Senior Case Manager- Specialty

Biogen•Research Triangle Park, NC

22h

About The Position

As a Senior Case Manager in Patient Services, you will help patients access prescribed treatments by addressing non-clinical challenges and following regulatory standards. You will serve as a primary liaison among patients, healthcare providers, and program partners, guiding patients through the medication access process and providing empathetic support from case initiation through closure. The role includes personalized case management and reimbursement support, benefits and payer research, and communication with patients and healthcare providers. Travel up to 20% is required.

Requirements

At least 3 years of customer service, patient services, case management, or related experience in a healthcare environment.
Proficiency in reimbursement processes, including benefit investigations and payer reimbursement policies.
Strong knowledge of the managed care industry, including government payers.
Demonstrated investigational and analytical skills.
Ability to work effectively under pressure and prioritize tasks in a fast-paced environment.
Strong interpersonal skills for patient support and education.
Technical proficiency with Microsoft Office products and CRM systems.
High school degree required.

Nice To Haves

Bilingual English and Spanish skills.
Bachelor’s degree preferred.
Experience with process improvement and change management.
Ability to work collaboratively in a team structure.
Familiarity with protecting patient privacy in various work environments.

Responsibilities

Build trusted relationships with patients and healthcare providers through proactive communication and timely completion of deliverables.
Apply knowledge of program services to align support with each patient’s needs.
Provide personalized case management, including inbound and outbound communication with patients and healthcare providers about non-clinical access challenges.
Provide reimbursement support, including benefit investigations, prior authorization information, and financial assistance program determinations.
Research benefits, coverage, and payer requirements to comply with appeal policies and timelines.
Follow standard operating procedures and departmental guidelines.
Travel up to 20% to support program operations.
Meet and exceed performance metrics and quality standards.
Perform other duties as assigned.

Benefits

Short- and long-term incentives, including cash bonus and equity incentive opportunities.
Medical, dental, vision, and life insurance.
Fitness and wellness programs, including fitness reimbursement.
Short- and long-term disability insurance.
At least 15 days of paid vacation and end-of-year shutdown time off from December 26 through December 31.
Up to 12 company-paid holidays and 3 paid days off for Personal Significance.
80 hours of sick time per calendar year.
Paid maternity and parental leave.
401(k) program with company-matched contributions.
Employee stock purchase plan.
Tuition reimbursement up to $10,000 per calendar year.
Employee Resource Groups participation.