Case Management Specialist

Role Summary

Case Manager for Tzield coordinates comprehensive, high-touch care for patients with type 1 diabetes (T1D) receiving Tzield, Sanofi’s first disease-modifying therapy for T1D. This role involves coordinating internal and external care teams, addressing barriers to treatment, and guiding patients from enrollment through treatment completion. You will develop personalized care plans, educate patients and caregivers, facilitate insurance approvals for the product and administration, and ensure timely access to therapy. Location: Remote. Travel within the US up to 10% may be required.

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

Qualifications

• Required: Associate's degree; Preferred: Bachelor's degree or higher
• Required: 3-5 years of patient-facing or high-touch customer interaction experience
• Required: In-depth understanding of health insurance benefits
• Required: Excellent written and oral communication and problem-solving skills, including the ability to connect with patients and caregivers
• Required: Experience and demonstrated success working in a complex matrix environment to accomplish goals
• Required: Strong people skills demonstrating flexibility, persistence, creativity, empathy, and trust
• Required: Ability to identify and handle sensitive issues, working independently and collaboratively within teams

Additional Requirements

• Travel within the US, up to 10%