Insmed is a global biopharmaceutical company dedicated to creating life-transforming therapies for patients with serious and rare diseases that have limited tre
Case Manager
Location
United States
Posted
7 days ago
Salary
$39 - $50 / hour
Seniority
Lead
No structured requirement data.
Job Description
Case Manager
Insmed
Role Description We’re looking for a Pharmaceutical Case Manager on the Patient Services team to help us expand what’s possible for patients with serious diseases. Reporting to the Associate Director, Case Management, you’ll oversee the patient journey from initial onboarding through ongoing support and service, ensuring a positive and seamless experience for patients in your designated region. Case Managers will be an integral part of a collaborative team focused on delivering exceptional support to patients in need of specialty medications. In this role, you’ll be responsible for building strong relationships with internal stakeholders, as well as patients and healthcare professionals, ensuring timely delivery of services while exhibiting Insmed’s core values of Compassion, Accountability, Passion, Respect and Integrity. You’ll also: - Patient Support & Case Management: Manage the patient journey, from initial prescription receipt through ongoing treatment support, ensuring timely and accurate services are provided. - Collaboration with Cross-Functional Teams: Partner with team members across departments to troubleshoot issues, share best practices, and ensure a holistic and patient-centric approach to care. - Prior Authorization & Insurance Coordination: Verify insurance coverage and prior authorization status, and help resolve any barriers to treatment; as well as collaboration with the Field Access Manager and Key Account Directors to monitor access challenges. - Therapy Initiation Coordination: Ensure that all aspects of the patient’s therapy initiation experience are well-coordinated, including the ability to support patient questions in accordance with prescribing information (PI) data as indicated. - Ongoing Outreach: Provide continuous education based on the prescribing information (PI), monitor patient progress, and address any concerns to ensure adherence to the prescribed treatment plan. - Utilize motivational interviewing communication techniques to deliver appropriate communication and engagement based on patient needs. Qualifications - Bachelor’s degree or equivalent experience. - 2 years of experience in Case Management within pharma/biotech, clinics, hospital or insurance company. - Superior Interpersonal Skills Acumen. - Open Minded & Adaptable. - Patient-Centric Approach. - Dedicated. - Expert Communicator. - Proactive Problem Solver. - Working knowledge and experience with health insurance, Medicare Part D coverage, prior authorization process, and Rx reimbursement, specifically in specialty drugs. - Understanding of HIPAA and privacy laws and requirements. - Experience with Adverse Event and Product Quality Complaint reporting. Requirements - 1 year in pharmaceutical or biotech case management (nice to have but not required). Benefits - Comprehensive medical, dental, and vision coverage and mental health support. - Annual wellbeing reimbursement and access to our Employee Assistance Program (EAP). - Generous paid time off policies, fertility and family-forming benefits, caregiver support, and flexible work schedules. - 401(k) plan with a competitive company match, annual equity awards, and participation in our Employee Stock Purchase Plan (ESPP). - Company-paid life and disability insurance. - Company Learning Institute providing access to LinkedIn Learning, skill building workshops, leadership programs, mentorship connections, and networking opportunities. - Employee resource groups, service and recognition programs, and meaningful opportunities to connect, volunteer, and give back.
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