Patient Access Liaison - UPLIZNA IgG4-RD - New York City (Rare Disease)

Role Summary

Patient Access Liaison – UPLIZNA IgG4-RD, Rare Disease. Territory includes New York City, Brooklyn, and Manhattan. Candidates may live anywhere within the territory. In this role, you will provide logistical, non-medical educational assistance to patients, caregivers, and site staff to support access and reimbursement for UPLIZNA, while collaborating with cross-functional teams to facilitate therapy access and ongoing compliance.

Responsibilities

• Secure written or electronic patient HIPAA for patients in the assigned geography
• Develop relationships with patients and caregivers by engaging via phone, text, email, virtual or in-person connections
• Assess individual patient needs and develop an education and resource plan of action involving family and healthcare providers
• Educate patients on UPLIZNA coverage based on benefits and steps to gain prior authorization
• Provide information on co-pay assistance programs, national foundations, and free drug programs as appropriate
• Provide proactive education to prescribers and sites of care on coverage for Horizon rare disease therapies, prior authorization requirements, and coding/billing requirements
• Provide access and reimbursement education based on the patient’s UPLIZNA benefits to physician offices and sites of care
• Educate physician offices and sites of care on UPLIZNA coverage and prior authorization steps
• Investigate access challenges pre- and post-infusion, including support for denied claims and claim reviews
• Partner with Safety and PV and report adverse events and product complaints through medical information
• Work closely with cross-functional teams including Case Managers, Site of Care, market access, matrix partners and external vendors
• Adhere to professional standards, compliance guidance, policies and procedures, and applicable regulations

Qualifications

• Required: Doctorate degree and 2 years of patient services and/or access and reimbursement experience
• Required: OR Master’s degree and 4 years of patient services and/or access and reimbursement experience
• Required: OR Bachelor’s degree and 6 years of patient services and/or access and reimbursement experience
• Preferred: Scientific background and ability to learn product and disease information
• Preferred: Nursing or other clinical background
• Preferred: Access and reimbursement experience for buy-and-bill products
• Preferred: Orphan or Rare disease experience
• Preferred: Familiarity with HIPAA guidelines and FDA requirements
• Preferred: Familiarity with internal and OIG compliance guidelines
• Preferred: Ability to handle difficult patient cases and resolve hurdles
• Preferred: Ability to work in a team and coordinate with case liaisons and sales reps
• Preferred: Ability to respond promptly (within 24 hours) to prevent lapses in treatment
• Preferred: Strong analytical skills and ability to report on regional activity
• Preferred: Proficiency in Microsoft Office
• Preferred: Professional, proactive demeanor; strong interpersonal and strategic skills; excellent written and verbal communication
• Preferred: Potential for up to 50% travel, including overnight and weekend commitments

Education

• Doctorate degree, or
• Master’s degree, or
• Bachelor’s degree