Gene Therapy Case Manager

About the role

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.

Responsibilities

• 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.
• Work in collaboration with intake and MD offices.
• Provide constant communication to the manufacturer about all referrals and active patients.

Requirements

• High School diploma or equivalent
• Pharmacy Technician License
• National Technician Certification – preferred
• Previous Specialty Pharmacy experience – preferred
• At least 1 year experience in pharmacy or customer service environment

Qualifications

• 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

Skills

• Intermediate Knowledge of Microsoft Excel

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.

Pay

The compensation range for this position is $30 - $32/hr.

Schedule

The position is at our Elk Grove Village location.