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.
Key Accountabilities
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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.
Qualifications:
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Bachelor's degree or equivalent experience preferred
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Minimum 3 years of reimbursement experience preferred
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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).
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Demonstrates effective problem-solving skills and provides excellent customer service
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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.
Relocation benefits are not available for this job posting.
Contractors will be employees of Magnit, assigned to Genentech.
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.