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Case Manager - LSD

Works in a highly visible, strong team environment to provide exceptional Customer Service on all levels. Specifically, listen to and counsel patients and medical professionals, interpreting their specific needs and providing friendly, professional and well-informed answers to their questions. Case Managers will work with patients, physician offices, partners and insurance companies to case manage all steps required to gain access to therapy. Maintain relationship with patients and physicians to ensure ongoing compliance with therapy.

Responsibilities: 

  • Works closely with patient/family to case manage all steps required to gain access to therapy.
  • Acts as the liaison with medical offices
  • Work with Specialty Pharmacy and insurance companies to obtain reimbursement information
  • Perform insurance verifications with insurance companies as required.
  • Locate and coordinate infusion sites for patients as required
  • Counsel patient/family on reimbursement options
  • Acts as the liaison with medical offices
  • Work with Specialty Pharmacy and insurance companies to obtain reimbursement information
  • Perform insurance verifications with insurance companies as required.
  • Locate and coordinate infusion sites for patients as required 
  • Counsel patient/family on reimbursement options
  • Manage patient transition to home therapy. Work with partners to determine insurance benefits, locate nursing agencies and coordinate DME. • Responsible for maintaining case history for all assigned patients in the CRM system
  •  Trouble shoot and resolve ongoing reimbursement issues (lifetime caps, insurance changes, PA's, etc)
  • Partner with Field Sales Reps and field-based Patient Access Managers to manage all patient cases within their assigned territories
  • Professionally field incoming telephone calls while making a positive impression
  • Answer patient and medical office inquiries and resolve customer problems
  • Provide ongoing persistency and compliance support by making regular calls to patient/families
  • Manage patient assistance requests and work with partners to process applications Case Manager - LSD 14925BR
  • Provide back-up coverage for other Case Managers
  • Attend patient meetings and represent Shire at industry conferences
  • Travel to patient meetings, sites of care, department meetings and medical offices, as necessary

Education & Experience Requirements: 

  • BA/BS in the life sciences preferred
  • 3 -5 years of prior case management experience preferred

Key Skills, Abilities, and Competencies:

  • Prior reimbursement experience with ability to communicate complex reimbursement scenarios to patients and medical professionals.
  • Ability to multi task, problem solve and work independently 
  • Individual must possess and portray strong emotional resilience
  • Individual must possess extraordinary positive attitude, exceptional listening skills, and strong verbal and written communication skills
  • Ability to handle sensitive information Other Job Requirements: 10% Travel Preference given to applicant who can work 11:30 AM TO 8:00 PM shift

Apply at www.shire.com/careers