Hybrid Medical/ Pharmaceutical Case Manager

Akkodis is seeking a Hybrid Medical/ Pharmaceutical Case Manager for a five-to-eight-month contract position with a client located in Cambridge, MA. You will provide exceptional service to support patients/families starting and continuing therapy by demonstrating empathetic listening skills, care, and commitment. You will also coordinate between patients/families, healthcare providers, insurance providers, specialty pharmacy and local resources. You will conduct benefit investigation, provide patient education, enroll in patient support programs, and coordinate drug delivery. You must exceed in delivering a positive patient experience and be the resource of choice for the rare blood community. Additionally, you will be an active cross-functional team member to deliver best-in-class services to ensure access to therapy. When onsite, interaction will be primarily over the phone, no in person patient contact

Shift: 10:30am to 7:00pm EST, however, will offer slight flexibility with start and end time. Working hours may vary based on business needs and team coverage. Open to working later shifts a big plus

Pay/Salary Range: $44.00 to $47.00 per hour

Hybrid Medical/ Pharmaceutical Case Manager job responsibilities include:

• Engage patients/families to create a long-term relationship, uncover patient needs, understand challenges, and provide education and support to start or continue therapy. Manage complex issues and utilize approved resources to reduce/remove barriers as needed
• Responsible for taking calls from patients, care givers, specialty pharmacies. Enroll patients who qualify in financial assistance or gap coverage. Educate patients/families and healthcare providers about patient support services. Educate about patient insurance options, limitations, requirements. Connect patients/families with local resources
• Ensure close cross-functional collaboration with Patient Services field teams, Sales, and Market Access as appropriate to ensure consistent integrated approach to supporting patient access. Establishes and maintains professional and effective relationships with all internal and external customers including but not limited to Patient Services colleagues, Medical, Sales, Market Access, Patient Advocacy, insurance company case managers, specialty pharmacies, home health agencies, infusion site staff and office coordinators.
• Document call details with attention to data integrity to ensure compliance and enhance our service offering
• Leverages CRM reporting tools and data analytics to make strategic decisions about their territory and prioritize patient and customer needs.
• Provide caseload coverage outside of assigned territory as needed.
  
  

QUALIFICATIONS:

• Bachelor’s degree required
• Minimum two to four years patient-facing role experience in case management, reimbursement, or patient advocacy. Call center or related experience is a plus. Previous pharma not required. Previous health insurance reimbursement (nice to have). Case management experience is a plus.
• Experience with engaging patients and caregivers with rare/chronic conditions
• Comprehensive understanding of the reimbursement process, billing/coding, insurance plans, payer trends, financial assistance programs, charitable access and related resources
• Excellent phone communication and service-oriented mindset
• Excellent attention to detail and ability to multi-task in a fast-paced environment
• Proficient with MS Word, MS Excel, and MS PowerPoint. Experience with Salesforce CRM preferred
• Spanish language fluency highly preferred
• Team player; values respect and respects colleagues. Positive in demeanor
• Able to come into the office two to three days per week
  
  

If you are interested in this Hybrid Medical/ Pharmaceutical Case Manager job in Cambridge, MA then please click APPLY NOW. For other opportunities available at Akkodis go to www.akkodis.com.

Equal Opportunity Employer

To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit https://www.modis.com/en-us/candidate-privacy/

The Company will consider qualified applicants with arrest and conviction records.

Pay Details: $44.00 to $47.00 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.akkodis.com/en/us/candidate-privacy-policy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance