Case Manager
Millipore Corporation

Job Info

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Work Location: Rockland, Massachusetts
Shift: No
Department: NA-LGA-B2 MSLL Cust Solutions East
Recruiter:Allison Davis

This information is for internals only. Please do not share outside of the organization.

At EMD Serono, the Case Manager plays an integral part within the Patient Support Services Call Center, MS LifeLines (MSLL) as part of the overall patient support program function within the Neurology & Immunology Therapeutic area. The Case Manager will be directly responsible for facilitating access to EMD Serono products by providing patient access and reimbursement assistance as well as support for patients, family members, caregivers, nurses, physicians, pharmacists, and internal colleagues.

• Provide high-level customer service to both internal (salesforce, field patient support, nurses) and external customers (patients, physicians, pharmacies, insurers).
• Maintain accountability for day-to-day patient case management activities, workload, and overall workflow.
• Manage tasks and activities in a timely manner within the assigned geographic areas to ensure a high level of patient and physician satisfaction.
• Provide feedback to patient or provider on services offered and share unique situations/issues to ensure a common response from patient support services.
• Provide feedback to patients or providers relative to insurance coverage with certain carriers and/or plans.
• Work on patient's behalf to identify and assess reimbursement coverage options for those with insurance and to coordinate and/or investigate financial options for those without insurance.
• Work with third party vendors responsible for benefits verification and coverage requests to ensure information obtained is accurate and timely.
• Work with physician offices and/or pharmacies to facilitate the process of obtaining prior authorization from third-party payers to maximize patients' access to treatment.
• Help support the appeal process, with consent from the patient, caregiver, and/or the provider.
• Manage and maintain productive relationships with patients and their HCPs to ensure maximum process efficiency.
• Deliver presentations regarding patient support options to provider's offices where appropriate and consistent with compliance guidelines.
• Align with managed care account managers and market access colleagues at the regional level to maintain knowledge regarding Payors, Pharmacies and maintain a working knowledge regarding formulary opportunities or challenges.
• Maintain database for recording, managing, and monitoring patient activities for those requiring access support.
• Upon request, provide feedback and data on territory performance, payers, and HCP relationships to departmental managers.
• Maintain a collaborative approach with members of the call center team in order to offer the best possible outcome for all customers.
• Demonstrate the utmost sensitivity and confidentiality to information while maintaining a high level of professionalism.
• Assume additional projects on an as-needed basis.
• Ensure continued education and training are met to maintain technical expertise in the assigned therapeutic area and to keep current on approved product information and promotional items.

Who You Are:

Basic Qualifications:

• High School Diploma or GED Equivalent
• 2+ years of reimbursement and or customer care experience in a medical, health insurance, or pharmacy technician capacity

Preferred Qualifications:

• Associates Degree or higher
• Bilingual capability
• Normal office duties.

RSRSO

What we offer: With us, there are always opportunities to break new ground. We empower you to fulfil your ambitions, and our diverse businesses offer various career moves to seek new horizons. We trust you with responsibility early on and support you to draw your own career map that is responsive to your aspirations and priorities in life. Join us and bring your curiosity to life!

Curious? Apply and find more information at https://jobs.vibrantm.com

The Company is an Equal Employment Opportunity employer. No employee or applicant for employment will be discriminated against on the basis of race, color, religion, age, sex, sexual orientation, national origin, ancestry, disability, military or veteran status, genetic information, gender identity, transgender status, marital status, or any other classification protected by applicable federal, state, or local law. This policy of Equal Employment Opportunity applies to all policies and programs relating to recruitment and hiring, promotion, compensation, benefits, discipline, termination, and all other terms and conditions of employment. Any applicant or employee who believes they have been discriminated against by the Company or anyone acting on behalf of the Company must report any concerns to their Human Resources Business Partner, Legal, or Compliance immediately. The Company will not retaliate against any individual because they made a good faith report of discrimination.

Job Requisition ID: 221615

Location: Rockland

Career Level: C - Professional (1-3 years)

Working time model: full-time

This job has expired.