Insmed Incorporated

Case Manager 1

ID
2020-1277
Job Function
Patient Services

Company Description

About Insmed!

 

Insmed understands that its most valuable resource is its employees. We place great value on the unique skills, talents and qualities that each of our employees brings to our company. We are building a world-class team with a focus on innovation, teamwork and the desire and ability to change the way our patients live.

Insmed is a fast-paced, high-energy organization that seeks talented individuals who are leaders in their respective functional areas of expertise, who are creative problem solvers and who have the desire to make a difference.

Overview

About the Role!

 

This is a unique opportunity to be a part of an industry-leading patient services program dedicated to improving the lives of patients battling serious and rare diseases.   Our Patient Services Mission: To be the champion for NTM (Nontuberculosis Mycobacteria) patients throughout their treatment journey, helping them access ALIS (Amikacin Liposome Inhalation Suspension) and supporting them every step of the way.    Reporting to the Associate Director, Case Management, the Case Managers will have complete ownership to deliver upon a seamless ALIS patient experience within his/her region, in collaboration with internal as well as external patient services partners.

This will be located at our Bridgewater, NJ headquarters location.

 

Responsibilities

Additional representative responsibilities will include, but not necessarily be limited to, the following: 

 

Be a champion of each ARIKAYCE patient:

  • Provide support and guidance to help ensure patients have access to ALIS, by compliantly navigating payer reimbursement, and mitigating any patient out-of-pocket barriers, as applicable
  • Understand a patient’s support needs, and interaction preferences, to deliver upon a seamless, tailored patient experience that helps each ALIS patient complete their treatment as prescribed by the HCP (Healthcare Professional)
  • Establish an ongoing relationship with each assigned ALIS patient, starting with welcome, onboarding, treatment initiation, continuation, and leading up to his/her treatment completion
  • Communicate timely and effectively with each assigned ALIS patient, e.g. treatment expectations, patient insurance benefit information, available out-of-pocket support
  • Monitor each patient along his/her ALIS treatment journey, and proactively resolve any emerging treatment continuation barriers
  • Act as the primary point of contact for all ALIS patients within the assigned region
  • Serves as a patient advocate and act as a ‘quarterback’ on behalf of the patient to coordinate timely treatment initiation, training, and ongoing shipments across HCP office, payer, and specialty pharmacy - Communicate patient treatment status, as needed, with patient’s HCP office (aligned to HCP office communication preferences
  •  

Orchestrate the ALIS patient experience through collaboration and teamwork:

  • Builds and maintains relationships with internal stakeholders, including HUB team, Clinical Educators, Specialty Pharmacies, Therapeutic Specialists, and Market Access to ensure seamless patient experience
  • Works with HUB partner to facilitate out-of-pocket cost support to patients, as eligible - Works closely with Clinical Educator partner to schedule patient treatment initiation training and follow-up, as needed
  • Communicates regularly with assigned HUB partner to improve workflow efficiencies and understand reimbursement trends

Achieve ARIKAYCE patient support program goals:

  • Successfully deliver upon patient support program goals, including pre-defined KPIs (time-to-fill, conversion rate, continuation rate, and compliance)
  • Manages regional case load in a timely and efficient manner, as defined by SLAs (Service Level Agreements) and KPIs (Key Performance Indicators)
  • Identifies trends regarding reimbursement delays, patient concerns, etc. and reports to Case Management leadership - Participates in regularly scheduled team meetings; recognizes opportunities for improvement, concerns or issues, and identifies solutions
  • Follows all requirements associated with compliance to program guidelines and relevant regulations, including HIPAA and patient privacy

Qualifications

About You!

  • Bachelor’s degree or equivalent experience required
  • Minimum 5+ years of industry experience with at least 3 years in pharmaceutical or biotech case
    management
  • Working knowledge and experience with health insurance and Rx reimbursement, specifically in
    specialty drugs
  • Rare disease and product launch experience preferred
  • Understands HIPAA and privacy laws and requirements and maintains patient confidentiality
  • Experience with Adverse Event and Product Quality Complaint reporting
  • Maintains compliance with program business rules, standard operating procedures and guidelines
  • Outstanding case management skills required
  • Patient-centricity, empathy and compassion
  • Curiosity, investigation, and creative problem-solving skills
  • Excellent interpersonal skills
  • Active and effective listening skills
  • Excellent written and oral communication skills
  • Passionate about learning and able to share/communicate that passion to others
  • Ability to work cross-functionally and exhibit teamwork and collaboration
  • Attention to detail and ability to follow up are essential
  • Self-motivated, with a sense of urgency
  • Ability to make presentations and facilitate meetings
  • Can manage competing priorities at once
  • Strong planning and organizational skills
  • Ability to adapt quickly to changing environment
  • Must successfully exhibit Insmed’s five (5) core corporate values of: Collaboration, Accountability, Passion, Respect and Integrity; along with any other position specific competencies. 
  • Individuals must demonstrate the ability to interact successfully in a dynamic and culturally diverse workplace.

 

Additional Information

Travel Requirements:

Approximately 10% of work time

  • Insmed is an Equal Opportunity Employer and will judge all applicants based on their qualifications for the job, without regard to race, color, sex, religion, national origin, age, disability or any other characteristics protected by applicable federal, state or local law.
  • Unsolicited resumes from agencies should not be forwarded to Insmed. Insmed will not be responsible for any fees arising from the use of resumes through this source. Insmed will only pay a fee to agencies if a formal agreement between Insmed and the agency has been established. The Human Resources department is responsible for all recruitment activities; please contact us directly to be considered for a formal agreement.
  • Please note that we review every submission and we will keep all submissions on file for six months. Insmed is an Equal Opportunity Employer.

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