Case Manager - Tzield

Sanofi•Cambridge, MA

1d•$85,500 - $123,500•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 one year 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 insurance verifications and 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.

Requirements

Bachelor's degree required (any field)
1+ years minimum experience in pharma, healthcare, insurance, or related fields
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.

Nice To Haves

Prefer experience in case management, patient services, insurance verification, specialty pharmacy roles or similar.
Salesforce CRM experience
Insurance Verification Experience
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

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
Conduct Insurance Verifications for Tzield patients.
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.