Patient Access Liaison - UPLIZNA - Southwest

Role Summary

Patient Access Liaison - UPLIZNA - Southwest. Provide non-medical educational assistance and access support to patients, caregivers, and site staff; educate on insurance coverage and prior authorization to enable access to UPLIZNA, while coordinating with cross-functional teams to support ongoing therapy adherence.

Responsibilities

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

Qualifications

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

Skills

• Microsoft Office proficiency
• Excellent written and verbal communication
• Strong interpersonal skills and strategic mindset
• Strong analytical skills with ability to report on regional activity
• HIPAA guidelines familiarity

Additional Requirements

• Travel up to 50%, including some overnight and weekend commitments