CASE MANAGER, ACCESS SOLUTIONS (CONTRACT) - PORTLAND
Company: Genentech
Location: Portland
Posted on: October 5, 2024
Job Description:
The Position ****Multiple roles available**** Relocation
benefits are not available for this job posting. Roche is a global
healthcare group with 94,000 employees in 100 countries, focused on
innovation and transforming patients' lives. Genentech Access
Solutions, a member of Roche Group, helps patients navigate the
insurance process and access medicines, improving their quality of
life. Roche values science, technology, innovation, professional
development, diversity, and inclusion. The company has a unique
culture centered around its people and a vision for greater patient
benefit and impact. Join Roche and be part of one of the world's
largest biotechnology companies, making a meaningful difference in
healthcare. Your Opportunity: The Access Solutions Case Manager
acts as a liaison between patients, providers, distributors, and
insurance carriers to assure services are provided in the least
restrictive and least costly manner. The Case Manager is an
Individual Contributor and reports to an Access Solutions
Supervisor. Key Accountabilities
- You will provide reimbursement support to patients,
pharmacists, physicians, and the internal sales force.
- You will educate, inform, and assist patients and providers to
navigate the reimbursement and appeal process for the assigned
product.
- You will identify barriers to reimbursement, recommend program
efficiencies, and facilitate referrals to alternative coverage
options and financial assistance programs for underinsured
patients.
- You will establish relationships with appropriate stakeholders,
conduct benefits coverage, and perform payer research to ensure
compliance with policies.
- You should be prepared for periodic mandatory overtime,
including weekends, during high referral seasons or unexpected
volume surges. Who you are: Qualifications:
- Bachelor's degree or equivalent experience preferred
- Minimum 3 years of reimbursement experience preferred
- Knowledge of the managed care industry, including government
payers, and proficiency in all aspects of reimbursement (e.g.,
benefit investigations, payer reimbursement policies, regulatory
and administrative rules).
- Demonstrates effective problem-solving skills and provides
excellent customer service
- Excellent investigational and analytical skills, proven ability
to communicate effectively in both written and verbal formats, and
the ability to work collaboratively in a team structure while
responsibly delegating next steps to appropriate team members. The
expected salary range for this position based on the primary
location of Oregon is $30 per hour. Actual pay will be determined
based on experience, qualifications, geographic location, and other
job-related factors permitted by law. This position is eligible to
earn incentive compensation that is calculated and paid in
accordance with the applicable Incentive Compensation Plan for the
role. Contractors will be employees of Magnit, assigned to
Genentech. *LI-MG1 Genentech is an equal opportunity employer, and
we embrace the increasingly diverse world around us. Genentech
prohibits unlawful discrimination based on race, color, religion,
gender, sexual orientation, gender identity or expression, national
origin or ancestry, age, disability, marital status and veteran
status.
Keywords: Genentech, Gresham , CASE MANAGER, ACCESS SOLUTIONS (CONTRACT) - PORTLAND, Executive , Portland, Oregon
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