Maura Papalia
WOBURN,MA
Summary
Driven Senior Case Manager with a proven track record at Sanofi, enhancing patient access to rare disease treatments through expert navigation of insurance hurdles and effective patient advocacy. Excelled in mentoring new staff and leading cross-functional teams, showcasing exceptional care coordination and Salesforce proficiency. Achieved significant support for over 30 sales representatives, directly contributing to business growth.
Overview
12
12
years of professional experience
Work History
Senior Case Manager
Sanofi, Rare Disease
Cambridge, MA
01.2017 - Current
- Assists physicians and staff in resolving access issues including prior authorizations, appeals, denials, step edits, and letters of medical necessity, to avoid reimbursement denials or issues for the patient
- Verifies benefits for insurance and delivers the results to both patients and providers including how to overcome access or reimbursement hurdles
- Mentors new case managers to train them on the daily workload and procedures of the organization.
- Acts as a specialty pharmacy liaison and facilitates weekly calls with the specialty pharmacies to provide specific patient updates and gather patient information for other case managers.
- Coordinates and presents at patient meetings to provide financial, insurance, and reimbursement knowledge to the patients
- Works through billing an claims issues for patients with 3rd party vendor
Case Manager
Sanofi, Renal
Cambridge, WI
06.2013 - 01.2017
- Promoted to Case Management Specialist in 2013
- Provided patient assistance support within 3 sales regions
- Supported business growth for over 30 sales representatives
- Traveled for field visits alongside sales representatives
- Presented at health care professional meetings
- Lead the Renassist Education Task Force (RECS) 2015
Assocaite Case Manager
Sanofi, Renal
Cambridge, MA
08.2012 - 06.2013
- Performed Verifications of Benefits for Patients
- Reviewed Patient Benefits with Customers
- Discussed Patient Assistance Program and Options with Customers
- Addressed and Documented Calls from provider helpline
- Supported Case Management Specialists with Workload
Education
MBA -
Southern New Hampshire University
Hooksett, NH01.2025
Bachelor of Arts - Liberal Arts And General Studies
Southern New Hampshire University
Hooksett, NH07.2022
Skills
- HIPAA
- Patient Advocacy
- Care Coordination
- Care Planning
- Salesforce
- Patient Assistance
Accomplishments
- 2022 Circle of Excellence Winner (Presidents Club)
- 2014 Sales Partnership Award
- 2014 Renal Excellence Award Winner
- 2013 Sales Partnership Award Winner
Timeline
Senior Case Manager
Sanofi, Rare Disease
01.2017 - Current
Case Manager
Sanofi, Renal
06.2013 - 01.2017
Assocaite Case Manager
Sanofi, Renal
08.2012 - 06.2013
MBA -
Southern New Hampshire University
Bachelor of Arts - Liberal Arts And General Studies
Southern New Hampshire University