Job Description

Job Description

Job Description

Job Duties:

• The Case Manager (Care Navigator 2) serves as the dedicated point of contact to patients and healthcare professionals when initiating treatment of a therapy.

• Responsibilities include navigating through onboarding, insurance verification, financial assistance, and ongoing support as requested by the patient and their healthcare professional.

• Case Managers will also be working with cross-functional team members within Patient Support, where appropriate, to ensure continuity of information being shared with the healthcare professional and patients.

• As a Case Manager, you will be assigned a specific territory to work within and become an expert in that regional area to best assist the individuals who call in, submit service request forms (SRFs) or required financial assistance.

• Case Managers will possess critical thinking and communication skills, an aptitude for learning and strive for continual development.

• The Case Manager must have strong communication skills to converse with customers about the patient's journey and be able to offer next steps in accordance with approved procedures.

• The Case Manager will possess an aptitude for learning, the ability to accept and implement constructive feedback, and a continual development mindset.

• Case Manager will reflect a calm and reassuring tone and attitude for our patients, their families, and their caregivers, specifically during difficult or stressful interactions.

• Develop and maintain Subject Matter Expert (SME) level knowledge of the relevant brand and customer workstreams for the specific assigned program

• Learn and utilize protocols to respond to customer phone, chat, fax, SMS / text, mail, and e-mail inquiries as well as other communication channels in a prompt and courteous manner

• Professionally and compliantly interact with customers, relevant associates, and other external contacts during inbound and outbound phone calls

• Manage assigned cases throughout the patient journey; perform proper and timely escalation, tracking, triage and follow-up where required

• Handle complex interactions and/or cases as it pertains to navigating insurances and financial assistance

• Adhere to call guides, job aides and work instructions for case processing and case cadence 

• Adhere to Service Level Agreements (SLAs), Key Performance Indicators (KPIs), productivity, and quality metrics

• Leverage dual monitors and technological solutions to support Case Management activities

• Accurately and concisely document all interactions to inform cross-functional partners on the relevant status details

• Promptly and courteously respond to tasks and notifications from PSC counterparts

• As applicable, raise innovative ideas which will drive improved efficiency and effectiveness of customer service to Supervisors

• Responsible for identifying and reporting adverse events via the established systems as per applicable processes

• This job requires you live within 90 miles of the East Hanover, NJ

• Ability to work the scheduled work hours, which generally will be a 9-hour shift with two paid rest breaks and an unpaid lunch break; Working schedule is either 8:00 am EST - 5:00 pm EST/9:30 am - 6:00 pm EST or 11:00 am EST - 8:00 PM EST

Qualifications :

• High School Diploma required

• Ability to complete all calls once they have begun to ensure no interruption of service

• Minimum 3 years of relevant patient service support experience (such as Healthcare, Pharmaceuticals, Patient Services or Contact Center Experience

• Strong interpersonal, telephone and verbal communication skills, including the ability to project warmth and compassion while effectively and efficiently conveying information

• Excellent written communication skills including the ability to interpret, capture and document the essence of and next steps for customer conversations in a clear and cogent way

• Must follow oral and written directions

• Ability to multitask and balance multiple priorities at once

• Computer literacy in with email, video conferencing systems, and data entry/case management systems

• Comfortable with inbound and outbound phone calls

• Ability to work the scheduled work hours, which generally will be a 9-hour shift with two paid rest breaks and an unpaid lunch break; Working schedule is either 8:00 am EST - 5:00 pm EST/9:30 am - 6:00 pm EST or 11:00 am EST - 8:00 PM EST

Preferred Qualifications:

• Associate or BS/BA degree preferred

• Experience working with Salesforce or other CRM platforms

• Strong business acumen

• Bi-lingual, Spanish speaking preferred

• Therapeutic area experience

• Knowledge of benefit investigation or specialty pharmacy processes is a plus

Benefits:

Healthcare Insurance: Synectics offers eligible employees and their dependents healthcare coverage through BlueCross BlueShield of Illinois. Eligibility begins on the 1st day of the calendar month following 60 days of continuous full time employment with Synectics. Premiums are subsidized by Synectics.

Dental Insurance: Synectics offers eligible employees and their dependents a dental plan through MetLife. Eligibility begins on the 1st day of the calendar month following 60 days of continuous full time employment with Synectics.

Vision Insurance: Synectics offers eligible employees vision insurance through VSP. Eligibility begins on the 1st day of the calendar month following 60 days of continuous full time employment with Synectics.401(k) Plan: The Synectics Inc. Investment Savings Retirement Plan. Synectics offers all employees who are 21 years of age or older the opportunity to invest in the 401(k) Plan on the first enrollment date that is at least 30 days after employment begins. Enrollment dates are each January 1st, April 1st, July 1st, and October 1st.

Technical Certification Bonus: Synectics is pleased to award its employees a bonus of up to $500 for an approved professional certification. In determining the bonus amount, Synectics will consider the cost of the test(s) for any certification relating to your current position, achieved during your employment with us. Only one Certification Bonus per calendar year may be awarded per employee. Only current, active employees will be eligible to receive this bonus. It will be awarded 90 days after the Synectics office has received documentation confirming the successful completion of the certification.

Synectics is an equal opportunity employer.

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