Senior Case Manager- Specialty at Biogen in Research Triangle Park, NC

Job description

About This Role: As a Senior Case Manager in Patient Services, you will join a dynamic team dedicated to facilitating access to our treatments by overcoming non-clinical challenges and ensuring compliance with regulatory standards. This role involves acting as the primary liaison between patients, healthcare providers, and various partners, guiding them through the complexities of accessing prescribed medications. Your goal will be to provide empathetic, patient-focused care from the initiation to the closure of each case. Through your meticulous attention to detail and proactive communication, you will significantly contribute to our mission of caring deeply, working fearlessly, and changing lives. This position is integral to our operations, ensuring that our patients receive the support they need to access life-changing therapies. What You’ll Do: Build trusted relationships with patients and healthcare providers through proactive communication and timely execution of deliverables. Leverage a thorough understanding of program services to align support with the unique needs of each patient. Deliver personalized case management, including inbound and outbound communication with patients and HCPs regarding non-clinical access challenges. Provide personalized reimbursement support, including benefit investigations, prior authorization information, and financial assistance program determination. Conduct necessary benefits, coverage, and payer research to ensure compliance with appeal policies and timelines. Adhere to all standard operating procedures and departmental guidelines. Travel up to 20% to support program operations. Meet and exceed performance metrics and quality standards to achieve business objectives. Perform other duties as assigned. Who You Are: You are a compassionate and detail-oriented individual with a passion for helping others. Your strong interpersonal skills enable you to listen well and communicate fluently, making you an effective advocate for patients and healthcare providers. You are service-oriented, anticipating and meeting the needs of those you support. Your persistence and problem-solving abilities drive you to achieve results, even in the face of obstacles. You are organized and adaptable, comfortable with process improvement and change management, and you proactively identify trends to communicate to leadership and partners. Required Skills: A minimum of 3 years of customer service, patient services, case management, or related experience in a healthcare environment. Proficient 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 in Microsoft Office Products and CRM systems. Bilingual (English and Spanish) skills are a plus. High school degree required; Bachelor’s Degree preferred. Preferred Skills: Experience with process improvement and change management. Ability to work collaboratively in a team structure. Familiarity with protecting patient privacy in various work environments. Job Level: Entry Level Additional Information The base compensation range for this role is: $54,000.00-$70,500.00 Base salary offered is determined through an analytical approach utilizing a combination of factors including, but not limited to, relevant skills & experience, job location, and internal equity. Regular employees are eligible to receive both short term and long-term incentives, including cash bonus and equity incentive opportunities, designed to reward recent achievements and recognize your future potential based on individual, business unit and company performance. In addition to compensation, Biogen offers a full and highly competitive range of benefits designed