(Contract) Case Manager, Access Solutions & Patient Services- (Portland OR South San Francisco)
About The Position
Multiple roles available Note: Relocation benefits are not available for this job posting. In this role, applicants would be employed through e-Team, the Managed Service Provider for Genentech's Contingent Workforce, to work on a Genentech assignment. Below are details about the assignment and Genentech. Location: Portland (Preferred) or South San Francisco It is preferred that candidates reside in Portland or within 50 miles of Portland. Work Arrangement: For the first 6 months, the role will be hybrid (3 days a week on site). After that period, depending on performance and business needs, this role may have the opportunity to switch to fully remote. Roche is a global healthcare group with 94,000 employees in 100 countries, focused on innovation and transforming patients' lives. Genentech Access Solutions, a member of Roche Group, helps patients navigate the insurance process and access medicines, improving their quality of life. Roche values science, technology, innovation and professional development. The company has a unique culture centered around its people and a vision for greater patient benefit and impact. Join Roche and be part of one of the world's largest biotechnology companies, making a meaningful difference in healthcare. Your Opportunity: The Access Solutions Case Manager (CM) acts as a liaison between patients, providers, distributors, and insurance carriers to assure services are provided in the least restrictive and least costly manner. They are responsible for providing reimbursement support to patients, pharmacists, physicians, and internal sales force, educating and assisting patients (and/or their families) and providers to navigate through the reimbursement and appeal process for the assigned product. They also identify barriers to reimbursement, facilitate referrals to alternative coverage options and financial assistance programs for patients who are under insured or require copy assistance.
Requirements
- Effective problem-solving skills and excellent customer service.
- Proficient investigational and analytical abilities with strong written and verbal communication.
- Ability to work collaboratively in a team, effectively delegate tasks, and demonstrate leadership.
- Strong attention to detail, multi-tasking, organizational skills, and effective time management.
- Ability to work under pressure, prioritize tasks, and follow written Standard Operating Procedures.
- Prepared for periodic mandatory overtime, including weekends, during high referral seasons or unexpected volume surges.
- Bachelor's degree is preferred.
- Knowledge of the managed care industry, including government payers.
- Proficient in all aspects of reimbursement (i.e., benefit investigations, payer reimbursement policies, regulatory and administrative rules).
- Understands reimbursement/funding resources and how to access these resources.
Nice To Haves
- 3 years of reimbursement experience preferred.
Responsibilities
- The Access Solutions Case Manager (CM) acts as a liaison between patients, providers, distributors, and insurance carriers to assure services are provided in the least restrictive and least costly manner.
- Responsible for providing reimbursement support to patients, pharmacists, physicians, and internal sales force, educating and assisting patients (and/or their families) and providers to navigate through the reimbursement and appeal process for the assigned product.
- Identify barriers to reimbursement, facilitate referrals to alternative coverage options and financial assistance programs for patients who are under insured or require copy assistance.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Number of Employees
5,001-10,000 employees
