CASE MGMT SPECIALIST
Location: Cambridge Massachusetts!
Description: Genzyme Corporation is employing CASE MGMT SPECIALIST right now, this position will be placed in Massachusetts. For detail informations about this position opportunity kindly see the descriptions. Sanofi, a global and diversified healthcare leader, discovers, develops and distributes therapeutic solutions focused on patients' needs. Sanofi has core strengths in the field of healthcare with seven growth platforms: diabetes solutions, human vaccines, innovative drugs, rare diseases, consumer healthcare, emerging markets and animal health. Sanofi is listed in Paris (EURONEXT: SAN) and in New York (NYSE: SNY).
Job Title: Case Manager, Access and Sales Support
Job Responsibilities:
Reimbursement Expertise (National & Regional Levels)
- Establish! and maintain a strong understanding of Sanofi Renal's product! reimbursement though Medicare Part D, state Medicaid, and government and commercial prescription drug plans.
- Keep current on all available Sanofi Renal Patient Assistance Programs, State Pharmacy Assistance Programs (SPAPs), and government & privately sponsored alternative funding programs.
- Perform Verification of Benefits (VOBs) for patients who are clinically appropriate for Sanofi Renal products and enter information into Sales Logix database in a timely and accurate manner.
- Review verification of Benefit results with customers and potential patient assistance options, when applicable.
- Facilitate Prior Authorizations, Formulary Exceptions, and/or other step edit requirements for Sanofi Renal Products.
- Collaborate with Renassist team members, professionals, and insurance companies to troubleshoot and resolve reimbursement-related issues.
- Initiate and maintain str! ong working relationships with key stakeholders at physician offices and dialysis centers to facilitate effective case management. Includes, but is not limited to: renal dieticians, social workers, physicians, nurses, facility administrators and medical assistants.
- Answer and address calls from the Renassist Helpline; document all pertinent information on callers into SalesLogix database.
- Interact via phone with insurance companies, professionals, Renal Business Unit colleagues and pharmacies.
- Primary Sanofi Renal reimbursement point of contact for assigned sales region.
- Develop positive, ongoing relationships with Clinical Science Specialists, Regional Business Directors, Renal Clinical Consultants, and National and Corporate Account
- Communicate high-level, de-identified results of Verification of Benefits to Clinical Science Specialists and work as a team to ensure patients' access to th! erapy.
- Proactively partner with Clinical Science Specialists t! o identify and address Renal Healthcare Professionals' needs; identify where Renassist can contribute to and support individual business plans.
- Partner with internal Renassist counterparts to effectively manage regional reimbursement needs.
- Position requires approximately 30% travel for customer field presentations and sales meetings (national, zone, and regional).
- Required to manage internal and external customer insurance requests as well as multiple patient insurance verifications projects.
- Expected to review insurance verification results with customers and Clinical Science Specialists with a goal to support clinically appropriate patients with successfully starting and maintaining therapy.
- Provide customer follow up to facilitate successful transitions from Sanofi free drug to obtaining drug through new insurance prescription drug plans.
- Assist team with overflow of work when requi! red.
- Conduct successful live and web-based customer reimbursement & access programs.
- Presentations include, but are not limited to: Renassist services, patient assistance & reviewing multiple patient insurance verification results.
- Securely store and maintain patient records while complying with HIPAA regulations.
- Comply with all state and federal healthcare and pharmaceutical laws and regulations.
- Comply with individual dialysis chain and doctor's offices policies and procedures for working with Renassist.
- Work with customers and coworkers in a professional and ethical manner.
Basic Qualifications: Working knowledge of insurance benefits Preferred Qualifications: Bachelor's degree, 3-5 years professional experience or Master's and 1-3 years. Ability to multitask, developed customer service skill! s, can accurately identify the needs of the customer, obtains a compreh! ensive understanding of Renassist's access and patient assistance services, well organized, efficient, consistently meets established deadlines, strong attention to detail, sense of urgency, strong collaboration skills. SalesLogix database experience a plus. Experience working in a team environment. Ability to work independently. Skills Required: · Strong relationship building skills with internal and external customers. · Ability to overcome product access & reimbursement obstacles to directly impact patient care. · Strong written and oral communication skills, including both live and web based presentations. · Effective workload management & ability to multitask and prioritize tasks independently. · Exceptional customer service. · Ability to work in a team based environment. · Strong problem solving & decision making skills.M*
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If you were eligible to this position, please email us your resume, with salary requirements and a resume to Genzyme Corpor! ation.
If you interested on this position just click on the Apply button, you will be redirected to the official website
This position starts available on: Wed, 04 Dec 2013 06:13:48 GMT