Case Management Specialist at Sanofi Aventis US LLC

Cambridge, Massachusetts, United States -

Full Time

Start Date

Immediate

Expiry Date

24 Apr, 26

Salary

123500.0

Posted On

25 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Case Management, Patient Support, Insurance Coverage, Communication Skills, Problem Solving, Healthcare Systems Navigation, Reimbursement Process, Financial Assistance Programs, Empathy, Collaboration, Data Integrity, Education, Flexibility, Creativity, Initiative, Leadership

Industry

Pharmaceutical Manufacturing

Description

Job title: Case Manager - Tzield Location: Remote About the Job Provide best-in-class support services to ensure a positive experience for patients receiving Tzield, Sanofi's first and only disease-modifying therapy for type 1 diabetes (T1D). Tzield is approved to delay the onset of Stage 3 T1D in adults and children eight years and older diagnosed with Stage 2 T1D. This role requires coordinating both internal and external care teams throughout the patient journey, addressing the complexities of patient identification, treatment administration, and access challenges. As a Case Manager for Tzield, you will support T1D patients and their families through comprehensive care coordination. In this high-touch role, you will assist patients and caregivers with accessing Sanofi's FDA-approved T1D therapy, facilitating insurance approvals for both the product and administration, collaborating across multiple functions, and coordinating care to ensure a seamless journey. You will serve as the central point of contact, developing and executing personalized care plans to address patient barriers to treatment, providing relevant program and process education, resources, and coordination throughout the patient journey. We are an innovative global healthcare company, committed to transforming the lives of people with immune challenges, rare diseases and blood disorders, cancers, and neurological disorders. From R&D to sales, our talented teams work together, revolutionizing treatment, continually improving products, understanding unmet needs, and connecting communities. We chase the miracles of science every day, pursuing progress to make a real impact on millions of patients around the world. 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. Main Responsibilities: Act with a sense of urgency and purpose, leading the case management process for Tzield patients, while balancing individual patient needs with Sanofi's business objectives Serve as the primary point of contact and champion for patients from enrollment through to treatment completion Engage patients/families to create meaningful connections, uncover needs, understand challenges, and provide education and support to start on Tzield therapy Assess individual patients' insurance coverage options, limitations, and requirements; identify appropriate resource plans and advocate on patients' behalf to ensure successful initiation of Tzield treatment Educate patients, caregivers, and healthcare providers on Tzield coverage based on patient benefits and the steps needed to gain product and administration approval Maintain comprehensive understanding of the reimbursement process, healthcare systems navigation, billing/coding guidelines, insurance plans, payer trends, and internal/external patient assistance programs Enroll eligible patients into appropriate financial assistance programs as needed Maintain up-to-date knowledge of regional resources and market landscape to best support patient access to therapy Compliantly coordinate the exchange of patient-related information with internal and external stakeholders Exhibit initiative and leadership within the cross-functional regional team, identifying complex patient-specific issues and developing action plans accordingly Document all interactions with attention to data integrity Provide caseload coverage outside of assigned territory as needed Ensure compliance with all Sanofi policies Qualifications: Associates degree required, bachelor's degree or higher preferred 3-5 years of patient-facing or high-touch customer interaction experience required In-depth understanding of health insurance benefits Excellent written and oral communication and problem-solving skills, including the ability to connect with patients and caregivers Experience and demonstrated success working in a complex matrix environment to accomplish goals Strong people skills demonstrating flexibility, persistence, creativity, empathy, and trust Ability to identify and handle sensitive issues, working independently and collaboratively within teams Ability to travel within the US, up to 10% Preferred Qualifications: Salesforce CRM experience Spanish speaking Direct experience in case management, reimbursement, insurance, or healthcare systems fields Pharma/biotech patient services and specialty product experience Experience with complex medical payer policy requirements and coordination of multiple prior authorization needs Experience with T1D patients or autoimmune conditions Infusion therapy experience Home care coordination experience Why Choose Us? Bring the miracles of science to life alongside a supportive, future-focused team. Discover endless opportunities to grow your talent and drive your career, whether it’s through a promotion or lateral move, at home or internationally. Enjoy a thoughtful, well-crafted rewards package that recognizes your contribution and amplifies your impact. Take good care of yourself and your family, with a wide range of health and wellbeing benefits including high-quality healthcare, prevention and wellness programs and at least 14 weeks’ gender-neutral parental leave. Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law. #GD-SG #LI-GZ #LI-Remote #vhd Pursue progress, discover extraordinary Better is out there. Better medications, better outcomes, better science. But progress doesn’t happen without people – people from different backgrounds, in different locations, doing different roles, all united by one thing: a desire to make miracles happen. So, let’s be those people. At Sanofi, we provide equal opportunities to all regardless of race, colour, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, ability or gender identity. Watch our ALL IN video and check out our Diversity Equity and Inclusion actions at sanofi.com! US and Puerto Rico Residents Only Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally inclusive and diverse workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; natural or protective hairstyles; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law. North America Applicants Only The salary range for this position is: $85.500,00 - $123.500,00 All compensation will be determined commensurate with demonstrated experience. Employees may be eligible to participate in Company employee benefit programs. Additional benefits information can be found through the LINK. Global Terms & Conditions and Data Privacy Statement Sanofi is dedicated to supporting people through their health challenges. We are a global biopharmaceutical company focused on human health. We prevent illness with vaccines, provide innovative treatments to fight pain and ease suffering. We stand by the few who suffer from rare diseases and the millions with long-term chronic conditions. With more than 100,000 people in 100 countries, Sanofi is transforming scientific innovation into healthcare solutions around the globe. Discover more about us visiting www.sanofi.com or via our movie We are Sanofi As an organization, we change the practice of medicine; reinvent the way we work; and enable people to be their best versions in career and life. We are constantly moving and growing, making sure our people grow with us. Our working environment helps us build a dynamic and inclusive workplace operating on trust and respect and allows employees to live the life they want to live. All in for Diversity, Equity and Inclusion at Sanofi - YouTube

Responsibilities

The Case Management Specialist will lead the case management process for Tzield patients, serving as the primary point of contact from enrollment through treatment completion. They will engage with patients and families to assess needs, provide education, and advocate for successful treatment initiation.