Reimbursement Specialist

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 Reimbursement Specialist will be an integral role of the Patient Support Program. The Reimbursement Specialist will work closely with Case Managers to facilitate the patient onboarding process.  

Essential Functions:

• Contact payers to understand patient insurance benefits – medical and pharmacy benefits – for Kyowa Kirin products
• Works closely with Case Managers to assist with the patient onboarding process.
• Successfully deliver upon program goals, including predefined KPIs
• Complete the data entry process of all documents received into the Support Program
• Triage documents to appropriate parties based on defined business rules and requirements
• Support the Case Manager team with daily administrative tasks
• Follows all requirements associated with compliance to
• program guidelines and relevant regulations, including HIPAA and patient privacy
• Participates in regularly scheduled team meetings
• Assist with special projects as needed

Education:

• Bachelor’s degree or equivalent experience preferred

Experience:

• Reimbursement experience Preferred
• Proven success in a fast-paced environment
• Patient-focused

 Technical Skills

• Proficient in MS Office Suite
• Benefits investigations and payer relations
• Superior data entry skills; ensuring quality and accuracy

Non-Technical Skills

• Attention to detail and process oriented
• Strong interpersonal skills
• Excellent written and oral communication skills
• Ability to work cross-functionally and collaboratively
• Self-motivated, with a sense of urgency
• Creative problem solver
• Ability to multi-task and ensure seamless experience among a variety of stakeholders
• Cultural sensitivity and ability to develop consensus within a multinational organization.
• Organizational savvy

Follows all requirements associated with compliance with program guidelines and relevant regulations, including HIPAA and patient privacy  

KKNA and all of its employees have an obligation to act in accordance with the law and with integrity in all our operations and interactions

It is the policy of Kyowa Kirin North America, Inc. to provide equal employment opportunity to all qualified persons without regard to race, religion, creed, color, pregnancy, sex, age, national origin, disability, genetic trait or predisposition, veteran status, marital status, sexual orientation or affection preference or citizenship status or any other category protected by law.

When you apply to a job on this site, the personal data contained in your application will be collected and stored by Kyowa Kirin, Inc. (“Controller”), which is located at 135 Route 202/206, Suite 6, Bedminster, NJ 07921 USA and can be contacted by emailing kkus.talentacquisition.8h@kyowakirin.com. Controller’s data protection officer can be contacted at usprivacyoffice@kyowakirin.com. Your personal data will be processed for the purposes of managing Controller’s recruitment related activities, which include setting up and conducting interviews and tests for applicants, evaluating and assessing the results thereto, and as is otherwise needed in the recruitment and hiring processes. Such processing is legally permissible under Art. 6(1)(f) of General Data Protection Regulation (EU) 2016/679 (“GDPR”) as necessary for the purposes of the legitimate interests pursued by the Controller, which are the solicitation, evaluation, and selection of applicants for employment. 

Your personal data will be shared with Greenhouse Software, Inc., a cloud services provider located in the United States of America and engaged by Controller to help manage its recruitment and hiring process on Controller’s behalf. Accordingly, if you are located outside of the United States, your personal data will be transferred to the United States once you submit it through this site. The transfer will be made using appropriate additional safeguards under the standard contractual clauses approved by regulators for transfers of personal data outside the European Union.

Your personal data will be retained by Controller as long as Controller determines it is necessary to evaluate your application for employment.  Under the GDPR, if you are located in the European Union, you have the right to request access to your personal data, to request that your personal data be rectified or erased, and to request that processing of your personal data be restricted. You also have the right to data portability, and to lodge a complaint with an EU supervisory authority. If you have any questions about our use of your data, you may contact us by email at usprivacyoffice@kyowakirin.com.

Recruitment & Staffing Agencies

Kyowa Kirin does not accept agency resumes unless contacted directly by internal Kyowa Kirin Talent Acquisition. Please do not forward resumes to Kyowa Kirin employees or any other company location; Kyowa Kirin is not responsible for any fees related to unsolicited resumes.

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