Patient Services Case Manager

Who we are...Nuvation Bio is a biopharmaceutical company tackling some of the greatest unmet needs in oncology by developing differentiated and novel therapeutic candidates. Our vision is to significantly change the practice of oncology by developing medicines that provide truly meaningful improvements in quality of life and survival for people with cancer.What you'll be doingNuvation Bio is looking for a talented and highly motivated Case Manager to support the Nuvation Connect Patient Support Program. The Case Manager works in a highly visible, strong team environment to provide exceptional customer service on all levels (internally and externally). Specifically, educate / update Oncology Account Managers / Field Sales, National Account Directors (NADs), Specialty Pharmacy partners, patients / caregivers and Healthcare Providers (HCPs), interpreting their specific needs and providing friendly, professional, and well-informed answers to their questions. The Case Manager will work with insurance companies to understand and manage all steps required to gain access to therapy. The role will assist the Oncology Nurse Advocates at the Hub maintain relationships with patients, caregivers and physicians to ensure ongoing compliance with therapy. This individual will report to the Senior Director of Patient Services.You will be responsible for...

• Work closely with patients, caregivers, HCPs and insurance carriers throughout the patient journey to reduce / remove barriers to access therapy
• Proactively review all active patient cases to increase time-to-fill opportunities
• Facilitate frequent calls with HUB, NADs, Field Sales, and Specialty Pharmacy Partners to understand patient journey and access to therapy status
• Triage, troubleshoot and resolve initial and on-going reimbursement issues (PAs, denials, appeals, reauthorizations, overrides, billing problems)
• Acts as the liaison with office personnel and insurance companies to resolve complex coverage issues
• Partner with Commercial Operations and Data Analytics to proactively identify and assess trends.
• Serve as the liaison between the HUB and all Nuvation Bio internal teams (ex : Field Sales, NADs, etc)
• Communicate with internal and external partners to ensure seamless case coordination and patient access to therapy
• Communicate with key medical practice accounts, field sales representatives and Specialty Pharmacy vendor(s) regarding the status of cases
• Ensure all actions, and those of his / her team both internally and through vendors working on our behalf, are compliant with all laws, regulations and policies and demonstrate Nuvation Bio values
• Work cross-functionally with NAD team on complex payer issues and HCP outreach opportunitiesWhat Knowledge & Experience you'll bring to us...
• Bachelor's degree required (business / healthcare administration of life sciences preferred)
• 5 years of experience in the pharmaceutical industry
• 3 years of prior HUB, reimbursement and / or case management experience
• Experience supporting oral oncolytics via multiple distribution channels
• Prior reimbursement experience with the ability to research, resolve and communicate complex reimbursement scenarios to patients, care partners and HCPs
• Experience with understanding benefits, access and coverage policies across various health insurance providers (commercial and government)
• Ability to multi-task, prioritize, problem solve and manage communication with Oncology Nurses and Field Sales across multiple geographies and time zones
• Cross-functional matrix collaboration to foster case resolution and pull through
• Possess and portray strong emotional intelligence, positive attitude and exceptional listening skills
• Have exceptional attention to detail and excellent analytical, investigation, and critical thinking skills
• Knowledge of various Healthcare Plan types (Commercial, Managed Care, ACA, Government (specifically Medicare Part D)
• Computer Proficiency; specifically strong knowledge of Microsoft Excel, Word and PowerPoint software applications
• Strong data entry skills required
• Strong verbal and written communication skills
• Exceptional customer service and resolution skills
• Ability to handle sensitive PHI information
• Knowledge of HCPCS and ICD-10 coding
• Knowledge of Medical Terminology (preferred)Behavioral skills to be successful...
• Problem-Solver - As an action-oriented self-starter, you're eager to apply your expertise in diagnosing inefficiencies, determining root causes, and recommending solutions to complex challenges.
• Personable - You establish and nurture highly effective relationships with colleagues and key stakeholders that support and advance project goals and objectives.
• Credible - Thorough understanding of clinical methodologies and providing sound analytical support, you quickly establish credibility as a reliable resource.
• Emotional intelligence, curiosity, and a knack to figure out a way to build something better
• Communication - Effectively listens, conveys, and receives ideas. Maintains a consistent flow of information. A strong presenter and effective communicator with the ability to influence stakeholders.
• Accountability - Acts with a clear sense of ownership - whether the task is in their role description. Holds yourself and others accountable to execute all tasks at hand through seen and unforeseen circumstances with high quality and integrity.
• Adaptability - Can manage in an environment of ambiguity. Embraces the change of a new system, process, technology, or idea in the organization. You could reassess priorities, alter goals and take risks.What we have for you!
• Competitive Base Salary, Bonus, and Equity Plans
• Unlimited Vacation and 10 Sick Days Annually
• Excellent Medical, Dental, and Vision Coverage
• 401K with Company Matching
• and much more!The base pay offered will take into account internal equity and also may vary depending on the candidate's job-related knowledge, skills, experience, and location among other factors. Our full-time regular positions also include an annual performance-based bonus and long-term incentive units (equity) provided as part of our compensation package, in addition to a full range of medical, financial, and / or other benefits, depending on the level and position offered.DisclaimerNuvation Bio, Inc. is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, protected veteran status, disability status, or any other characteristic protected by the law.This job description reflects the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job. Nothing restricts management's right to assign or reassign duties and responsibilities to this job at any time.Note to all external Recruiters & Staffing AgenciesAll of our open positions are managed by our Talent Acquisition department. Any resumes submitted through the website or directly by recruiters or staffing agencies in advance of an executed agreement with Nuvation Bio, Inc., will be considered unsolicited and the company will not be responsible for any related fees. Resumes sent directly to employees or hiring managers will also not be accepted as referrals.