Sanofi
healthcare
CaseManagerDiabetes
“Case Manager - Diabetes at Sanofi. Skills: case management, patient support, insurance verification, care coordination, reimbursement. Provide best-in-class support services to ensure a positive experience for patients receiving Tzield. coordinating both internal and external care teams throughout the patient journey”
What You'll Achieve.
ensure a positive experience for patients receiving Tzield; ensure successful initiation of Tzield treatment; make a real impact on millions of patients around the world.
Industry & Context.
Excellent written and oral communication and problem-solving skills; identify and handle sensitive issues; identifying complex patient-specific issues and developing action plans accordingly.
Ability to travel within the US, up to 10%.
What They're Looking For.
Must Have
Bachelor's degree required (any field), 1+ years minimum experience in pharma, healthcare, insurance, or related fields, In-depth understanding of health insurance benefits, Excellent written and oral communication and problem-solving skills, including the ability to connect with patients and caregivers., Experience and demonstrated success working in a complex matrix environment to accomplish goals., people skills demonstrating flexibility, persistence, creativity, empathy, and trust., Ability to identify and handle sensitive issues, working independently and collaboratively within teams., Ability to travel within the US, up to 10%.
Nice to Have
Experience in case management, patient services, insurance verification, specialty pharmacy roles or similar., Salesforce CRM experience, Insurance Verification Experience, Direct experience in case management, reimbursement, insurance, or healthcare systems fields, Pharmaiotech patient services and specialty product experience, Experience with complex medical payer policy requirements and coordination of multiple prior authorization needs
What You'll Do.
Provide best-in-class support services to ensure a positive experience for patients receiving Tzield
coordinating both internal and external care teams throughout the patient journey
addressing the complexities of patient identification
treatment administration
and access challenges
support T1D patients and their families through insurance verifications and comprehensive care coordination
assist patients and caregivers with accessing Sanofi's FDA-approved T1D therapy
facilitating insurance approvals for both the product and administration
coordinating care to ensure a seamless journey
developing and executing personalized care plans to address patient barriers to treatment
providing relevant program and process education
and coordination throughout the patient journey
Conduct Insurance Verifications for Tzield patients.
Serve as the primary point of contact and champion for patients from enrollment through to treatment completion.
Engage patients/families to create meaningful connections
understand challenges
and provide education and support to start on Tzield therapy.
Assess individual patients' insurance coverage options
and identify appropriate resource plans and advocate on patients' behalf to ensure successful initiation of Tzield treatment.
and healthcare providers on Tzield coverage based on patient benefits and the steps needed to gain product and administration approval.
Maintain comprehensive understanding of the reimbursement process
healthcare systems navigation
billing/coding guidelines
and internal/external patient assistance programs.
Enroll eligible patients into appropriate financial assistance programs as needed.
Maintain up-to-date knowledge of regional resources and market landscape to best support patient access to therapy.
Compliantly coordinate the exchange of patient-related information with internal and external stakeholders
Exhibit initiative and leadership within the cross-functional regional team
identifying complex patient-specific issues and developing action plans accordingly.
Document all interactions with attention to data integrity.
Provide caseload coverage outside of assigned territory as needed.
Ensure compliance with all Sanofi policies.
How You'll Work.
Team & Collaboration
coordinating both internal and external care teams; collaborating across multiple functions; working independently and collaboratively within teams; initiative and leadership within the cross-functional regional team; coordinate the exchange of patient-related information with internal and external stakeholders
Communication Scope
Excellent written and oral communication; ability to connect with patients and caregivers
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