What are the responsibilities and job description for the Case Manager - West Region position at Sanofi?
Job Purpose:
Provide exceptional service to support patients/families starting and continuing therapy by demonstrating empathetic listening skills, care, and commitment. Coordinate between patients/families, healthcare providers, insurance providers, specialty pharmacy and local resources. Conduct benefit investigation, provide patient education, enroll in patient support programs, and coordinate drug delivery. Exceed in delivering a positive patient experience and be the resource of choice for the rare blood community. Be an active cross-functional team member to deliver best-in-class services to ensure access to therapy.
Job Responsibilities:
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
Assist in obtaining insurance approval for therapy, proactively plans for maintenance of coverage by working with the patients/families, healthcare providers, insurance companies and 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.
Represent Sanofi at patient meetings and conferences as the trusted community resource
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.
Seek coaching feedback to enhance service skills
Ensure compliance with Sanofi policies
Qualifications:
Bachelor’s degree required
Minimum 2-4 years patient-facing role experience in case management, reimbursement, or patient advocacy
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
Experience with Salesforce CRM preferred
Proficient with MS Word, MS Excel, and MS PowerPoint
Ability to travel within the US, which may include nights and weekends (10%)
Working hours may vary based on business needs and team coverage
Spanish language fluency highly preferred
This position is based in Cambridge, MA.
As a healthcare company and a vaccine manufacturer, Sanofi has an important responsibility to protect individual and public health. All US based roles require individuals to be fully vaccinated against COVID-19 as part of your job responsibilities.
According to the CDC, an individual is considered to be “fully vaccinated” fourteen (14) days after receiving (a) the second dose of the Moderna or Pfizer vaccine, or (b) the single dose of the J&J vaccine. Fully vaccinated, for new Sanofi employees, is to be fully vaccinated 14 DAYS PRIOR TO START DATE.
Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.
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At Sanofi diversity and inclusion is foundational to how we operate and embedded in our Core Values. We recognize to truly tap into the richness diversity brings we must lead with inclusion and have a workplace where those differences can thrive and be leveraged to empower the lives of our colleagues, patients and customers. We respect and celebrate the diversity of our people, their backgrounds and experiences and provide equal opportunity for all.
