Case Management Director Jobs in Renton, WA (NOW HIRING)

BeOne continues to grow at a rapid pace with challenging and exciting opportunities for experienced professionals. When considering candidates, we look for scientific and business professionals who are highly motivated, collaborative, and most importantly, share our passionate interest in fighting cancer.

General Description:

BeOne is looking for a talented and highly motivated Case Manager to support the myBeOne Patient Support Program and specialty pharmacy distribution network. The Case Manager works in a highly visible, strong team environment to provide exceptional customer service to internal and external customers. Specifically, Case Manger will educate/update BeOne Corporate Account Directors, Market Access Directors, Field Account Managers, Specialty Pharmacy Partners, Healthcare Providers, Patients/Caregivers on the myBeOne Patient Support Program and Specialty Pharmacy/Distribution Network as needed. Case Manager will interpret their specific needs and provide well-informed answers to their questions. The Case Manager will work with myBeOne Oncology Nurse Advocates and Specialty Pharmacies to understand and manage all steps required for patients to gain access to therapy. The role will assist the Oncology Nurse Advocates and Specialty Pharmacies in maintaining relationships with Patients and Physicians as needed to ensure ongoing compliance with therapy while also obtaining missing information. Case Manager will proactively conduct in person/virtual myBeOne/Distribution presentations to various health care provider offices in collaboration with Account Managers and Corporate Account Directors. The individual will report into the Director of Patient Services and Distribution Case Management.

Candidates must live in a state located on PST or MST.

Responsibilities:

• Communicates with Patients, Caregivers, HCP's throughout the patient journey as needed/directed by internal stakeholders to reduce/remove barriers to access therapy.
• Proactively review all active patient cases to increase time-to-fill opportunities
• Review cases within internal database to ensure patients are placed in correct statuses based on knowledge and conversations with key partners (HUB and Specialty Pharmacies).
• In conjunction with Sr. Director of Patient Services and Sr. Director of Distribution/Trade Relations facilitate frequent calls with myBeOne, Corporate Account Directors, Field Account Managers, and Specialty Pharmacy Partners to understand patient journey and access specific patient therapy status/questions.
• Triage/troubleshoot and resolve initial/on-going reimbursement issues by working with all relevant partners (step-edits, prior authorizations, denials, appeals, re-authorizations).
• Acts as the liaison between healthcare provider offices/internal customers and myBeOne Support Program/Specialty Pharmacies when needed (case/shipment delays, case status updates and case escalations).
• Partner with Commercial Operations and Data Analytics to proactively identify any data issues and to assess trends proactively.
• Proactively partner with Field Sales Account Managers and Corporate Account Directors to present myBeOne Patient Support Program offerings and distribution model overview to various HCP stakeholders.
• Utilize all available tools and resources to ensure patient missing information is not an obstacle to initiating therapy.
• Will be primary contact for myBeOne Oncology Nurse Advocates for unsuccessful missing information retrieval or other information that could be causing a delay.

Required Education:

• Bachelor's degree required

Required Qualifications:

• BS Degree with 5+ years' experience in the pharmaceutical industry (Patient Services, Vendor Management, Specialty Pharmacy Operations).
• Experience supporting oral oncolytic via multiple distribution channels.
• Prior reimbursement experience with the ability to research, resolve, and communicate complex case/reimbursement scenarios to patients, caregivers, HCP's, field sales, FMAD, and CADs.
• Experience with understanding benefits, access, and coverage from health insurance carriers.
• Proficiency in payer coverage policy interpretation (commercial and government).
• Ability to multitask, prioritize, problem solve and manage communication with Oncology Nurse Advocates, Specialty Pharmacies, Corporate Account Directors, Field Market Access Directors and Account Managers across multiple geographies and time zones.
• Cross functional collaboration to foster case resolution and case pull through
• Strong verbal and written communication skills.
• Ability to handle sensitive PHI information.
• Have strong attention to detail, analytical, investigation and critical thinking skills.
• Ability to navigate missing information with HCP's, Patients, myBeiGene, and Specialty Pharmacies.
• Ability to work various shifts from 8-8 EST based on business need.
• Strong data entry skills.
• Knowledge of medical terminology.
• Computer Proficiency.

Travel:

• 25%.

Global Competencies

When we exhibit our values of Patients First, Driving Excellence, Bold Ingenuity and Collaborative Spirit, through our twelve global competencies below, we help get more affordable medicines to more patients around the world.

• Fosters Teamwork
• Provides and Solicits Honest and Actionable Feedback
• Self-Awareness
• Acts Inclusively
• Demonstrates Initiative
• Entrepreneurial Mindset
• Continuous Learning
• Embraces Change
• Results-Oriented
• Analytical Thinking/Data Analysis
• Financial Excellence
• Communicates with Clarity

BeOne is committed to fair and equitable compensation practices. Actual compensation packages are determined by several factors that are unique to each candidate, including but not limited to job-related skills, depth of experience, certifications, relevant education or training, and specific work location. Packages may vary by location due to differences in the cost of labor. The recruiter can share more about the specific salary range for a preferred location during the hiring process. Please note that the listed range reflects the base salary or hourly range only. Non-Commercial roles are eligible to participate in the annual bonus plan, and Commercial roles are eligible to participate in an incentive compensation plan. All Company employees have the opportunity to own shares of BeOne Medicines Ltd. stock because all employees are eligible for discretionary equity awards and to voluntarily participate in the Employee Stock Purchase Plan. The Company has a comprehensive benefits package that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness.

We are proud to be an equal opportunity employer. BeOne does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need. In order to ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Era Veterans' Readjustment Assistance Act of 1974, Title I of the Americans with Disabilities Act of 1990, and any other applicable federal, state or local laws, applicants who require reasonable accommodation in the job application process may contact accommodationsus@beonemed.com.