Case Manager, Rare Disease Patient Services-East

Kyowa Kirin is a fast-growing global specialty pharmaceutical company that applies state-of-the-art biotechnologies to discover and deliver novel medicines in four disease areas: bone and mineral; intractable hematologic; hematology oncology; and rare disease.  A Japan-based company, our goal is to make people smile by delivering breakthroughs where no adequate treatments currently exist, working from drug discovery to product development and commercialization. In North America, we are headquartered in Princeton, NJ, with offices in California, Massachusetts, and Ontario.

Summary of Job

The Case Manager is responsible for working with patients, caregivers, and healthcare providers (HCPs) to guide patients through the access and initiation process for Kyowa Kirin's rare disease products while providing ongoing support throughout their treatment journey. The Case Manager collaborates with internal and external stakeholders to help meet each patient's individual needs.

Essential Functions

Manage a caseload efficiently while consistently meeting established key performance indicators (KPIs)

Review new and restart patient enrollments for completeness and oversee the entire enrollment process from receipt through product shipment including benefits investigations, prior authorization, specialty pharmacy, nurse training coordination and shipment scheduling

Serve as the primary point of contact for patients, providing consistent support from enrollment through treatment initiation and throughout their treatment journey

Build and maintain strong relationships with patients, caregivers, and healthcare providers by delivering timely, personalized communication based on individual needs and preferences

Educate patients and caregivers on insurance benefits, financial assistance programs, patient support services, and available resources.

Coordinate treatment access, initiation, and ongoing therapy by collaborating with healthcare providers, payers, specialty pharmacies, and internal cross-functional teams.

Monitor each patient's treatment progress, proactively identify barriers to therapy, and implement timely solutions to prevent delays or interruptions in care.

Establish and maintain compliant relationships with internal stakeholders, including Sales and Market Access teams, as well as external partners such as specialty pharmacies and HCP staff to ensure seamless patient experience.

Identify and communicate trends related to reimbursement challenges, access delays, patient concerns, and operational issues, providing recommendations for process improvements.

Maintain accurate and timely documentation while ensuring compliance with program guidelines, HIPAA regulations, and all applicable privacy and regulatory requirements.

Participate in team meetings, contribute to continuous process improvement initiatives, and collaborate on solutions to enhance operational efficiency and patient outcomes

Education

Bachelor’s degree or equivalent experience required.

Experience

5+ years of experience in pharmaceutical or biotechnology industry

2–5 years of experience in case management, patient access, patient support, healthcare, specialty pharmacy, reimbursement, or a related healthcare setting

Experience managing a high-volume caseload while meeting productivity goals and service-level expectations.

Ability to prioritize multiple cases, manage competing deadlines, and work independently in a fast-paced environment.

Knowledge of insurance verification, benefits investigations, prior authorizations, appeals, and reimbursement processes.

Previous experience with Specialty and Medical Benefits process and billing

Rare disease experience a plus

Experience collaborating with patients, healthcare providers, specialty pharmacies, payers, and multidisciplinary teams.

Excellent communication, customer service, organizational, and problem-solving skills.

Experience working with specialty medications, rare disease, oncology, immunology, neurology, or other specialty therapeutic areas is preferred

Technical Skills

Proficient in MS Office Suite.

Non-Technical Skills

Demonstrated ability to organize, prioritize, meet deadlines, make sound decisions, and adapt quickly in a fast-paced environment.

Strong interpersonal, communication, and relationship-building skills.

Strong work ethic with exceptional attention to detail and follow-through.

Ability to manage multiple priorities and adapt to changing business needs in a dynamic, high-growth environment.

Commitment to continuous learning, professional development, and ongoing improvement.

Travel

Requires up to 10% domestic and international travel

 

 

Compensation & Benefits

The anticipated salary for this position is $95,000 to $118,000 . The actual salary offered at the commencement of employment may vary based on several factors, including but not limited to relevant experience, skill set, qualifications, education (including applicable licenses and certifications), job-related knowledge, geographic location, and other business and organizational needs.

The listed salary is one component of Kyowa Kirin North America's total rewards package. We offer a comprehensive benefits program that includes:

401(k) with company match

Annual Bonus Program (Sales Incentive Plan for eligible sales positions)

Generous Paid Time Off (PTO) and holiday schedule, including Summer and Winter Company Shut-Downs

Sick Time and Volunteer Time Off

Medical, Dental, Vision, and Prescription Drug Coverage

Health Savings Account (HSA) and Flexible Spending Account (FSA) Programs

Well-Being and Work/Life Programs

Life and Disability Insurance

Concierge Services

Long-Term Incentive Program (based on job level and performance)

Pet Insurance

Tuition Assistance

Employee Referral Awards

The compensation and benefits information set forth in this posting applies to candidates hired in the United States. Candidates hired outside of the United States will be eligible for compensation and benefits in accordance with their local market.

Our Commitment

KKNA and all employees are expected to act with integrity and in accordance with all applicable laws in every aspect of our business and interactions.

Kyowa Kirin North America, Inc. is an Equal Opportunity Employer. We provide equal employment opportunities to all qualified applicants and employees without regard to race, color, religion, creed, sex (including pregnancy), age, national origin, disability, genetic information, veteran status, marital status, sexual orientation, gender identity or expression, citizenship status, or any other characteristic protected by applicable law.

Privacy Notice

When you apply for a position through this site, the personal data contained in your application will be collected and stored by Kyowa Kirin, Inc. ("Controller"), located at:

510 Carnegie Center Drive Princeton, NJ 08540 USA

For recruitment inquiries, please contact kkus.talentacquisition.8h@kyowakirin.com .

The Controller's Data Protection Officer may be contacted at usprivacyoffice@kyowakirin.com .

Your personal data will be processed for the purpose of managing recruitment-related activities, including scheduling and conducting interviews, evaluating applicants, and completing the hiring process. This processing is permitted under Article 6(1)(f) of the General Data Protection Regulation (EU) 2016/679 ("GDPR") as necessary for the legitimate interests of the Controller.

Your personal data will be shared with Greenhouse Software, Inc., a cloud service provider located in the United States that supports Kyowa Kirin's recruitment process. If you are located outside the United States, your personal data will be transferred to the United States using appropriate safeguards, including Standard Contractual Clauses approved by applicable regulators.

Your personal data will be retained only for as long as necessary to evaluate your application for employment. Under the GDPR, applicants located in the European Union have the right to request access to, correction of, deletion of, or restriction of processing of their personal data. You also have the right to data portability and to lodge a complaint with your local supervisory authority.

Questions regarding the use of your personal data may be directed to usprivacyoffice@kyowakirin.com .

Recruitment & Staffing Agencies

Kyowa Kirin does not accept unsolicited resumes from recruitment or staffing agencies unless the agency has been engaged directly by Kyowa Kirin Talent Acquisition. Please do not forward resumes to Kyowa Kirin employees or any company location. Kyowa Kirin is not responsible for any fees associated with unsolicited resumes.

#LI-PE1 #LI-Remote