Responsibilities:
- Establish and maintain relationships with Patient Services Program Partners, Field Sales, and HCPs to support patient access
- Educate HCPs on prior authorization, appeals, and/or denials
- Review patient-specific cases when assistance is requested to resolve coverage issues
- Partner to identify and address patient/HCP access barriers; implement solutions
- Use HUB and specialty pharmacy partners to remove patient access barriers
- Monitor patient start trends in assigned geographies/plans and proactively mitigate challenges
- Maintain knowledge of payer/prescriber market dynamics and HUB/specialty distribution channels
- Serve as SME for access and affordability solutions across Medicare, Medicaid Managed Care, and Commercial
- Adapt to the changing healthcare ecosystem to tailor resourcing and messaging
Qualifications:
- B.A./B.S. with 6β9 years in field reimbursement/patient services/market access (or equivalent)
- 3β5 years as a Field Reimbursement Manager in field reimbursement/access services and/or healthcare operations
- Extensive knowledge of medication access channels (preferred)
- Strong knowledge of specialty pharmacy, insurance/benefits, eligibility, benefit verification, prior auth, reimbursement coverage, appeals, financial assistance, co-pay support, and free product programs
- Knowledge of HCP office processes; GI product/provider experience preferred
- Strong customer, interpersonal, and communication skills; ability to influence cross-functionally
- Ability to evaluate data, identify trends/barriers, and translate into actions
Work Environment:
- Reports to Associate Director/Director, Field Access and Reimbursement
- Up to 75% field travel
Benefits (as stated):
- 401(k) with employer match; 12 weeks paid parental leave; up to 12 weeks living organ/bone marrow leave; equity incentive plans; medical/dental/vision; life insurance/disability; flexible time off; Winter Holiday shut down; at least 11 paid holidays.