Manager of Patient Support Case Management at ConnectMed360

Houston, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

02 Sep, 26

Salary

0.0

Posted On

04 Jun, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Team Leadership, Case Management, Oncology Patient Care, Pharmacy Benefit Management, Prior Authorization, Performance Monitoring, HIPAA Compliance, Relationship Building, Conflict Resolution, Patient Education, Regulatory Compliance, Data Analysis, Interpersonal Communication, Adverse Event Reporting, Healthcare Administration, Strategic Planning

Industry

Pharmaceutical Manufacturing

Description

ConnectMed360 is seeking a Manager of Patient Support Case Management. This position is Full-Time, remote, working Monday - Friday 9am-5:30 pm. Come and join our Team making a difference for patients with rare diseases! Salary is starting at $92k and up, depending on experience ConnectMed360 is a unique model creating customized patient support programs that connect manufacturers, providers, and patients to simplify the patient journey and deliver specialty medications and coordinated care quickly. A career with us is more than just a job. It's an opportunity to connect and care for our patients, providers, communities and each other. We attract extraordinary people who have a strong desire to live our mission - to better the lives of those battling cancer and rare diseases. Compassion is more important than numbers. We value teamwork, respect, integrity, and passion. We succeed when you do, and our company and management team work hard to foster an environment that provides you with opportunities for both professional and personal growth. We offer a variety of benefits including: * Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Tuition Reimbursement * Company paid benefits – life; and short and long-term disability The Mgr. Patient Support Case Management leads a team of Oncology Case Managers, ensuring this team provides exceptional support to prescribers, prescriber office staff and patients who need help getting access to oral oncology medication. This role is responsible for leading the Case Manager team, providing guidance and training, and monitoring metrics and performance. The Team Lead plays a critical role in establishing a high-quality standard for the team’s interactions with healthcare providers, patients and caregivers and Client field-facing personnel. The Manager will serve as the primary point of contact for internal team members and a first point of escalation for any program inquiries. This role will provide program-approved talking points, FAQs, scripts, guides and additional resources and information on disease state and treatment. The Manager will play an active role in shaping a positive, compassionate experience for each patient in the program, from enrollment and throughout treatment to facilitate a timely and successful patient experience. Major Responsibilities for the Mgr. Patient Support Case Management include: * Lead, mentor, and support a team of Oncology Case Managers, setting clear performance expectations and fostering a collaborative, high-performing environment. Conduct regular team meetings to align goals, updates, and challenges, ensuring excellent patient outcomes. * Provide ongoing guidance, training, and performance monitoring for team members, to ensure adherence to quality standards and program requirements * Oversee daily operations to ensure exceptional support is provided to prescribers, prescriber office staff, and patients seeking access to oral oncology medication. * Serve as the primary point of contact for internal team members and act as the first point of escalation for complex program inquiries or issues for complex patient, healthcare provider and/or Client issues to ensure prompt issue resolution * Deliver program-approved talking points, FAQs, scripts, guides, and educational resources to support team members and ensure consistent, compliant communication. * Monitor and analyze team metrics and performance data to drive continuous improvement and achieve program goals. * Build and maintain strong relationships with healthcare providers, patients, caregivers, and client field-facing personnel to facilitate timely access to therapy and positive patient experiences * Uphold the company’s standards of business conduct, ethics, and compliance in all job responsibilities. * Demonstrate an understanding of business rules, work instructions, and company-approved communications for patients and HCPs. * Ensure all interactions and case management activities are thoroughly documented and compliant with company policies, regulatory requirements, and best practices. * Comprehensively understand the benefits investigation process, plan design, prior authorization criteria and processes, and all available patient support program offerings. * Support the patient journey from enrollment through ongoing treatment, proactively identifying and resolving barriers to access and therapy continuation * Communicate program updates, challenges, and noteworthy issues to supervisors and program managers as needed. * Must exhibit excellent skills in the following areas: verbal/written communication, computer/data entry/software proficiency, interpersonal and relationship-building skills, self-discipline, attention to detail, and the ability to maintain strict confidentiality. * Reporting of Adverse Events/ Product Complaint received in accordance with SOP and good manufacturer practices * Other duties as assigned by management * Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards. Qualifications for the Mgr. Patient Support Case Management include: Education/Learning Experience * Required: Bachelor’s Degree OR equivalent program from a two-year college or technical school * Desired: Bachelor’s Degree and a certificate program in pharmacy and/or healthcare field, preferred. Certification preferences include PACS (Prior Authorization Certified Specialist), CHES (Certified Health Education Specialist) CCM in healthcare or social science (Certified Case Manager) or Social Worker Field Work Experience * Required: Minimum of 7 years of pharmacy experience required, minimum of 7 years of pharmacy or patient support program experience, 1-2 years of leadership or supervisory experience, with a proven ability to manage teams effectively. Experience with oncology patient care, including understanding cancer treatment regimens, side effects, and patient education needs. * Desired: Minimum of 5 Years of patient support program experience Skills/Knowledge * Strong verbal and written communication skills with the ability to adapt communication style and word choice to effectively convey information to various audience types, inclusive of patients, healthcare providers and cross-functional teams * Proactive mindset where potential challenges are anticipated and initiative is taken towards effective solutions to support patients, providers, and care team members through access issues to ensure timely resolution and to prevent delays in treatment initiation * Working knowledge and experience with health insurance (pharmacy benefit), Medicare Part D coverage, prior authorization processes, and medication reimbursement specifically for specialty drugs * Working knowledge of US health care policies and relevant legal, compliance, regulatory requirements * Understands HIPAA and privacy laws and requirements and maintains patient confidentiality * Experience with Adverse Event and Product Quality Complaint reporting * Limited travel may be required for trips to company meetings, key customer meetings, or other association meetings as determined by leadership Licenses/Certifications * Desired: Pharmacy Technician, PACS (Prior Authorization Certified Specialist), CHES (Certified Health Education Specialist) or CCM in healthcare or social science (Certified Case Manager)

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Responsibilities

Lead and mentor a team of Oncology Case Managers to ensure patients and providers have timely access to oral oncology medications. Oversee daily operations, monitor performance metrics, and serve as the primary escalation point for complex program inquiries.