Case Management Specialist

Sanofi • Cambridge, MA

7d • Remote

About The Position

Provide best-in-class support services to ensure a positive experience for patients receiving Tzield, Sanofi's first and only disease-modifying therapy for type 1 diabetes (T1D). Tzield is approved to delay the onset of Stage 3 T1D in adults and children eight years and older diagnosed with Stage 2 T1D. This role requires coordinating both internal and external care teams throughout the patient journey, addressing the complexities of patient identification, treatment administration, and access challenges. As a Case Manager for Tzield, you will support T1D patients and their families through comprehensive care coordination. In this high-touch role, you will assist patients and caregivers with accessing Sanofi's FDA-approved T1D therapy, facilitating insurance approvals for both the product and administration, collaborating across multiple functions, and coordinating care to ensure a seamless journey. You will serve as the central point of contact, developing and executing personalized care plans to address patient barriers to treatment, providing relevant program and process education, resources, and coordination throughout the patient journey. We are an innovative global healthcare company, committed to transforming the lives of people with immune challenges, rare diseases and blood disorders, cancers, and neurological disorders. From R&D to sales, our talented teams work together, revolutionizing treatment, continually improving products, understanding unmet needs, and connecting communities. We chase the miracles of science every day, pursuing progress to make a real impact on millions of patients around the world. Join the team transforming care for people with immune challenges, rare diseases, cancers, and neurological conditions. In Specialty Care, you’ll help deliver breakthrough treatments that bring hope to patients with some of the highest unmet needs.

Requirements

• Associates degree required, bachelor's degree or higher preferred
• 3-5 years of patient-facing or high-touch customer interaction experience required
• In-depth understanding of health insurance benefits
• Excellent written and oral communication and problem-solving skills, including the ability to connect with patients and caregivers
• Experience and demonstrated success working in a complex matrix environment to accomplish goals
• Strong people skills demonstrating flexibility, persistence, creativity, empathy, and trust
• Ability to identify and handle sensitive issues, working independently and collaboratively within teams
• Ability to travel within the US, up to 10%

Nice To Haves

• Salesforce CRM experience
• Spanish speaking
• Direct experience in case management, reimbursement, insurance, or healthcare systems fields
• Pharma/biotech patient services and specialty product experience
• Experience with complex medical payer policy requirements and coordination of multiple prior authorization needs
• Experience with T1D patients or autoimmune conditions
• Infusion therapy experience
• Home care coordination experience

Responsibilities

• Act with a sense of urgency and purpose, leading the case management process for Tzield patients, while balancing individual patient needs with Sanofi's business objectives
• Serve as the primary point of contact and champion for patients from enrollment through to treatment completion
• Engage patients/families to create meaningful connections, uncover needs, understand challenges, and provide education and support to start on Tzield therapy
• Assess individual patients' insurance coverage options, limitations, and requirements; identify appropriate resource plans and advocate on patients' behalf to ensure successful initiation of Tzield treatment
• Educate patients, caregivers, and healthcare providers on Tzield coverage based on patient benefits and the steps needed to gain product and administration approval
• Maintain comprehensive understanding of the reimbursement process, healthcare systems navigation, billing/coding guidelines, insurance plans, payer trends, and internal/external patient assistance programs
• Enroll eligible patients into appropriate financial assistance programs as needed
• Maintain up-to-date knowledge of regional resources and market landscape to best support patient access to therapy
• Compliantly coordinate the exchange of patient-related information with internal and external stakeholders
• Exhibit initiative and leadership within the cross-functional regional team, identifying complex patient-specific issues and developing action plans accordingly
• Document all interactions with attention to data integrity
• Provide caseload coverage outside of assigned territory as needed
• Ensure compliance with all Sanofi policies

Benefits

• Bring the miracles of science to life alongside a supportive, future-focused team.
• Discover endless opportunities to grow your talent and drive your career, whether it’s through a promotion or lateral move, at home or internationally.
• Enjoy a thoughtful, well-crafted rewards package that recognizes your contribution and amplifies your impact.
• Take good care of yourself and your family, with a wide range of health and wellbeing benefits including high-quality healthcare, prevention and wellness programs and at least 14 weeks’ gender-neutral parental leave.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees