Kyowa Kirin, Inc.- U.S.

Manager

• Provide coordination of care to patients and caregivers accessing a rare disease product by working with healthcare providers
• Meet in person with patients, healthcare providers, and office staff to educate them on product-specific coverage, reimbursement, alternative insurance and coverage options
• Assist healthcare providers with general reimbursement and process-related information to obtain reimbursement for patients
• Ensure patients and providers are educated and informed throughout the treatment journey and maintain prescribed treatment schedules
• Serve as a subject matter expert on reimbursement topics related to rare disease therapy
• Advise on billing, reimbursement, and procurement options
• Troubleshoot billing and coverage hurdles with office staff
• Provide support and input to Patient Services, Marketing, Market Access, Sales, Legal/Compliance, and Medical teams
• Liaise with internal and external Commercial team stakeholders
• Attend meetings and represent Kyowa Kirin at industry conferences as needed
• Attend company-sponsored and external customer meetings when requested
• Apply expertise in regional, national, and government-funded plans
• Explain company-based and external co-pay and financial support programs, 501c3 organizations, and advocacy groups

Field Reimbursement Manager, Rare Disease

Director

• Oversee the daily operation of Kyowa Kirin’s Patient Support Programs.
• Manage day-to-day patient access and support services, focusing on internal team members and case management.
• Hold the internal team accountable for key metrics, quality standards, Business Rules, SOPs, and Rules of Engagement.
• Support integration of Patient Support Programs into broader business units, processes, and objectives.
• Collaborate with Operational Excellence and Quality leads to deliver a consistent patient and customer experience.
• Coach team members and provide feedback through case reviews and quality monitoring.
• Develop communication templates, marketing materials, and Patient Services training.
• Serve as a subject matter expert on Patient Services processes, systems, data flow, and patient support programs.
• Execute Patient Services business objectives with operational excellence.
• Oversee the performance, development, and satisfaction of internal Patient Services team members.
• Collaborate with home office, field teams, Training, and internal and external Patient Services partners.
• Evaluate platforms, processes, data, and Patient Support models and implement improvements.
• Manage escalated cases with Hub, PAP, co-pay, and specialty pharmacy partners.
• Recommend innovative strategies based on industry experience and benchmarking across products and disease states.
• Hold status calls and follow up with teams and partners.
• Run daily reports to support operational efficiency.
• Ensure program operations comply with applicable laws, regulations, Company Policies, HIPAA, and patient privacy requirements.

Associate Director, Patient Services, Case Management

• 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

Kyowa Kirin, Inc.- U.S.

Field Reimbursement Manager, Rare Disease

Associate Director, Patient Services, Case Management

Case Manager, Rare Disease Patient Services

Case Manager, Rare Disease Patient Services