employees are expected to act with integrity and in accordance with all applicable laws in every aspect of our business and interactions.

Kyowa Kirin North America, Inc. is an Equal Opportunity Employer. We provide equal employment opportunities to all qualified applicants and employees without regard to race, color, religion, creed, sex (including pregnancy), age, national origin, disability, genetic information, veteran status, marital status, sexual orientation, gender identity or expression, citizenship status, or any other characteristic protected by applicable law.

Privacy Notice

When you apply for a position through this site, the personal data contained in your application will be collected and stored by Kyowa Kirin, Inc. ("Controller"), located at:
510 Carnegie Center Drive
Princeton, NJ 08540 USA

The Controller's Data Protection Officer may be contacted at [e-mail].

Your personal data will be processed for the purpose of managing recruitment-related activities, including scheduling and conducting interviews, evaluating applicants, and completing the hiring process. This processing is permitted under Article 6(1)(f) of the General Data Protection Regulation (EU) 2016/679 ("GDPR") as necessary for the legitimate interests of the Controller.

Your personal data will be shared with Greenhouse Software, Inc., a cloud service provider located in the United States that supports Kyowa Kirin's recruitment process. If you are located outside the United States, your personal data will be transferred to the United States using appropriate safeguards, including Standard Contractual Clauses approved by applicable regulators.

Your personal data will be retained only for as long as necessary to evaluate your application for employment. Under the GDPR, applicants located in the European Union have the right to request access to, correction of, deletion of, or restriction of processing of their personal data. You also have the right to data portability and to lodge a complaint with your local supervisory authority.

Questions regarding the use of your personal data may be directed to [e-mail].

Recruitment & Staffing Agencies

Kyowa Kirin does not accept unsolicited resumes from recruitment or staffing agencies unless the agency has been engaged directly by Kyowa Kirin Talent Acquisition. Please do not forward resumes to Kyowa Kirin employees or any company location. Kyowa Kirin is not responsible for any fees associated with unsolicited resumes.