Case Manager, Patient Services
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Job Description
Case Manager helping U.S. rare-disease patients access PTC Therapeutics treatments. Coordinating insurance, healthcare stakeholders, and patient support while managing cases in CRM.
Responsibilities:
- Provide personalized assistance to patients/caregivers with complex and rare medical conditions
- Work directly with patients/caregivers to help them obtain access to PTC products
- Build relationships with patients, caregivers, HCPs, patient engagement, and the sales team to collect/share information and coordinate patient care
- Solve problems urgently to help patients/caregivers gain access to therapy and maintain adherence
- Communicate with internal and external stakeholders while maintaining confidentiality of patient health information and complying with laws and regulations
- Navigate the CRM system and learn internal business rules and processes
- Report Adverse Events and Product Quality Complaints
- Adhere to PTC’s Standard Operating Procedures and Business Rules
- Interpret patient insurance, prescription, and other health-related documentation
- Handle all aspects of patient cases and complete follow-up promptly and professionally
- Perform clerical and administrative functions such as mailing and faxing
- Maintain subject matter expertise in orphan/rare disease, including conditions, treatments, patient/caregiver communities, and activities/events
- Apply subject matter expertise to drive positive patient outcomes
- Report to the Sr Mgr, Patient Services
- Domestic travel up to 10%
Requirements:
- Bachelor’s degree with 3 to 5 years of Case Management or recognized equivalent of education and experience with orphan/rare disease biotech environment experience
- Rare disease experience required
- Case Management (or related) experience demonstrating strong problem-solving and solution skills
- Ability to anticipate patients' needs and respond quickly, flexibly and creatively to solve problems
- Ability to work independently and collaboratively in a team environment consisting of internal and external team members
- Proficiency with Microsoft Office
- Excellent verbal and written communication skills
- Excellent organization and time management skills, including the ability to support and prioritize multiple tasks
- Ability to enter data quickly and accurately into CRM
- Working knowledge of pharmacy billing, prior authorization, appeals, and peer-to-peer review
- Bilingual/Spanish speaking is a plus
- Pharmacy Technician knowledge or certification preferred
- HCP Office Management experience preferred
- Experience working with Sales Reps preferred
- Case Management experience in a rare disease environment preferred
- Registered Dietitian License preferred but not required
Benefits:
- Short- and long-term incentives
- Medical insurance
- Dental insurance
- Vision insurance
- Retirement savings plans
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