Case Management Specialist - Oncology at Sanofi in Cambridge, Massachusetts

Job Description:

Job Title: Case Management Specialist - Oncology



Location: Cambridge, MA



About the Job



Support oncology patients and caregivers through care coordination and case management expertise. Develop and execute personalized care plans to address patient barriers to treatment. Maintain ongoing relationships with individuals, caregivers, and healthcare providers to proactively identify and address access barriers. Support Sanofi business priorities by contributing to the success of a best-in-class patient services organization.


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 single day, pursuing progress to make a real impact on millions of patients around the world.



Main Responsibilities:

• Leads the case management process; balancing the needs of individual patients with the objectives of Sanofi and US Oncology business unit
  
  


• Assesses patients' needs and develops strategic action plans that provide for the initiation and continuation of treatment
  
  


• Facilitates insurance approval for Sanofi Oncology therapies
  
  


• Educates patients, caregivers, health care providers, and others regarding insurance limitations/requirements, case management services, and relevant disease/product information
  
  


• 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
  
  


• Facilitates access to Sanofi CareASSIST support programs, including Free Goods and Copay
  
  


• Maintains up-to-date knowledge of the resources available at the regional level, including alternative resources, 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, effective relationships with internal and external stakeholders
  
  


• Attends patient meetings, site visits/calls, conferences and trade shows to educate individuals regarding CareASSIST services and other approved case management topics. Represent Sanofi in all venues in a professional manner
  
  


• 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, understanding of Sanofi's business model, and 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 PSS members through orientation training, case studies, consultation for complex cases and special projects as requested.
  
  


• Consistently maintains 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.
  
  

About You




Minimum Requirements - Case Manager Specialist (I)

• Bachelor's Degree required.
  
  


• 3-5 years of patient facing interaction required, Experience should include but is not limited to home care management, case management review, utilization review, social service support, insurance reimbursement and patient advocacy.
  
  


• In-depth understanding of health insurance benefits, relevant state and federal laws and insurance regulations.
  
  


• Developed communication, mediation, and problem- solving skills.
  
  


• Experience with data entry/computer literacy skills.
  
  


• Ability to identify and handle sensitive issues with opposing opinions, work independently and effectively within teams.
  
  


• Ability to travel required, up to 25%, possibly weekends.
  
  

Preferences:

• Spanish speaking skills
  
  


• Degree in health care, social work, or nursing
  
  


• Direct experience in the case management field
  
  


• Industry 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.


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