Amanda List
Merrimack,United States
Overview
17
17
years of professional experience
Work History
Senior Case Manager
Kyowa Kirin North America
08.2023 - Current
- Continuing to work with patient population after medication was acquired, to ensure no gaps in therapy for patients.
- Helping to develop and adapt the Kyowa Kirin University platform for the patient services program.
- Trained and mentored new case managers and reimbursement specialists, answering questions, offering opportunities to shadow and observe and explaining basic information about company procedures.
- Trouble shoot and resolve ongoing reimbursement issues (step edits, insurance changes, prior authorizations, TPAs)
- Performing benefit investigations with insurance payors as required and working with specialty pharmacies, charitable foundations, and insurance companies to obtain reimbursement.
- Working collaboratively with key internal partners to act as the reimbursement and payer policy subject matter expert, to support the healthcare provider segment.
- Proactively provide education to patients, families and physicians on reimbursement and onboarding for therapy.
- Working cross functionally with field sales, HCPS, specialty pharmacies, Market Access, and third-party vendors.
- Anticipate potential account-level patient access barriers and address quickly.
- Demonstrate excellent account and territory planning and prioritization skills in the geographical area of responsibility.
- Communicated with supervisor regarding issues related to case management, resourcing, service collaboration and development of new resources.Managing patient transition to different sites of care.
- Responsible for maintaining case history for all assigned patients in the CRM system.
Senior Patient Engagement Manager
Ultragenyx
01.2019 - 08.2023
- Developed and delivered training program to new hires
- Mentored new hires, resulting in stronger staff development and increased productivity.
- Trouble shoot and resolved ongoing reimbursement issues (step edits, insurance changes, prior authorizations, TPAs)
- Performed benefit investigations with insurance payors as required and working with specialty pharmacies, charitable foundations, and insurance companies to obtain reimbursement
- Worked collaboratively with key internal partners to act as the reimbursement and payer policy subject matter expert, to support the healthcare provider segment
- Proactively provided education to patients, families and physicians on reimbursement and onboarding for therapy
- Worked cross functionally with field sales, HCPS, specialty pharmacies, Market Access, and third-party vendors
- Traveled in field to HCPs to provide education on reimbursement for patient’s insurance
- Anticipated potential account-level patient access barriers and address quickly
- Collaborated with the IT UAT testing team working on CRM related upgrades
- Demonstrated excellent account and territory planning and prioritization skills in the geographical area of responsibility
- Managed patient transition to different sites of care
- Responsible for maintaining case history for all assigned patients in the CRM system
Case Manager to Senior Case Manager
Shire Pharmaceuticals/Takeda Pharmaceuticals
07.2015 - 01.2019
- Continuing to work with patient population after medication was acquired, to ensure no gaps in therapy for patients
- Trouble shoot and resolve ongoing reimbursement issues (step edits, insurance changes, prior authorizations, TPAs)
- Performing benefit investigations with insurance payors as required and working with specialty pharmacies, charitable foundations, and insurance companies to obtain reimbursement
- Working collaboratively with key internal partners to act as the reimbursement and payer policy subject matter expert, to support the healthcare provider segment
- Provided one-on-one mentoring to help individuals reach their full potential within the organization.
- Proactively provide education to patients, families and physicians on reimbursement and onboarding for therapy
- Working cross functionally with field sales, HCPS, specialty pharmacies, Market Access, and third-party vendors
- Anticipate potential account-level patient access barriers and address quickly
- Demonstrate excellent account and territory planning and prioritization skills in the geographical area of responsibility
- Managing patient transition to different sites of care
- Responsible for maintaining case history for all assigned patients in the CRM system
Admission Coordinator
New Hampshire Psychiatric Hospital
09.2014 - 07.2015
- Prepared reports, referrals, and intakes upon patient arrival into hospital.
- Provided support to patients when entering the hospital.
- Responsible for reviewing the patient rights with incoming patients and walking through paperwork process.
- Coordinated with professional staff to ensure treatment for patients.
- Entered data for healthcare notifications and community queues.
Administrative Assistant
Lyon-Waugh Auto Group
08.2011 - 09.2014
- Designed electronic file systems and maintained electronic and paper files.
- Organized files, developed spreadsheets, faxed reports, and scanned documents.
- Managed daily office operations and maintenance of office equipment.
- Scheduled and coordinated meetings, appointments, and travel arrangements.
- Executed all general administrative duties, including filing, data entry, tracking, and organizing documents.
- Assisted with customer inquiries and handled all customer service inquiries in a timely manner.
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
Life Guard and Counselor
YMCA - Camp Sargent
06.2009 - 08.2010
- Responsible for camp attendees ages 5 to 15 throughout waterfront activities as well as other camp activities.
- Interacted with campers and families to ensure easy transition to and from camp.
- Helped to organize fundraising events and organized camp events and activities.
- Maintained waterfront and beach.
- Used First Aid, CPR, and lifeguarding skills when necessary.
- Completed detailed reports on daily activities, incidents, or irregularities observed during shift hours.
Stock Room Manager
Abercrombie and Fitch
01.2008 - 07.2009
- Trainer and supervisor of stockroom personnel in proper inventory procedures and techniques
- Facilitated monthly and quarterly physical inventory counts.
- Replenished floor stock and processed shipments to ensure product availability.
- Computed sales prices, totaled purchases, and processed payments.
- Manage and maintain a well organized stock room, ensuring that all items are properly labeled and stored.
- Oversee the inventory of all products and supplies, ensuring accurate records are kept.
- Develop and implement new inventory management systems and processes.
- Maintained accurate and up to date inventory records using computer systems.
- Implemented safety protocols and ensured compliance with safety regulations.
Education
Bachelor of Science - Psychology
Granite State College
Concord, NH12.2014
Associates of Arts - Criminology
Mount Ida College
Newton, MA05.2011
Skills
- Interpersonal Communication
- Problem Solving
- Active Listening
- Software
- Leadership
- Conflict Resolution
- Customer Relationship Management
- Decision Making
- Collaboration
- Adaptability
- Salesforce CRM
- Microsoft Excel and Google Sheets
Timeline
Senior Case Manager
Kyowa Kirin North America
08.2023 - Current
Senior Patient Engagement Manager
Ultragenyx
01.2019 - 08.2023
Case Manager to Senior Case Manager
Shire Pharmaceuticals/Takeda Pharmaceuticals
07.2015 - 01.2019
Admission Coordinator
New Hampshire Psychiatric Hospital
09.2014 - 07.2015
Administrative Assistant
Lyon-Waugh Auto Group
08.2011 - 09.2014
Life Guard and Counselor
YMCA - Camp Sargent
06.2009 - 08.2010
Stock Room Manager
Abercrombie and Fitch
01.2008 - 07.2009
Associates of Arts - Criminology
Mount Ida College
Bachelor of Science - Psychology
Granite State College
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