Cambridge, MA, USA
5 days ago
Case Manager - Tzield

Job Title: Case Manager - Tzield

Location: US Remote/Field

About the Job

Provide best-in-class support services to ensure a positive experience for patients receiving Tzield, Sanofi's first and only disease-modifying therapy for type 1 diabetes (T1D). Tzield is approved to delay the onset of Stage 3 T1D in adults and children eight years and older diagnosed with Stage 2 T1D.

This role requires coordinating both internal and external care teams throughout the patient journey, addressing the complexities of patient identification, treatment administration, and access challenges.

As a Case Manager for Tzield, you will support T1D patients and their families through comprehensive care coordination. In this high-touch role, you will assist patients and caregivers with accessing Sanofi's FDA-approved T1D therapy, facilitating insurance approvals for both the product and administration, collaborating across multiple functions, and coordinating care to ensure a seamless journey. You will serve as the central point of contact, developing and executing personalized care plans to address patient barriers to treatment, providing relevant program and process education, resources, and coordination throughout the patient journey.

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

Main Responsibilities:

Act with a sense of urgency and purpose, leading the case management process for Tzield patients, while balancing individual patient needs with Sanofi's business objectives

Serve as the primary point of contact and champion for patients from enrollment through to treatment completion

Engage patients/families to create meaningful connections, uncover needs, understand challenges, and provide education and support to start on Tzield therapy

Assess individual patients' insurance coverage options, limitations, and requirements; identify appropriate resource plans and advocate on patients' behalf to ensure successful initiation of Tzield treatment

Educate patients, caregivers, and healthcare providers on Tzield coverage based on patient benefits and the steps needed to gain product and administration approval

Maintain comprehensive understanding of the reimbursement process, healthcare systems navigation, billing/coding guidelines, insurance plans, payer trends, and internal/external patient assistance programs

Enroll eligible patients into appropriate financial assistance programs as needed

Maintain up-to-date knowledge of regional resources and market landscape to best support patient access to therapy

Compliantly coordinate the exchange of patient-related information with internal and external stakeholders

Exhibit initiative and leadership within the cross-functional regional team, identifying complex patient-specific issues and developing action plans accordingly

Document all interactions with attention to data integrity

Provide caseload coverage outside of assigned territory as needed

Ensure compliance with all Sanofi policies

About You

Qualifications:

Bachelor's degree or higher preferred

3-5 years of patient-facing or high-touch customer interaction experience required

In-depth understanding of health insurance benefits

Excellent written and oral communication and problem-solving skills, including the ability to connect with patients and caregivers

Experience and demonstrated success working in a complex matrix environment to accomplish goals

Strong people skills demonstrating flexibility, persistence, creativity, empathy, and trust

Ability to identify and handle sensitive issues, working independently and collaboratively within teams

Ability to travel within the US, up to 10%

Preferred Qualifications:

Salesforce CRM experience

Direct experience in case management, reimbursement, insurance, or healthcare systems fields

Pharma/biotech patient services and specialty product experience

Experience with complex medical payer policy requirements and coordination of multiple prior authorization needs

Experience with T1D patients or autoimmune conditions

Infusion therapy experience

Home care coordination experience

Buy & Bill and white bag 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 through 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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Pursue progress, discover extraordinary

Better is out there. Better medications, better outcomes, better science. But progress doesn’t happen without people – people from different backgrounds, in different locations, doing different roles, all united by one thing: a desire to make miracles happen. So, let’s be those people.

At Sanofi, we provide equal opportunities to all regardless of race, colour, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, ability or gender identity.

Watch our ALL IN video and check out our Diversity Equity and Inclusion actions at sanofi.com!

US and Puerto Rico Residents Only

Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally inclusive and diverse workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; natural or protective hairstyles; 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.

North America Applicants Only

The salary range for this position is:

$84,000.00 - $121,333.33

All compensation will be determined commensurate with demonstrated experience. Employees may be eligible to participate in Company employee benefit programs. Additional benefits information can be found through the LINK.

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