Case Manager - Phoenix, AZ

About the role

We're seeking a Pharmaceutical Case Manager on the Patient Services team to help expand what's possible for patients with serious diseases. Reporting to the Associate Director, Case Management, you'll oversee the patient journey from initial onboarding through ongoing support and service, ensuring a positive and seamless experience for patients in your designated region.

Responsibilities

• Manage the patient journey, from initial prescription receipt through ongoing treatment support, ensuring timely and accurate services are provided
• Collaborate with cross-functional teams such as field access managers, educators, field sales, and specialty pharmacies to facilitate a holistic and patient-centric approach to assisting patients
• Verify insurance coverage and prior authorization status, and help resolve any barriers to treatment; as well as collaborate with the Field Access Manager and Key Account Directors to monitor access challenges
• Ensure that all aspects of the patient’s therapy initiation experience are well-coordinated, including the ability to support patient questions in accordance with prescribing information (PI) data as indicated
• Provide continuous education based on the prescribing information (PI), monitor patient progress, and address any concerns to ensure adherence to the prescribed treatment plan
• Utilize motivational interviewing communication techniques to deliver appropriate communication and engagement based on patient needs

Requirements

• A Bachelor’s degree or equivalent experience
• 2 years of experience in Case Management within pharma/biotech, clinics, hospital, or insurance company

Qualifications

• Superior interpersonal skills
• Acumen: Ability to collaborate effectively with internal and external team members
• Open-minded and adaptable: Be open to new ideas, feedback, and change
• Patient-centric approach: Demonstrate a strong focus on patient care, ensuring that patient needs are always prioritized and that you go the extra mile to ensure their satisfaction and success
• Dedicated: A self-motivated and diligent approach to your work, ensuring tasks are completed accurately and efficiently while maintaining high-quality care for patients
• Expert communicator: Strong verbal and written communication skills, with the ability to clearly convey information to patients, healthcare providers, and cross-functional teams. Ability to adapt communication style to the needs of the individual patient, ensuring clarity, empathy, and understanding at all times
• Proactive problem solver: Demonstrated ability to identify potential challenges before they arise and take initiative to find creative and effective solutions. Ability to anticipate patient, provider, and access issues, ensuring timely resolution to prevent delays in treatment initiation
• Understanding of HIPAA and privacy laws and requirements and maintains patient confidentiality
• Experience with Adverse Event and Product Quality Complaint reporting

Skills

• Working knowledge and experience with health insurance, Medicare Part D coverage, prior authorization process, and Rx reimbursement, specifically in specialty drugs

Benefits

• Comprehensive medical, dental, and vision coverage and mental health support
• Annual wellbeing reimbursement, and access to our Employee Assistance Program (EAP)
• Generous paid time off policies, fertility and family-forming benefits, caregiver support, and flexible work schedules with purposeful in-person collaboration
• 401(k) plan with a competitive company match, annual equity awards, and participation in our Employee Stock Purchase Plan (ESPP), and company-paid life and disability insurance

Pay

$39.00-50.00 Hourly

Schedule

This is a fully remote role. It can be performed effectively from the Phoenix, AZ area while staying connected to your Insmed team and community. Occasional travel for team meetings or events will be expected. Travel Requirements: This role requires occasional domestic travel (up to 25%)