Case Management Specialist, Oncology

Job Title: Case Management Specialist, Oncology

• Location: Remote, US

About the Job

Support oncology patients and caregivers through care coordination and case management expertise. Develop and execute personalized care plans to address patient barriers to treatment. Maintain ongoing relationships with individuals, caregivers, and healthcare providers to proactively identify and address access barriers. Support Sanofi business priorities by contributing to the success of a best-in-class patient services organization.

Join the team transforming care for people with immune challenges, rare diseases, cancers, and neurological conditions. In Specialty Care, you’ll help deliver breakthrough treatments that bring hope to patients with some of the highest unmet needs.

About Sanofi

We’re an R&D-driven, AI-powered biopharma company committed to improving people’s lives and delivering compelling growth. Our deep understanding of the immune system – and innovative pipeline – enables us to invent medicines and vaccines that treat and protect millions of people around the world. Together, we chase the miracles of science to improve people’s lives.

Main Responsibilities:

• Leads the case management process; balancing the needs of individual patients with the objectives of Sanofi and US Oncology business unit

• Assesses patients’ needs and develops strategic action plans that provide for the initiation and continuation of treatment

• Facilitates insurance approval for Sanofi Oncology therapies

• Educates patients, caregivers, health care providers, and others regarding insurance limitations/requirements, case management services, and relevant disease/product information

• Maintains comprehensive understanding of the reimbursement process, navigation of health care systems, billing/coding guidelines, insurance plans, payer trends, internal and external patient assistance programs, and related resources

• Facilitates access to Sanofi CareASSIST support programs, including Free Goods and Copay

• Maintains up-to-date knowledge of the resources available at the regional level, including alternative resources, and applies this knowledge in way that best supports patient access to therapy.

• Compliantly coordinates the exchange of patient-related information with internal and external stakeholders

• Exhibits initiative and leadership within the cross-functional regional team. Able to consistently identify complex patient specific issues and develop action plans accordingly. Demonstrates accountability for action plan execution, and energetically drives for success and results.

• Establishes and maintains professional, effective relationships with internal and external stakeholders

• Attends patient meetings, site visits/calls, conferences and trade shows to educate individuals regarding CareASSIST services and other approved case management topics. Represent Sanofi in all venues in a professional manner

• Raises own performance expectations and goals to support entrepreneurial approach to the growth of the team and the business

• Demonstrates and maintains a high level of business acumen, understanding of Sanofi’s business model, and the role of the case manager and patient support services team in commercializing the business and driving initiatives to meet goals

• Demonstrates innovation by consistently monitoring systems, processes, and potential gaps, offering new ideas and solutions to elevate the support program

• Effectively shares reimbursement and other knowledge with PSS members through orientation training, case studies, consultation for complex cases and special projects as requested.  

• Consistently maintains accurate data, including insurance, coverage approvals, on-going coverage requirements, and all patient and provider interactions.

• Proficient in use of CRM tool to document work.  Consistently leverages CRM reporting tools and data analytics to make strategic territory decisions while prioritizing patient and customer needs.

• Provide caseload coverage outside of assigned territory as needed. 

About You

Minimum Requirements

• Bachelor’s Degree required. 

• 3+ years of patient facing interaction required. Experience should include but is not limited to home care management, case management review, utilization review, social service support, insurance reimbursement and/or patient advocacy.

• In-depth understanding of health insurance benefits, relevant state and federal laws and insurance regulations.