What are the responsibilities and job description for the Case Manager Rare Disease TEPEZZA - Memphis TN position at Veteran Jobs - 2023 Mar 01 - Veterans Resources?
ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps. Unless specifically stated otherwise, this role is On-Site at the location detailed in the job post.
HOW MIGHT YOU DEFY IMAGINATION?
You've worked hard to become the professional you are today and are now ready to take the next step in your career. How will you put your skills, experience and passion to work toward your goals? At Amgen, our shared mission-to serve patients-drives all that we do. It is key to our becoming one of the world's leading biotechnology companies, reaching over 10 million patients worldwide. Come do your best work alongside other innovative, driven professionals in this meaningful role.
Live
What you will do
Let's do this. Let's change the world. In this vital role the Case Manager will experience day to day oversight and awareness of patient customer service issues with insurance, the specialty pharmacy, and patient support programs
Daily interaction with Regional Business Managers (RBMs), Patient Access Liaison (PAL) and Medical Science Liaison's (MSLs) to ensure current and accurate communication on the status of insurance approvals and reauthorizations
Work closely with RBMs, PALs, the hub, pharmacy, and the patient/family to case manage all steps required to gain access to therapy
Partner with Safety and Pharmacovigilance (PV). Report Adverse Event (AE)'s and product complaints through medical information
Maintain case history for all U.S. patients, entering relevant notes from the hub, the pharmacy, calls to insurance, patient support programs, physicians and nurses, and the patients and families
Maintain and update patient status to track reimbursement and shipping status of U.S. patients
Triage, troubleshoot and resolve initial and ongoing reimbursement issues (PAs, denials, appeals, reauthorizations, overrides, billing problems)
Liaise with medical offices as necessary to obtain insurance authorizations
Counsel patients and family on insurance and reimbursement options
Identify general and specic adherence trends and suggest appropriate action
Report on weekly changes in patient status, current adjudication status of all patients, overall reimbursement trends, and any other trends, successes, or roadblocks
Manage, track, and report on Open Enrollment efforts annually to ensure every patient has
access to adequate insurance
Advise patients and families on insurance, nancial assistance and therapeutic access
programs
Attend patient meetings, industry conferences and sales meetings
HOW MIGHT YOU DEFY IMAGINATION?
You've worked hard to become the professional you are today and are now ready to take the next step in your career. How will you put your skills, experience and passion to work toward your goals? At Amgen, our shared mission-to serve patients-drives all that we do. It is key to our becoming one of the world's leading biotechnology companies, reaching over 10 million patients worldwide. Come do your best work alongside other innovative, driven professionals in this meaningful role.
Live
What you will do
Let's do this. Let's change the world. In this vital role the Case Manager will experience day to day oversight and awareness of patient customer service issues with insurance, the specialty pharmacy, and patient support programs
Daily interaction with Regional Business Managers (RBMs), Patient Access Liaison (PAL) and Medical Science Liaison's (MSLs) to ensure current and accurate communication on the status of insurance approvals and reauthorizations
Work closely with RBMs, PALs, the hub, pharmacy, and the patient/family to case manage all steps required to gain access to therapy
Partner with Safety and Pharmacovigilance (PV). Report Adverse Event (AE)'s and product complaints through medical information
Maintain case history for all U.S. patients, entering relevant notes from the hub, the pharmacy, calls to insurance, patient support programs, physicians and nurses, and the patients and families
Maintain and update patient status to track reimbursement and shipping status of U.S. patients
Triage, troubleshoot and resolve initial and ongoing reimbursement issues (PAs, denials, appeals, reauthorizations, overrides, billing problems)
Liaise with medical offices as necessary to obtain insurance authorizations
Counsel patients and family on insurance and reimbursement options
Identify general and specic adherence trends and suggest appropriate action
Report on weekly changes in patient status, current adjudication status of all patients, overall reimbursement trends, and any other trends, successes, or roadblocks
Manage, track, and report on Open Enrollment efforts annually to ensure every patient has
access to adequate insurance
Advise patients and families on insurance, nancial assistance and therapeutic access
programs
Attend patient meetings, industry conferences and sales meetings