Are you looking for a patient-focused, innovation-driven company that will inspire you and empower you to shine? Join us as a Financial Case Manager in our Lexington office.

At Takeda, we are transforming the pharmaceutical industry through our R&D-driven market leadership and being a values-led company. To do this, we empower our people to realize their potential through life-changing work. Certified as a Global Top Employer, we offer stimulating careers, encourage innovation, and strive for excellence in everything we do. We foster an inclusive, collaborative workplace, in which our global teams are united by an unwavering commitment to deliver Better Health and a Brighter Future to people around the world.

Here, you will be a vital contributor to our inspiring, bold mission.

Primary Role

Financial Case Management is the process of managing a patient’s entire benefit need, which includes seeking alternative funding for other medical conditions a patient may have; assist in managing existing lifetime maximums and/or roll back benefits; identify additional insurance coverage options for various aspects of a patients care.  The Financial Case Manager will be responsible for managing a group of patients that require specialized handling to ensure optimum coverage and financial assistance is in place for patients to begin and/or continue uninterrupted therapy to treat their medical condition(s).  This position will be responsible for referring patients to external patient assistance vendors as well as manage the enrollment process for the PAP program, our free drug program to those patients deemed eligible.  Shire offers patients several different forms of financial assistance including co-pay and deducible assistance, insurance premium assistance as well as assistance for other incidental medical expenses, including home nursing and specific travel related expenses.

To be viewed by their peers as a subject matter expert in all aspects of the case management process.

Essential Functions

Responsibilities:                                           

Serves as a patient advocate by communicating with 501c3 organizations as well as any other organizations offering services to patients in needCounsel patient/family on reimbursement optionsConducts research, manage patient records, and organizes documentation for the purposes of providing patient assistanceGuides patients through enrollment periods through both commercial and government payers as well as nonprofit organizations offering assistanceCollaborates with other members on the Patient Services Team for the purposes of updating patient status’ currently in Financial Case ManagementMonitor and work with patients approaching Medicare eligibility to ensure appropriate placement in Parts A, B, & D plans as well as supplemental and Gap coverage where necessaryCoordinate and manage all eligible patient referral/enrollment into the Rare Disease Charitable Foundation/PAP ProgramMaintain communication and interaction with patients and medical providers in order to address issues impeding optimum treatment goalsResearch available commercial and government sponsored programs across all 50 states and Puerto Rico.Provide back-up coverage for other Financial Case ManagersAttend patient meetings and represent the foundation at industry conferencesBe an on the floor leaderBecome the subject matter expert for the group in a particular area (ex – Medicare, healthcare reform, etc) and present this section to new hires during training processTrain Sales, Marketing and Patient ServicesManage products with Risk Evaluation and Mitigation Strategies (REMS).Attend regional CMSA conference or national meetings related to all disease states we support (as needed)

Education & Experience Requirements:

BS/BA in life sciences/communications is preferredMinimum of 5 years of prior case management experience (within last 2 years)Minimum of 3 years of customer service experience

Key Skills and Competencies:

Prior reimbursement experience with ability to communicate complex reimbursement scenarios to patients and medical professionals.Ability to multi task, problem solve and work independentlyIndividual must possess and portray strong emotional resilienceIndividual must possess extraordinary positive attitude, exceptional listening skills, and strong verbal and written communication skillsAbility to handle sensitive informationAbility to work in a team environment with excellent communication skillsPresentation skillsProficient in all MS Programs (MS, Access, Word, Outlook, and PowerPoint)Customer Service FocusAdapts to complex situations

Other Job Components

Complexity and Problem Solving:

Ability to problem solve complex scenarios  and recommend solutionsAbility to problem solve complex reimbursement scenarios and recommend solutionsAbility to maintain composure and remain professional during difficult patient or medical calls

Internal and External Contacts:

Effectively communicate with both internal and external colleagues as well as management team when neededLiaison with patients and familiesLiaison with physicians and sites of careWork with specialty pharmacy partners, nursing agencies and other 501c3 organizationsWork with Regional Business Managers, Patient Access Manager and Managed Care/Government Accounts teamWork as a coach to other case managers in the department

Travel Requirements:

30% travelValid driver’s license and/or Passport required

WHAT TAKEDA CAN OFFER YOU:

401(k) with company match and Annual Retirement Contribution PlanTuition reimbursement Company match of charitable contributionsHealth & Wellness programs including onsite flu shots and health screeningsGenerous time off for vacation and the option to purchase additional vacation daysCommunity Outreach Programs

Empowering Our People to Shine

Discover more at takedajobs.com

No Phone Calls or Recruiters Please.