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case manager Connecticut

Horizon

Full Time Connecticut 10.56 - 12.04 USD Today

Job description

At Horizon Therapeutics, we define success by the number of lives touched, lives changed, and lives saved. Our global biotechnology company is made up of agile, out-of-the-box thinkers with a focus on delivering breakthrough medicines to those living with rare, autoimmune, and severe inflammatory diseases. This is the heart of our global mission. Start a career that enables you to live up to your potential and help others live up to theirs. Join us.

The exceptional support we provide patients and communities equally extends to our employees. We offer industry-leading and award-winning benefits, compensation and rewards programs that positively impact all areas of our employees’ personal and professional lives.

Position Summary:

The Case Manager works in a highly visible, team and collaborative environment working with the reimbursement HUB, Patient Access Liaisons (PALs) and Specialty Pharmacy. The Case Manager will work with patients and providers. The Case Manager will manage a caseload and work within the pre-determined process to gain access to the prescribed therapy and distribution of UPLIZNA. The Case Manager is accountable for providing exceptional customer service at all touch points and has the ability to anticipate and address challenges understanding the time-sensitivity of each case. The Case Manager must listen to and support patients and medical professionals, addressing their specific needs, providing friendly, courteous, professional and well-informed answers and solutions to their questions and needs. The Case Manager will develop and maintain relationships with patients and providers supporting therapy adherence. The Case Manager must be able to support regional geographies and time zones.

Responsibilities:

Day to day oversight and awareness of patient customer service issues and patient support programs
Work closely with the PALs, the hub, pharmacy, and the patient/family to case manage all steps required to gain access to therapy
Partner with Safety and Pharmacovigilance and report adverse events and product complaints through medical information
Maintain case history for all U.S. patients, entering relevant notes from the hub, patient support programs, physicians, nurses, and the patients and families
Maintain and update patient status to track reimbursement and shipping status of U.S. patients
Manage inbound calls through toll free number and direct call to appropriate stakeholder
Review Explanation of Benefits to determine correct billing practices
Identify general and specific adherence trends and suggest appropriate action
Daily interaction with patient services support to ensure current and accurate information
Attend patient meetings, industry conferences, and sales meetings

Qualifications and Skills Required:

High School diploma required. Bachelor’s Degree preferred
5+ years of experience in the pharmaceutical industry
2+ years prior experience as a case manager
Buy and bill experience required
Previous Hub experience a plus
Excellent communication skills and commitment to customer service
Ability to effectively resolve hurdles across multiple cases at the same time
Ability to learn product and disease information, familiarity with HIPAA and FDA
Ability to manage communication with case managers and sales reps across multiple geographies and time zones
Up to 20% travel required
Proficient in Microsoft Office
Professional demeanor
Self-starter attitude
Strong interpersonal skills
Excellent written and verbal communication skills

Our Values

Transparency: We value collaboration. Trusting teach other and tackling tough challenges can make a powerful difference.
Accountability: We do what’s right for our patient communities through quality decisions and owning our successes and failures.
Growth: We fiercely innovate and evolve to better ourselves, our communities and our patients.

These three values come to life through our five Leadership Expectations that apply to all Horizon employees

Enterprise Mindset: Look beyond one’s team, brand or function to see the broader company and external perspective
Exhibit Intellectual Curiosity: Seek to understand what you do not know; ask the right questions of the right people and sources
Ensure Accountability and Courage: Step up to address difficult issues and hold self and others accountable to commitments
Embrace Diverse Perspectives: Welcome others with a respectful attitude; integrate diverse perspectives into ways of working
Develop Talent: Provide feedback, coaching and mentorship to help others be more effective in their role

#LI-Remote

At Horizon, we know that disease does not discriminate. We embrace the bold ideas of one another, foster a sense of belonging, and value inclusion. We attract and develop diverse talent because we believe that when people from different backgrounds and life experiences come together, we make lives better.

Horizon intends that all qualified applications are given equal opportunity, and that selection decisions be based on job-related factors. We do not discriminate based on race, color, religion, gender, sexual orientation, national origin, age, disability, veteran status, or any other characteristics protected by law.

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