Wilmington, Delaware, USA
1 day ago
Case Management Lead, Metabolics

Remote position supporting Eastern Standard Time Zone (8:30 EST - 5pm EST). Up to 10% potential travel to existing Alexion sites and off-site meetings when requested. 

This is what you will do:

The Metabolic Case Management Lead is an Alexion Patient Services’ leadership role that will manage a team of direct reports responsible for case managing the OneSource enrolled metabolic patients.   Our Case Managers (CMs) are one of Alexion Patient Services’ front-line roles that provide support for our patients, caregivers, and external partners.  This role will support, coach, and lead the CMs as they manage our patients throughout the entire patient journey, onboarding through adherence, when prescribed Alexion products.  The Metabolic Lead will manage this team with a focus on providing an excellent patient experience through ongoing coaching and development, clear data-driven performance measurements and ensuring compliance with all Alexion policies, SOPs, and work instructions

This role will partner closely with the Strategy lead, Sr. Leadership, and contracted vendors.  The role will focus on influencing, developing, implementing and assessing day-to-day operations to drive efficiency and success in all aspects of a patient's journey.  Effective operational execution along with adherence and performance evaluation will be key drivers for this lead position.

You will be responsible for:

Case Manager Lead: Daily oversight of CM logistics and workforce management. Includes regular check ins, weekly case and call reviews with direct and real-time feedback, monthly CM metric analysis and review, ongoing performance discussions.Performance Management and Quality Assurance: 20% of time focused on patient and provider experience through the following activities:Weekly call observation and necessary coachingPatient Case reviewsQuarterly live shadow time with direct reportsAdherence to outlined quality standardsEvaluation of documentation and data entry practicesAdherence to established work instructions  Ensuring appropriate follow up with necessary cross-functional partnersOngoing analysis of team performance against Brand and Patient Service’s strategic imperatives and key performance indicatorsCall Overflow ManagementVendor Relationship Management and Performance Oversight:Building and maintaining positive relationships with contracted vendors to foster collaboration and resolve any issues that may arise promptlyConducting regular meetings to review business performance, discuss improvements, and address concernsReview of performance data to identify trends and opportunities for improvementActive participation in business vendor reviews (monthly and quarterly)Cross Functional Partnering:Partners closely with cross functional teams within Patient Services and Metabolics, offering insights and areas for improvement while adhering to compliance guardrails.Partners closely on XF work impacting CM team (i.e. patient materials, CM talking points, work instructions, CRM dashboards, adherence care plan, system enhancements, efficiencies. etc).Active participant on cross-functional calls driving accountability and follow up activity.Project Management Support: Assisting with the development and implementation of tactics to support the strategic and operational insights identified through data analysis, case review and team/vendor performance

You will need to have:

3+ years of Patient Services/Case Management or similar operational experience  Proven ability to lead through change managementEffective verbal and written communication skills, problem-solving skills, as well as data entry/computer literacy skillsStrong presentation skills, time management and organizational skillsProven ability to partner, build relationships and influence decision making within cross-functional teamsProven ability to assess team performance, proactively and reactively identify areas for opportunity and effectively coach team through necessary changeAbility to work independently with autonomous decision-making while demonstrating appropriate escalation when necessaryEstablished standard of excellence for personal performanceAbility to act with urgency, flexibility, and creativityWorking understanding of insurance coverage, reimbursement processes and drug access programs (i.e. copay programs)Project management experience highly preferred

We would prefer for you to have:

BA/BS Degree is preferred; a data, analytics or systems background and/or advanced degree is a plus2+ years of leadership experience5+ years of pharmaceutical/biotech experienceProject Management experienceExperience managing complex projects that require cross-functional collaboration

The annual base salary (or hourly rate of compensation) for this position ranges from $94,112 to $141,169. Hourly and salaried non-exempt employees will also be paid overtime pay when working qualifying overtime hours. Base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience.  In addition, our positions offer a short-term incentive bonus opportunity; eligibility to participate in our equity-based long-term incentive program (salaried roles), to receive a retirement contribution (hourly roles), and commission payment eligibility (sales roles). Benefits offered included a qualified retirement program [401(k) plan]; paid vacation and holidays; paid leaves; and, health benefits including medical, prescription drug, dental, and vision coverage in accordance with the terms and conditions of the applicable plans. Additional details of participation in these benefit plans will be provided if an employee receives an offer of employment. If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors. 

AstraZeneca embraces diversity and equality of opportunity. We are committed to building an inclusive and diverse team representing all backgrounds, with as wide a range of perspectives as possible, and harnessing industry-leading skills. We believe that the more inclusive we are, the better our work will be. We welcome and consider applications to join our team from all qualified candidates, regardless of their characteristics. We comply with all applicable laws and regulations on non-discrimination in employment (and recruitment), as well as work authorization and employment eligibility verification requirements.

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