Case Manager, Rare Diseases - West

With its beginnings in a family run pharmacy in Correggio, Italy in the 1920s, Recordati is now a global pharmaceutical company, listed on the Italian stock exchange, with over 4,500 employees and turnover of over Euro 2bn.

We are a group of like-minded, passionate individuals who go to extraordinary lengths for our patients, customers, partners, investors and the people across the globe who we serve. We develop and commercialise medicines to serve people living with common diseases, as well as those living with some of the rarest, in around 150 countries.

At Recordati, our mantra is simple. We’ve always believed that health, and the opportunity to live life to the fullest, is a right, not a privilege. Whether that is for common diseases or the rarest – we want to give people the opportunity to be the best version of themselves.

This drive will never stop. Together, we will always be reimagining tomorrow – with new ideas, new technologies and new innovations to fight diseases.

Recordati. Unlocking the full potential of life.

This position is with Recordati Rare Diseases, Inc. (RRD), North America, an affiliate of Recordati.

Recordati Rare Diseases, Inc. (RRD) develops high-impact therapies for rare diseases, focusing on providing treatments to underserved communities in the U.S. Our mission is to mitigate the impact of rare diseases through increased awareness, better diagnoses, and improved treatment access in endocrinology, metabolic, hematology and oncology franchises. RRD is dedicated to fostering a dynamic work environment that promotes professional growth and a significant impact on patients' lives.

Reporting Structure

Reports To: Director, Patient Services

Direct Reports: None

Areas Managed: Patient Services

Overview

Support Recordati Rare Disease patients and families through care coordination and case management expertise. Develop and execute personalized plans to address patient barriers to treatment. Maintain ongoing relationships with individuals, caregivers, and healthcare providers to proactively identify and address access barriers and coordinate, as necessary, with insurance providers, specialty pharmacies and local resources. Provide best-in-class patient services to ensure a positive patient experience and support Recordati Rare Diseases business priorities.

Key Responsibilities

• Leads the case management process, while balancing the needs of individual patients to align with the business needs/objectives of Recordati Rare Diseases Hematology Franchise.
• Assesses patients’ needs and develops strategic action plans that provide for the initiation and continuation of treatment.
• Helps facilitate insurance approval for drug coverage and access.
• Educates patients, caregivers, health care providers, and others regarding insurance options or limitations, insurance requirements, case management services, and relevant disease/product information as necessary.
• Maintains comprehensive understanding of the reimbursement process, navigation of health care systems, billing/coding guidelines, insurance plans, payer trends, internal and external patient assistance programs, and related resources.
• Enroll patients who qualify into the appropriate financial assistance program as needed/required.
• Maintains up-to-date knowledge of the resources available at the regional level as well as market landscape and applies this knowledge in way that best supports patient access to therapy.
• Compliantly coordinates the exchange of patient-related information with internal and external stakeholders.
• Exhibits initiative and leadership within the cross-functional regional team. Able to consistently identify complex patient specific issues and develop action plans accordingly. Demonstrates accountability for action plan execution, and energetically drives for success and results.
• Establishes and maintains professional and effective relationships with all internal and external customers and stakeholders, including, but not limited to case management colleagues, medical, sales, market access, insurance companies, specialty pharmacies, infusion site staff and office coordinators.
• Raises own performance expectations and goals to support entrepreneurial approach to the growth of the team and the business.
• Demonstrates and maintains a high level of business acumen, understands the role of the case manager and patient support services team in commercializing the business and driving initiatives to meet goals.
• Demonstrates innovation by consistently monitoring systems, processes, and potential gaps, offering new ideas and solutions to elevate the support program.
• Effectively shares reimbursement and other knowledge with Patient Solutions team members through orientation training, case studies, consultation for complex cases, and special projects as requested.
• Consistently maintains and documents accurate data, including insurance, coverage approvals, on- going coverage requirements, and all patient and provider interactions.
• Proficient in use of CRM tool to document work. Consistently leverages CRM reporting tools and data analytics to make strategic territory decisions while prioritizing patient and customer needs.
• Provide caseload coverage outside of assigned territory as needed.
• Ensure compliance with Recordati Rare Diseases Policies
• Act in full compliance with all laws, regulations, and policies including adverse events / pharmacovigilance responsibilities.
• Perform additional duties as may be assigned.

Education And Preferred Experience

• Bachelor’s Degree required.
• 3-5 years of patient-facing, medical insurance/billing or pharma industry experience required
• Bi-lingual; Spanish language skills preferred
• Direct experience in case management, insurance, or healthcare systems fields
• Pharma/biotech patient services experience preferred

Knowledge And Skills

• Developed communication, mediation, and problem-solving skills.
• Computer literacy skills to include data entry and office-based software programs.
• Ability to identify and handle sensitive issues, working independently and collaboratively within teams.

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. The employee must be able to fly via commercial air carrier.

This is largely a sedentary role; however, the employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms; talk and hear. Occasionally is required to lift and/or move light to moderate weight up to 25 lbs.

Location/Travel

• Remote and/or hybrid (Headquarters Bridgewater, NJ)
• Work time is 11am – 8pm eastern
• Travel up to 5%

FLSA Classification

• This position is considered Exempt

EEO Statement

Recordati Rare Diseases values the diversity of its workforce and welcomes applications from all qualified applicants. It is the policy of Recordati Rare Diseases to provide equal employment opportunity (EEO) to all persons regardless of race, color, religion, sex, sexual orientation, gender identity, or national origin. Further, Recordati Rare Diseases will not discriminate on the basis of any characteristic protected by federal, state, or local law. Recordati Rare Diseases will provide reasonable accommodation for qualified individuals with disabilities.

Disclaimer

This job description is not designed to cover or contain a comprehensive listing of the activities, duties or responsibilities that may be required.

At Recordati we believe in people! Inspired by our purpose - unlocking the full potential of life - we are committed to creating a diverse environment and cultivating a culture of inclusion. We strive to continually lead with our values and beliefs, enabling our employees to bring their whole selves to work and develop their potential.

We are proud to be an equal opportunity employer. We recruit, develop and reward without regard to, amongst others, gender, sexual orientation, gender identity or expression, national origin, age, physical or mental ability, race, ethnicity, political or religious belief.

If you are looking to join a company where you can try new things, speak openly, and be bold, we invite you to apply today.