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Regional Patient Access Manager - Long Term Care - Mountain West

Neurocrine Biosciences
Full-time
Remote friendly (Denver, CO)
United States
$142,600 - $194,000 USD yearly
Operations

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Role Summary

The Regional Patient Access Manager (RPAM) is responsible for providing field access support and education to Healthcare Professionals, communicating with Specialty Pharmacies, Closed Door Pharmacies, and HUB partners, and maintaining the integrity of Neurocrine’s pharmacy distribution network within an assigned geography. Acts as a subject matter expert on payer coverage policies and processes, works cross-functionally to support patient access, and drives operational effectiveness of the distribution network.

Responsibilities

  • Builds and sustains relationships with pharmacies, physicians and other HCPs to resolve coverage problems for prescriptions in process
  • Collaborates cross-functionally with field sales, market access, network pharmacies, and related teams to support patient access with specific payers
  • Provides training and education to HCPs on payer-specific coverage policies, documentation requirements, and patient financial assistance programs
  • Introduces technology options for electronic Patient Access submissions and guides on payer criteria, forms, processes, and appeals
  • Communicates effectively with field sales, HCPs, network pharmacies, and HUB to resolve coverage and patient access issues
  • Identifies payer issues with NAD team and interfaces with LTC and closed-door pharmacies
  • Monitors opportunities and challenges related to patient access and presents insights at internal reviews and meetings
  • Conducts Patient Access workshops and assists with new hire training as needed
  • Promotes a diverse and inclusive environment
  • Maintains and vets the company’s pharmacy distribution network for integrity and efficiency
  • Other duties as assigned

Qualifications

  • BS/BA degree in related field and 6+ years of pharma/biotech commercial experience, with 2+ years in specialty pharmacy/market access; CNS experience preferred OR
  • Master’s degree or MBA preferred with 4+ years of related experience OR
  • PharmD or PhD with 2+ years of related experience
  • Strong understanding of specialty pharmacies, managed care, PBMs, and government payers
  • Excellent knowledge of patient support programs and reimbursement processes
  • Strong understanding of prescription adjudication and prior authorization processes
  • Ability to travel overnight up to 60%
  • Roles geographically dispersed across the US
  • Leadership ability to work with and lead multiple teams
  • Excellent computer skills and communications, problem-solving, and analytical thinking
  • Ability to manage multiple projects with high accuracy and efficiency
  • Strong interpersonal skills and cross-functional collaboration

Skills

  • Relationship-building with pharmacies and HCPs
  • Cross-functional collaboration with sales, market access, and operations
  • Educational training on payer policies and patient assistance programs
  • Technology adoption for PA submission and documentation requirements
  • Effective communication with diverse stakeholders
  • Payer issue identification and resolution
  • Workshop facilitation and new hire training

Education

  • As listed in Qualifications (BS/BA required; advanced degrees preferred)

Additional Requirements

  • Travel up to 60%; geographically dispersed US roles
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