Insmed

Case Manager - Phoenix, AZ

Insmed$81K — $104K *
Pharmaceuticals & Biotech
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or equivalent experience
  • 2 years of experience in Case Management within pharma/biotech, clinics, hospitals, or insurance companies
  • Knowledge of health insurance, Medicare Part D, and prior authorization
  • Strong understanding of HIPAA and patient privacy laws
  • Experience with Adverse Event and Product Quality Complaint reporting

Responsibilities

  • Manage the patient journey, ensuring timely and accurate services
  • Collaborate with internal teams to troubleshoot issues and share best practices
  • Verify insurance coverage and assist with prior authorization processes
  • Coordinate therapy initiation and address patient inquiries
  • Provide ongoing education and monitor patient progress for adherence
  • Utilize motivational interviewing techniques for patient engagement

Benefits

  • Comprehensive medical, dental, and vision coverage
  • Generous paid time off and flexible work schedules
  • 401(k) plan with competitive company match and annual equity awards
  • Access to professional development through the Company Learning Institute
  • Opportunities for community engagement and volunteerism
Full Job Description
About the Role:
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. Case Managers will work with cross-functional teams such as: field access managers, educators, field sales, and specialty pharmacies to facilitate a holistic and patient-centric approach to assisting patients.

What You'll Do:

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


Who You Are:

You have a Bachelor's degree or equivalent experience along with 2 years of experience in Case Management within pharma/biotech, clinics, hospital or insurance company.

You are or you also have:
  • Superior Interpersonal Skills Acumen: Ability to collaborate effectively with internal and external team members. Assist other team members when needed and offer support to ensure shared goals are met
  • Open Minded & Adaptable: Be open to new ideas, feedback, and change. Willingness to learn and adapt to evolving patient needs and organizational goals. Ability to step up and contribute outside of normal responsibilities when needed. Embrace new challenges and changes, demonstrating flexibility in working with various teams and handling diverse patient needs
  • Patient-Centric Approach: Demonstrate a strong focus on patient care, ensuring that patient needs are always prioritized and that you go the extra mile to ensure their satisfaction and success
  • Dedicated: A self-motivated and diligent approach to your work, ensuring tasks are completed accurately and efficiently while maintaining high-quality care for patients
  • Expert Communicator: Strong verbal and written communication skills, with the ability to clearly convey information to patients, healthcare providers and cross-functional teams. Ability to adapt communication style to the needs of the individual patient, ensuring clarity, empathy and understanding at all times
  • Proactive Problem Solver: Demonstrated ability to identify potential challenges before they arise and take initiative to find creative and effective solutions. Ability to anticipate patient, provider, and access issues, ensuring timely resolution to prevent delays in treatment initiation
  • 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 and maintains patient confidentiality
  • Experience with Adverse Event and Product Quality Complaint reporting


Nice to have (but not required):
  • 1 year in pharmaceutical or biotech case management


Where You'll Work

This is a fully remote role. It can be performed effectively from the Phoenix, AZ area while staying connected to your Insmed team and community. Occasional travel for team meetings or events will be expected.

Travel Requirements

This role requires occasional domestic travel (up to 25%).

#LI-remote

#LI-KB1

Pay Range:
$39.00-50.00 Hourly

Life at Insmed

At Insmed, you'll find a culture as human as our mission-intentionally designed for the people behind it. You deserve a workplace that reflects the same care you bring to your work each day, with support for how you work, how you grow, and how you show up for patients, your team, and yourself.

Highlights of our U.S. offerings include:
  • 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 with purposeful in-person collaboration
  • 401(k) plan with a competitive company match, annual equity awards, and participation in our Employee Stock Purchase Plan (ESPP), and 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


Eligibility for specific programs may vary and is subject to the terms and conditions of each plan.

Current Insmed Employees: Please apply via the Jobs Hub in Workday.

About Insmed

Insmed is a biopharmaceutical company that develops drugs to treat serious and rare diseases. The company's lead product candidate is ARIKAYCE, which is being developed to treat patients with nontuberculous mycobacterial lung disease. Insmed is also developing drugs to treat other respiratory diseases, as well as rare diseases such as lipodystrophy. The company was founded in 1988 and is headquartered in Bridgewater, New Jersey.
Learn more about Insmed
Size
613 employees
Market Cap
$2.6 billion
Industry
Net Income
-$294 million
Revenue
$164.4 million
NASDAQ

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