Relocation not provided. Hiring Manager will consider only local hires
*Multiple positions available*
The Case Manager acts as a liaison between patients, providers, MDs, distributors and insurance carrier to assure services are provided in the least restrictive and least costly manner.
Provides customer focused reimbursement support to patients, pharmacists, physicians and internal sales force
Educates, informs, and assists patients and providers to navigate through the reimbursement process for the assigned product
Identifies barriers to reimbursement and continually identifies and recommends program efficiencies to the Supervisor to promote high quality of work by Access Solutions/GATCF staff
Identifies and facilitates referrals to alternative coverage options and financial assistance programs for patients who are under insured or require copy assistance
Establishes relationships with appropriate stakeholders including internal & external partners
May conduct necessary benefits, coverage and payer research/investigations to ensure appropriate resources, compliance with payer appeal policies, practices, timelines
Educates, informs and generally assists patients and their families, as well as other related external or internal parties on how to navigate the appeals process
This position may require some travel and flexibility in work shift.
Periodic mandatory overtime is required to all current and future ASO job postings for the following roles: Case Manager / Sr Case Manager
The successful candidate will demonstrate the following competencies critical to this role:
Communication – Listens well; expresses ideas fluently and logically; is open to input and can be depended on for truthfulness
Inspiring and Influencing – Fosters an exchange of ideas and support; persuades and influences without authority
Teamwork and Collaboration – Creates atmosphere of openness and truest’ collaborates; offers support and encouragement
Achieving Results – Is goal directed and persistent; is accountable for meeting commitments; recognizes the contributions of peers
Bachelors degree is preferred
A minimum of 3 years of reimbursement experience preferred
Proficient in all aspects of reimbursement (i.e., benefit investigations, payer reimbursement policies, regulatory and administrative rules.
Understands reimbursement/funding resources and how to access these resources.
Demonstrates effective problem solving skills and provides excellent customer service.
Excellent investigational and analytical skills with a proven ability to communicate effectively in both written and verbal format.
Ability to work collaboratively in a team structure and responsibly delegates next steps to appropriate team members.
Must be able to work effectively under pressure and prioritize tasks.
Must be able to follow written Standard Operating Procedure
Candidate must have excellent knowledge of the managed care industry, including government payers.
Who We Are
A member of the Roche Group, Genentech has been at the forefront of the biotechnology industry
for more than 40 years, using human genetic information to develop novel medicines for serious and
life-threatening diseases. Genentech has multiple therapies on the market for cancer & other serious
illnesses. Please take this opportunity to learn about Genentech where we believe that our employees
are our most important asset & are dedicated to remaining a great place to work.
The next step is yours. To apply today, click on the "Apply online" button.
Genentech is an equal opportunity employer & prohibits unlawful discrimination based on race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, disability, marital & veteran status. For more information about equal employment opportunity, visit our Genentech Careers page.