Demo

Patient Support Manager

Proclinical
Lexington, KY Full Time
POSTED ON 1/23/2025
AVAILABLE BEFORE 4/22/2025

Patient Support Manager - Contract - Lexington, MA

Proclinical is seeking a Patient Support Manager to work in a highly visible, strong team environment and provide exceptional Customer Service on all levels. The PSM will work with patients, physician offices, partners and insurance companies to case manage all steps required to gain access to therapy.

Skills & Requirements :

  • BA / BS in the life sciences or communications preferred.
  • 3 -5 years of prior case management experience preferred.
  • Prior reimbursement experience with ability to communicate complex reimbursement scenarios to patients and medical professionals.
  • Ability to multitask, problem solve and work independently.
  • Liaison with patients and families.
  • Liaison with physicians and sites of care.
  • Work with specialty pharmacy partners, insurance companies and nursing agencies.
  • Work with Regional Business Managers, Patient Access Manager and Managed Care / Government Accounts team.
  • Individual must possess extraordinary positive attitude, exceptional listening skills, and strong verbal and written communication skills.
  • Ability to handle sensitive information.
  • Ability to problem solve complex reimbursement scenarios and recommend solutions.
  • Ability to maintain composure and remain professional during difficult patient or medical calls.

The Patient Support Manager will :

  • Specifically, listen to and counsel patients and medical professionals, interpret their specific needs and provide friendly, professional and well-informed answers to their questions.
  • Maintain relationship with patients and physicians to ensure ongoing compliance with therapy.
  • Works closely with patient / family to case manage all steps required to gain access to therapy.
  • Acts as the liaison with medical offices
  • Work with Specialty Pharmacy and insurance companies to obtain reimbursement information.
  • Perform benefit investigations with insurance companies as required.
  • Counsel patient / family on reimbursement options.
  • Manage patient transition to our products.
  • Work with nurses to provide injection / infusion training to patients.
  • Responsible for maintaining case history for all assigned patients in the CRM system.
  • Trouble shoot and resolve ongoing reimbursement issues (step edits, insurance changes, PA's, etc).
  • Partner with Field Regional Business Managers and Patient Access Managers to manage all patient cases within their assigned territories.
  • Provide ongoing persistency and compliance support by making regular calls to patient / families.
  • Manage patient assistance requests and work with partners to process applications.
  • Provide back-up coverage for other Patient Support Managers.
  • May attend patient meetings and represent Takeda at industry conferences.
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