Case Manager
Current• Manage 5 assigned territories, serving as a conduit helping link HCPs, Payors, Specialty Pharmacies, and patients to accomplish a mutual goal.• Organizing daily task by territory and level of urgency while being able to adapt quickly as needed.• Partner with 5 Novartis FRMs and PSCs via weekly Teams call and as needed through escalation, phone, and/or email, to proactively identify and resolve any pain points for providers and patients.• Thoroughly document partner discussions and action steps taken in the CRM tool. • Regularly conduct benefit investigations to confirm insurance type, PA necessity, copay programs, mandated specialty pharmacy, etc. and relay information to necessary personnel.• Comprehensive understanding of insurance plans, extensive experience with Medicare and Medicaid programs and benefit structures in general.• Video call demonstrations with HCPOs to educate and train on program workflow and present how to best utilize available resources like the CoverMyMeds portal. • Answer calls from Doctors’ offices, patients, specialty pharmacies, financial assistance programs, FRMs, PSCs, etc. to immediately assist with urgent case needs. -Technical Support Specialist (TSS) Liasson: Promptly escalate complex technical issues for team Mayzent via Jira ticket to the appropriate vendor, ensuring resolution within 24 hours and maintaining customer satisfaction. Extensive Case Manager Emergency Room (CM ER) experience, a tool used to adjust cases on the backend, allowing enrollment forms, Prior Authorizations, etc. to be attached to specific case.-Training Track Specialist (TST): Identify knowledge gaps within the team by answering colleagues’ daily questions and using this information to help create and update resources, as well as conduct training sessions as needed. Train colleagues through shadowing.-CSST -Kesimpta In Bound Call Pilot-Case Assignment Team