Biibhr
Senior Case Manager- Specialty
Research Triangle Park, NC · Senior
Sponsorship not specified$54k-$71kDetected 1 day ago
CRMOutbound SalesProcess ImprovementCustomer SupportPatient CareResearchLeadershipCommunicationProblem SolvingAdaptabilityMicrosoft Office
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Cap-exempt (no lottery)0
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Entry-level history0
PERM / green-card track0
Lottery odds (Level I)39
Fits your clock70
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About the role
- As a Senior Case Manager in Patient Services, you will join a dynamic team dedicated to facilitating access to our treatments by overcoming non-clinical challenges and ensuring compliance with regulatory standards.
- Your goal will be to provide empathetic, patient-focused care from the initiation to the closure of each case.
- Through your meticulous attention to detail and proactive communication, you will significantly contribute to our mission of caring deeply, working fearlessly, and changing lives.
Responsibilities
- Leverage a thorough understanding of program services to align support with the unique needs of each patient.
- Deliver personalized case management, including inbound and outbound communication with patients and HCPs regarding non-clinical access challenges.
- Travel up to 20% to support program operations.
- Perform other duties as assigned.
- You are service-oriented, anticipating and meeting the needs of those you support.
- Your persistence and problem-solving abilities drive you to achieve results, even in the face of obstacles.
- You are organized and adaptable, comfortable with process improvement and change management, and you proactively identify trends to communicate to leadership and partners.
Requirements
- You are a compassionate and detail-oriented individual with a passion for helping others.
- Required Skills:
Nice to have
- High school degree required
- Bachelor's Degree preferred.
Skills
- A minimum of 3 years of customer service, patient services, case management, or related experience in a healthcare environment.
- Proficient in reimbursement processes, including benefit investigations and payer reimbursement policies.
- Strong knowledge of the managed care industry, including government payers.
- Demonstrated investigational and analytical skills.
- Ability to work effectively under pressure and prioritize tasks in a fast-paced environment.
- Strong interpersonal skills for patient support and education.
- Technical proficiency in Microsoft Office Products and CRM systems.
- Bilingual (English and Spanish) skills are a plus.
- High school degree required; Bachelor's Degree preferred.
- Experience with process improvement and change management.
- Familiarity with protecting patient privacy in various work environments.
- Job Level: Entry Level
Compensation
- Tuition reimbursement of up to $10,000 per calendar year
Benefits
- Medical, Dental, Vision, & Life insurances
- Fitness & Wellness programs including a fitness reimbursement
- Paid Maternity and Parental Leave benefit
- Build trusted relationships with patients and healthcare providers through proactive communication and timely execution of deliverables.
- Provide personalized reimbursement support, including benefit investigations, prior authorization information, and financial assistance program determination.
- Conduct necessary benefits, coverage, and payer research to ensure compliance with appeal policies and timelines.
- Your strong interpersonal skills enable you to listen well and communicate fluently, making you an effective advocate for patients and healthcare providers.
- Short- and Long-Term Disability insurance
- A minimum of 15 days of paid vacation and an additional end-of-year shutdown time off (Dec 26-Dec 31)
- Base salary offered is determined through an analytical approach utilizing a combination of factors including, but not limited to, relevant skills & experience, job location, and internal equity.
Company info
- We are a global team with a commitment to excellence, and a pioneering spirit.
- Up to 12 company paid holidays + 3 paid days off for Personal Significance
- 401(k) program participation with company matched contributions
- As a mid-sized biotechnology company, we provide the stability and resources of a well-established business while fostering an environment where individual contributions make a significant impact.
This listing is sourced directly from Biibhr's careers page and normalized into a canonical job model.