Senior Case Manager- Specialty

NCBioImpact; Durham (NC); In loco; USD 54.000 - 71.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical, Dental, Vision, Life ins.

4???? 401(k) program with company-matc

Employee stock purchase plan

Tuition reimbursement

Descrizione del lavoro

Biogen in Durham, NC is seeking a Senior Case Manager in Patient Services to facilitate access to therapies and ensure regulatory compliance. You will liaise with patients, healthcare providers, and partners, guiding cases from initiation to closure with a compassionate, patient-centered approach.

Your role includes advising on reimbursement processes, conducting benefits research, and maintaining adherence to SOPs while traveling up to 20% to support operations.

Competenze

• 3+ years of customer service, patient services, case management, or related experience in a healthcare environment.
• Proficient in reimbursement processes including benefit investigations and payer policies.
• Strong knowledge of the managed care industry, including government payers.
• Demonstrated investigational and analytical skills.
• Ability to work under pressure in a fast-paced environment.
• Strong interpersonal skills for patient support and education.
• Technical proficiency in Microsoft Office and CRM systems.
• Bilingual English and Spanish is a plus.
• High school degree required; Bachelor’s Degree preferred.

Mansioni

• Build trusted relationships with patients and healthcare providers through proactive communication and timely execution of deliverables.
• Leverage understanding of program services to align support with patient needs.
• Deliver personalized case management with inbound/outbound communication about non-clinical access challenges.
• Provide reimbursement support including benefit investigations and program determination.
• Conduct benefits, coverage, and payer research to ensure compliance with policies and timelines.
• Adhere to SOPs and departmental guidelines.
• Travel up to 20% to support program operations.
• Meet and exceed performance metrics and quality standards.
• Perform other duties as assigned.

Conoscenze

Customer service

Reimbursement processes

Managed care knowledge

Investigation skills

Interpersonal skills

CRM systems

Microsoft Office

Bilingual English/Spanish

Formazione

High school degree

Bachelor’s Degree preferred

Strumenti

CRM systems

Microsoft Office

Descrizione del lavoro

About This Role:

As a Senior Case Manager in Patient Services, you will join a dynamic team dedicated to facilitating access to our treatments by overcoming non-clinical challenges and ensuring compliance with regulatory standards. This role involves acting as the primary liaison between patients, healthcare providers, and various partners, guiding them through the complexities of accessing prescribed medications. Your goal will be to provide empathetic, patient-focused care from the initiation to the closure of each case. Through your meticulous attention to detail and proactive communication, you will significantly contribute to our mission of caring deeply, working fearlessly, and changing lives. This position is integral to our operations, ensuring that our patients receive the support they need to access life-changing therapies.

What You’ll Do:

• Build trusted relationships with patients and healthcare providers through proactive communication and timely execution of deliverables.
• Leverage a thorough understanding of program services to align support with the unique needs of each patient.
• Deliver personalized case management, including inbound and outbound communication with patients and HCPs regarding non-clinical access challenges.
• Provide personalized reimbursement support, including benefit investigations, prior authorization information, and financial assistance program determination.
• Conduct necessary benefits, coverage, and payer research to ensure compliance with appeal policies and timelines.
• Adhere to all standard operating procedures and departmental guidelines.
• Travel up to 20% to support program operations.
• Meet and exceed performance metrics and quality standards to achieve business objectives.
• Perform other duties as assigned.

Who You Are:

You are a compassionate and detail-oriented individual with a passion for helping others. Your strong interpersonal skills enable you to listen well and communicate fluently, making you an effective advocate for patients and healthcare providers. You are service-oriented, anticipating and meeting the needs of those you support. Your persistence and problem-solving abilities drive you to achieve results, even in the face of obstacles. You are organized and adaptable, comfortable with process improvement and change management, and you proactively identify trends to communicate to leadership and partners.

Required Skills:

• A minimum of 3 years of customer service, patient services, case management, or related experience in a healthcare environment.
• Proficient in reimbursement processes, including benefit investigations and payer reimbursement policies.
• Strong knowledge of the managed care industry, including government payers.
• Demonstrated investigational and analytical skills.
• Ability to work effectively under pressure and prioritize tasks in a fast-paced environment.
• Strong interpersonal skills for patient support and education.
• Technical proficiency in Microsoft Office Products and CRM systems.
• Bilingual (English and Spanish) skills are a plus.
• High school degree required; Bachelor’s Degree preferred.

Preferred Skills:

• Experience with process improvement and change management.
• Ability to work collaboratively in a team structure.
• Familiarity with protecting patient privacy in various work environments.

Job Level: Entry Level

Additional Information

The base compensation range for this role is: $54,000.00-$70,500.00

Base salary offered is determined through an analytical approach utilizing a combination of factors including, but not limited to, relevant skills & experience, job location, and internal equity.

Regular employees are eligible to receive both short term and long-term incentives, including cash bonus and equity incentive opportunities, designed to reward recent achievements and recognize your future potential based on individual, business unit and company performance.

In addition to compensation, Biogen offers a full and highly competitive range of benefits designed to support our employees’ and their families physical, financial, emotional, and social well-being; including, but not limited to:

• Medical, Dental, Vision, & Life insurances
• Fitness & Wellness programs including a fitness reimbursement
• Short- and Long-Term Disability insurance
• A minimum of 15 days of paid vacation and an additional end-of-year shutdown time off (Dec 26-Dec 31)
• Up to 12 company paid holidays + 3 paid days off for Personal Significance
• 80 hours of sick time per calendar year
• Paid Maternity and Parental Leave benefit
• 401(k) program participation with company matched contributions
• Employee stock purchase plan
• Tuition reimbursement of up to $10,000 per calendar year
• Employee Resource Groups participation

Why Biogen?

We are a global team with a commitment to excellence, and a pioneering spirit. As a mid-sized biotechnology company, we provide the stability and resources of a well-established business while fostering an environment where individual contributions make a significant impact. Our team encompasses some of the most talented and passionate achievers who have unparalleled opportunities for learning, growth, and expanding their skills. Above all, we work together to deliver life-changing medicines, with every role playing a vital part in our mission. Caring Deeply. Achieving Excellence. Changing Lives.

At Biogen, we are committed to building on our culture of inclusion and belonging that reflects the communities where we operate and the patients we serve. We know that diverse backgrounds, cultures, and perspectives make us a stronger and more innovative company, and we are focused on building teams where every employee feels empowered and inspired. Read on to learn more about our Biogen.

All qualified applicants will receive consideration for employment without regard to sex, gender identity or expression, sexual orientation, marital status, race, color, national origin, ancestry, ethnicity, religion, age, veteran status, disability, genetic information or any other basis protected by federal, state or local law. Biogen is an E-Verify Employer in the United States.