Case Manager - Rare Disease- US Eastern Remote
Amgen SA
As a Case Manager at Amgen, you will provide day‑to‑day patient support, coordinate insurance and pharmacological access, and ensure patients receive the necessary therapy while maintaining high quality communication across internal and external stakeholders. Responsibilities Daily interaction with Regional Business Managers, Patient Access Liaison, and Medical Science Liaisons to track and communicate status of insurance approvals and reauthorizations. Work closely with RBMs, PALs, the hub, pharmacy and patient/family to case manage all steps required to gain access to therapy. Partner with Safety and Pharmacovigilance to report Adverse Events and product complaints through medical information. Maintain case history for all U.S. patients, entering relevant notes from hospital, pharmacy, insurance calls, patient support programs, physicians, nurses and the patients/families. Maintain and update patient status to track reimbursement and shipping status of U.S. patients. Triage, troubleshoot and resolve reimbursement issues (pre‑authorization, denials, appeals, reauthorizations, overrides, billing problems). Liaise with medical offices to obtain insurance authorizations. Counsel patients and families on insurance and reimbursement options. Identify general and specific adherence trends and suggest appropriate actions. Report on weekly changes in patient status, adjudication status of all patients, overall reimbursement trends, and other trends, successes or roadblocks. Manage, track and report on Open Enrollment efforts annually to ensure every patient has access to adequate insurance. Advise patients and families on insurance, financial assistance and therapeutic access programs. Attend patient meetings, industry conferences, and sales meetings. Basic Qualifications Master’s degree. Bachelor’s degree and 2 years of case management experience. Associate’s degree and 6 years of case management experience. High school diploma or GED and 8 years of case management experience. Preferred Qualifications Bachelor’s Degree strongly preferred. 5+ years of experience in the pharmaceutical industry. 2+ years prior experience as a Case Manager. Excellent communication skills and commitment to customer service. Ability to effectively resolve hurdles across multiple cases at the same time. Ability to learn product and disease information, familiarity with HIPAA and FDA regulations. Ability to manage communication with case managers and sales reps across multiple geographies and time zones. Excel and PowerPoint skills required. Up to 20% travel required. Benefits Comprehensive employee benefits package including Retirement and Savings Plan, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts. Discretionary annual bonus program. Stock‑based long‑term incentives. Award‑winning time‑off plans and bi‑annual company‑wide shutdowns. Flexible work models, including remote work arrangements where possible. Equal Opportunity Employer Amgen is an Equal Opportunity employer and will consider you without regard to your race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. #J-18808-Ljbffr
$66.11 - $90.91 per hour
...Are you looking for a patient-focused, innovation-driven company to inspire you and empower you to shine? Join us as a Rare Disease Business Manager - Alpha-1 supporting Dallas/Ft Worth West to Abilene, TX, East to Shreveport, LA and surrounding areas in between....Remote workBi-weekly payHourly payMinimum wageFull timeTemporary workLocal areaWork from homeHome officeNight shift- ...5 applicants About Us Hines is a nationwide... ...in personalized managed health care, focused... ...growth! Overview Our Case Manager role allows... ...of 2 years of disease management preferred... ...Work‑life balance. Remote/hybrid setting (once... ...exertion required. Rare travel to do onsite...Remote workFull timeTemporary workWork at officeWork from homeMonday to FridayFlexible hoursNight shift
$57.7k
...incumbent assesses health management needs of the assigned... ...will manage an active case load of members in his/... ...case management and/or disease/condition management experience... ...others regularly Rarely Travels regularly... ...would like to contact us regarding the...Remote workTemporary workFor contractorsWork at officeLocal area- Senior/Advanced Lung Disease Sales Specialist (Cincinnati, OH) \*Rare Disease Opportunity\* page is... ...Rare Disease Opportunity\*remote type: Remotelocations:... ...requisition id: R04741California, US residents .**The job... ...effective territory management and execution of sales/marketing...Remote workLocal areaHome office
$31 - $38 per hour
A healthcare organization in the United States is hiring an RN to coordinate wellness and disease management for members with chronic conditions. The ideal candidate will utilize their clinical expertise to work with patients, ensuring they receive optimal care and assistance...Remote jobHourly pay$85k
RN Case Manager Remote (Full Time) *Must reside in California* Compensation: $85,000 About Us Zócalo Health is a tech-enabled, community-oriented primary care organization... ...outcomes. * Provide health coaching, disease management education, medication support...Remote workFull timeLocal areaHome officeFlexible hoursShift work$80k - $104k
...49, United States of America RN Case Manager - Position Highlights Location: Utah -- Remote (CKD) (Must be located in the state... ...patient populations in the US. Our more than 600 dedicated nurses... ...patients with late-stage chronic kidney disease (CKD) and end stage renal disease...Remote workMinimum wageFull timeHome officeMonday to Friday2 days per week1 day per week$116k - $151k
...Operations – San Diego, USA (remote eligible with onsite in... ...of people living with rare disease. At Travere... ...Therapeutics is seeking a Manager, Market Insights to join... ...formulation, develop business cases for projects/tools, and... ..., please contact us by email at accommodations...Remote workTemporary work$130k - $150k
...Rare Disease Account Manager This is a full-time position within our US Sales department. The position is paying between $130,000 - $150,000 base salary depending on experience. Cycle Pharmaceuticals is recruiting for a Rare Disease Account Manager to join our sales...Remote workFull timeWork at office- ...relationships, and driving revenue growth in the Eastern USA region. The ideal candidate has a strong... ...industry and excellent communication skills. This is a remote position with a preference for candidates based in the Eastern third of the US. .#J-18808-Ljbffr...Remote work
$58.66k - $142.45k
...all applicants to join us and experience what it... ...reimbursement of services. -Review cases with medical directors... ...(3-33%)- Climbing Rarely (Less than 2%)-... ...Constantly (67-100%)**Remote Type**Remote**Work Location... ...talent pipeline.Combat disease. Hold a hand. Help people...Remote workSecond jobShift workWeekend work$160k - $235k
...Associate Director, Medical Affairs (Rare Disease Division, Southeast)Candidatar... ...Affairs****This position is REMOTE****Southeast Territory... ...You Will• Build, maintain, and manage professional relationships with... ...scientific congresses in the US• Contribute to an efficient organization...Remote workFull timeTemporary workFlexible hours- ...Science Liaison, NMOSD & gMG-Rare Disease Pittsburgh/WV/Southern OH... ...travel up to 60% for territory management, attendance at regional and national... .... What you can expect of us As we work to develop... ...Flexible work models, including remote and hybrid work arrangements,...Remote workWork at officeLocal areaFlexible hours
- ...or an alternative application process. Reimbursement Case Manager Full Time Coraopolis, PA, US 7 days ago Requisition ID: 1591 Purpose: The Reimbursement... ...use Microsoft Excel, Outlook and Word Knowledge of Rare Diseases Experience documenting requirements, creating...Remote workFull timeWork at officeHome office
- ...Coordinator, Patient Access (Case Manager)Cardinal Health SonexusTM Access... ...and hub services allows us to deliver best-in-class solutions... ...of pharmaceutical therapies, disease states, and medication... ...Monday-Friday, 7:00am- 8:00pm CST.REMOTE DETAILS: You will work...Remote workFull timeMonday to FridayShift work
$41.8k - $60.6k
...manufacturers rely on us to untangle the process... ...Payers and Pharmacy Benefit Managers, playing a vital role... ...medications. The Case Manager’s primary duty... ...education on relevant disease/product information.... ...Customer Service Position Type Full Time Remote No...Remote workFull timeWork at officeLocal areaImmediate startFlexible hours$54.1k - $155.54k
...quality in everything we do. Join us and be part of something... ...Position Summary This is a remote work from home role anywhere... ..., Inc (AHH) is a medical management company that is a division within... ..., AHH is URAC accredited in Case Management, Disease Management and Utilization...Remote workHourly payFull timeLocal areaWork from homeFlexible hours$10k
...Case Manager Site: The Spaulding Rehabilitation Hospital Corporation... ...invite all applicants to join us and experience what it means to... ...Occasionally (3-33%) Climbing Rarely (Less than 2%) Balancing... ...Hearing Constantly (67-100%) Remote Type: Onsite Work Location:...Remote workFull timeWork at officeRelocation packageShift workDay shift- ...one wants to hear, but one that connects us all. That's why we're not just... ...improve the human condition across multiple diseases. If you're passionate about meaningful work... .... Position Summary The Oncology Case Manager is responsible for maintaining and growing...Remote workWork at officeAfternoon shift
- ...year. Belle trains and manages a network of nail... ...issues arise, a team of remote nurses coordinate care... ...Joy to Healthcare. Join us if our cause inspires you... ...remote Telephonic Nurse Case Manager to help deliver... ...and chronic disease management, and passionate...Remote workFull timeWork from homeWeekend work
- ...through MySource. **This is a remote-based role, and we are... ...Supplement, and individual plans. Case Manager II Job Summary:... ...regulations. Knowledge of disease continuums, expected patient... ...products and services that allow us to better serve our customers...Remote workCasual workWork at office
$67.3k - $85k
...Responsibilities Acentra seeks a Case Manager of Behavioral Health to join... ...integrated case and disease management activities based on... ...placement. *Position is remote within the State of Oregon.... ...Medicaid processes Why us? We are a team of experienced...Remote workContract workLocal area$63.74k - $95.26k
...independent registered nurse to fill a Medical Case Manager position in the Birmingham, AL area.... ...in human capital and technology enable us to deliver the most innovative and... ...Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-RemoteRemote workMinimum wageFull timeWork at officeLocal areaWork from homeMonday to FridayFlexible hoursNight shift$185.5k - $344.5k
...collaborate closely with the US business, bringing insights and... ...& Analytics – Neuroscience & Rare Disease provides strategic leadership... ...as well as with the General Managers (GM’s) supporting these... ...have the ability to be located remotely. Key Responsibilities Strategic...Remote work$60.2k - $107.4k
...Nursing Optum NV is seeking a Case Manager RN - Cardiology to join our... ...better for everyone. Join us and discover how rewarding medicine... ...CHF clinic, assisting with remote telemonitoring of patients... ...practices for chronic care and disease management Follow standard...Remote workMinimum wageFull timeWork experience placementLocal areaWork from home$5,193 - $6,904 per month
...Job Title: Human Services Case Manager Agency: Department of Human Services... ...of vehicles, often in remote terrain and possibly inclement... ...weather; exposed to contagious diseases such as staph infections, lice... ...candidate must complete the US Department of Homeland Security...Remote workPermanent employmentFull timeWork at officeLocal areaMonday to Friday$5,193 - $6,904 per month
...members, and others to help us achieve our vision of a diverse... ...Title Human Services Case Manager Job Description The Oregon Department... ...which may be unfamiliar, to remote places in a variety of terrain... ...to a variety of contagious diseases such as staph infections, lice...Remote workPermanent employmentFull timeWork at officeLocal areaMonday to Friday- ...offers opportunities for seasoned Project Management professionals with a strong background... ...global studies in Neurology/Psych/Rare Disease. Individuals selected for these roles... ...and organizational skills. #LI-KH6 #LI-REMOTE EEO...Remote jobWork from home
$5,554 - $7,386 per month
...members, and others to help us achieve our vision of a diverse... ...Title Human Services Case Manager Job Description The Oregon Department... ...will work out of the office. Remote work is not an option at this... ...conditions, communicable diseases, second-hand smoke and pets....Remote workPermanent employmentFull timeWork at officeMonday to Friday$71k - $90.5k
...RN Case Manager - Hybrid Cityblock Health Detroit, MI, US / Onsite/Remote The RNCM manages a panel of rising and high intensity members to support integrated chronic disease and behavioral health care for the members. The RNCM collaborates with members to create...Remote workWork experience placement
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