Role Summary
Field-based role dedicated to providing reimbursement support and clinical education to patients and caregivers. The PAL guides patients and their care teams through the insurance, coverage, and reimbursement process, and provides disease state and medication administration education. This highly visible position collaborates with internal stakeholders to ensure patients receive timely access to needed therapies, supporting safe, appropriate treatment initiation and reinforcing correct product use.
Responsibilities
- Serve as the primary point of contact for patients and caregivers for supplemental education and questions related to therapy access and administration.
- Develop and maintain relationships with patients and caregivers via in-person and virtual interactions.
- Assess the individual needs of the patient to develop an appropriate plan of action that empowers patient and caregiver advocacy utilizing approved resources.
- Educate patients on their insurance coverage and the process for obtaining therapy and conduct medication administration training as required once coverage is established.
- Provide information on affordability resources as needed.
- Manage long-term relationships with patients and their care team by developing a communication plan tailored to the needs of the patient and their care team.
- Collaborate with cross-functional internal teams as needed.
- Partner with Patient Advocacy and attend patient education symposia as needed.
- Partner with Patient Safety and Pharmacovigilance (PV) and Complaint Management Quality Systems and Compliance colleagues to report adverse events (AEs) and product complaints.
- Ensure compliance with all relevant regulations and standards.
Qualifications
- Required: Bachelorβs degree AND at least 5 years of experience in a direct patient support role, and the ability to explain access and reimbursement concepts at the consumer level.
- Preferred: Clinical/Allied Health degree/licensure with at least 5 years of clinical experience in pediatrics, endocrinology, neurology, ENT, orthopedics, or related, and 2 years of industry experience.
- Preferred: Bilingual.
- Preferred: Experience in product launches for orphan or rare diseases with the ability to learn detailed product and disease information.
- Required: Experience in patient education and understanding of and working through reimbursement obstacles.
- Required: Familiarity with HIPAA guidelines, FDA requirements, and OIG Compliance guidelines.
- Required: Ability to work effectively and autonomously in a team environment and communicate with cross-functional partners.
- Required: Ability to respond quickly and adapt to evolving patient and care team needs.
- Required: Professional, proactive demeanor with excellent interpersonal, written, and verbal communication skills.
- Required: Adherence to all company compliance programs and policies.
Additional Requirements
- Travel up to 50%, including overnight and weekend travel for advocacy and congresses.