Gene Therapy Case Manager

Orsini; Elk Grove Village (IL); Hybrid; USD 41,000 - 43,000; Full time

Benefits offered by this job

Medical Coverage

Dental Coverage

Vision Coverage

401(k) with employer match

Life insurance options

PTO and holidays

Job summary

Orsini is seeking a Case Manager to act as the primary contact with manufacturers for referrals and shipments. You will validate prescriptions, obtain clinical docs, and assist with prior authorizations while coordinating deliveries to patients and caregivers.

The role requires establishing strong relationships with physician offices, patients, and payors, ensuring accurate data entry and timely processing in fast-paced environments.

Qualifications

• High School diploma or equivalent is required.
• Pharmacy Technician License is required.
• National Technician Certification is preferred.
• 4 years' experience in pharmacy or customer service environment.
• Previous Specialty Pharmacy experience is preferred.

Responsibilities

• Establish and build rapport with patient base.
• Contact physician offices to obtain prescriptions and clinical documentation.
• Initiate prior authorization with insurance plans.
• Provide customer service to internal and external customers.
• Process and verify patient benefits and pay options.
• Enter data into multiple workflow systems for end-to-end order processes.
• Schedule deliveries and generate delivery tickets/labels.
• Communicate with manufacturers about referrals and active patients.

Skills

Customer service

Microsoft Excel

Data entry

Team player

Phone communication

Education

High School diploma or equivalent

Tools

Workflow systems

Job description

Careers with real impact.

Every role at Orsini moves a patient closer to life-changing therapy. We partner with biopharma innovators, healthcare providers, and payers to make access simple, compassionate, and reliable - so no patient is left behind. Make your next role matter.

ABOUT ORSINI

Providing compassionate care since 1987, Orsini is a leader in rare disease and gene therapy pharmacy solutions, built to simplify how patients connect to advanced medicines. Through our comprehensive commercialization solutions including a nationwide specialty pharmacy, patient services hub, home infusion and nursing network, and third-party logistics provider, we work with biopharma, providers, and payors to ensure No Patient is Left Behind™

OUR MISSION

Orsini is on a mission to be the essential partner for biopharma innovators, healthcare providers, and payers to support patients and their families in accessing revolutionary treatments for rare diseases. Through our integrated portfolio of services, we seek to pioneer comprehensive solutions that simplify how patients connect to advanced therapies while providing holistic, compassionate care so that No Patient is Left Behind™.

CORE VALUES

At the heart of our company culture, the Orsini LIVE IT Core Values serve as guiding principles that shape how we interact with each other and those we serve. These values are the driving force behind our commitment to excellence, collaboration, and genuine care in every aspect of our work.

COMPENSATION: This is an hourly, overtime-eligible position with a pay range of $30.00 - $31.00 per hour.

LOCATION: Onsite orHybrid work from our Elk Grove Village, IL, or Columbus, OH location is preferred. Remote work may be considered for candidates residing in an approved state.

POSITION SUMMARY: This position serves as primary contact with the manufacturer regarding all patient referrals and shipments. Responsible for real time communication to the manufacturer on any pending referrals updates and any patient initial and refill shipments. The Case Manager is responsible for contacting physician’s offices to validate prescriptions, obtain clinical documentation and initial prior authorizations through the insurance plans. Will support physician’s offices during any appeals as needed. The Case Manager is responsible for contacting patients and/or caregivers to schedule a delivery and determine supply needs; accurately dispensing products in the computer system to generate a delivery ticket and/or prescription labels for each shipment. Contact physician offices to coordinate all deliveries.

ESSENTIAL DUTIES

• Establish and continually build rapport with patient base.
• Contact physician’s office to obtain current prescriptions and clinical documentation that is required by the plans.
• Validate that the clinical documentation received is what is required by the plan and initiate prior authorization with the plan.
• Experience in providing customer service to internal and external customers.
• Process and verify patient benefits and pay options as needed.
• Responsible for all data entry into multiple workflow systems for end-to-end order process.
• Enter and update new and refill orders into workflow systems.
• Ensure timely processing of all patient orders per committed time frames.
• Responsible for all data entry into multiple workflow systems for end-to-end order process.
• Ensure timely processing of all patient orders per committed time frames.
• Work in collaboration with intake and MD offices.
• Provide constant communication to the manufacture about all referrals and active patients.
• Intermediate Knowledge of Microsoft Excel Required.
• Ability to work well in a team environment and provide support to other team members.
• Detail oriented, ability to prioritize workload, multitask, and work well in a fast-paced environment.
• Responsible for handling all inbound/making outbound calls to patients, physician offices and plans.

QUALIFICATIONS:

• Education
  • High School diploma or equivalent
• Certifications
  • Pharmacy Technician License (required)
  • National Technician Certification (preferred)
• Experience
  • 4 year's experience in pharmacy or customer service environment
  • Previous Specialty Pharmacy experience (preferred)

EMPLOYEE BENEFITS: We offer a comprehensive benefits package designed to support your health, financial security, and overall well-being:

• Medical Coverage, Dental, and Vision Coverage
• 401(k) with employer match
• Accident and Critical Illness coverage
• Company-paid life insurance options
• Generous PTO, paid holidays, and floating holidays
• Tuition reimbursement program.

Equal Employment Opportunity

Orsini Rare Disease Pharmacy Solutions is committed to the principle of Equal Employment Opportunity for all employees and applicants. It is our policy to ensure that both current and prospective employees are afforded equal employment opportunity without consideration of race, religious creed, color, national origin, nationality, ancestry, age, sex, marital status, sexual orientation, or present or past disability (unless the nature and extent of the disability precludes performance of the essential functions of the job with or without a reasonable accommodation) in accordance with local, state and federal laws.

Americans with Disabilities Act

Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The organization shall determine reasonable accommodation on a case-by-case basis in accordance with applicable law.

E-Verify Participation Notice

We participate in the federal E-Verify program to confirm the identity and employment eligibility of all newly hired employees.

All offers of employment are contingent upon the successful completion of Form I-9 and verification through the E-Verify system.

For more information about E-Verify, please review the official notices below:

E-Verify Participation Poster (English & Spanish): https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf

Right to Work Poster (English & Spanish): https://www.e-verify.gov/sites/default/files/everify/posters/IER_RightToWorkPoster.pdf