Position Description

Case Manager
Location United States
Requisition ID 2017
# of openings 1
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Case Manager

 

Position Summary

Reporting to the Director, Patient Support Services, the Case Manager is a key member of Amicus’ US business unit. The Case Manager must be able to function in a highly visible, strong team environment to provide exceptional Customer Service. Specifically, listen to and support patients and medical professionals, interpreting their specific needs related to reimbursement for product access and providing friendly, professional and well-informed answers to their questions. The primary purpose of this position is to facilitate access to therapy by providing day-to-day case management support and managing the assigned caseload to ensure tasks are completed timely, as well as act as a primary resource for patients, healthcare providers, partners and insurance companies in accessing Amicus products. The Case Manager engages with patients to support adherence and compliance to prescribed medication.

Roles and Responsibilities

•            Work closely with patient/caregiver to support access to therapy

•            Provide day-to-day oversight and coordination of caseload to ensure all activities and tasks are completed timely and ensure cases move through the process as required

•            Accurately document and maintain case history for all assigned patients

•            Act as single point of contact responsible for performing preliminary benefits investigations, prior authorization and appeal support, communications to patients, healthcare providers, and other internal and external stakeholders

•            Communicate patient benefits and responsibility timely and accurately

•            Complete a pre-screen to determine eligibility for financial support

•            Troubleshoot complex cases while interfacing with key stakeholders (internal/external) to ensure optimal start to therapy

•            Professionally field incoming telephone calls while making a positive impression

•            Answer patient and medical office inquiries and provide timely resolution to access issues

•            Provide ongoing adherence and compliance support for patients

•            Provide back-up coverage for other Case Managers

•            Attend patient and commercial strategy meetings where applicable

•            Other duties in support of patient access to therapy, as assigned

•            Ensure that success is achieved with the highest ethics and in compliance with all applicable legal and regulatory mandates, including the US Food, Drug and Cosmetic Act, U.S. anti-kickback laws, and the US PhRMA Code

•            Serve as a compliance role model to the commercial organization and broader Amicus community.

Requirements

Education Requirements

•            BA/BS preferred

Professional Work Requirements

•            Must have a minimum of 2-5 years working with patient support programs

•            3 -5 years of prior case management experience preferred

•            2 or more years of relevant experience in pharmacy, medical and buy & bill benefit management preferred

Experience and Skills

•            Is a person of high character, ethics, and emotional intelligence; motivated by the needs of our patient community, understands the experiences of our patients, their family and the wider community, acts in line with a clear and visible set of values and beliefs consistent with the Amicus Belief Statement; can keep confidences, and consistently works with a sense of urgency.

•            Excellent organizational skills

•            Proficiency with computer particularly MS Office

•            Knowledge of medical and claims processing terminology is a plus

•            Must possess a strong critical thinking skill set with the ability to multi-task

Location

•            The position will be based in Princeton, NJ

Travel

•            Able to travel up to 10% of the time

 

We respect and celebrate the diversity of our people, their backgrounds and experiences and provide equal opportunity for all.  Our unique experiences, backgrounds and range of cultural perspectives enrich how we approach opportunities, pushing ideas as far and as fast as possible with patients always our top priority. Employee expertise, intelligence, and creativity drives our innovation, and our passion and commitment to excellence.  Our “Three Pillars of DEI” are interwoven into our Amicus culture and expands one person, one word, and one act at a time. For our employees, these three pillars are a touchstone for inspiration, guidance, and encouragement.

Amicus is an Equal Opportunity Employer and will judge all applicants based on their qualifications for the job, without regard to race, color, sex, religion, national origin, age, disability, sexual orientation, gender identity, protected veteran, disability status or any other characteristics protected by applicable federal, state or local law.

 

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