General Summary:
- Senior Patient Support Specialist provides end-to-end CF treatment support for patients prescribed a Vertex medication; primary point of contact across the treatment journey. Operates with autonomy and judgment.
Key Duties & Responsibilities:
- Own dedicated caseload; primary POC for patients/HCPs from onboarding through fulfillment and ongoing therapy.
- Resolve complex access/reimbursement cases across commercial/government payers, specialty pharmacies, BI/CPA vendors, and financial assistance (including co-pay/PAP eligibility).
- Use payer requirements, center workflows, and program resources to remove barriers; build prioritized case plans and navigate novel scenarios using approved work instructions; escalate with clear next steps.
- Build trusted relationships; identify adherence risks and tailor outreach; provide advanced CF/CFTR modulator education per guidance; prepare/document interactions and complete timely follow-up.
- Collaborate with cross-functional stakeholders for territory planning; serve as internal SME and share compliant best practices; build networks for problem-solving.
Qualifications:
- 3β4+ years relevant experience (or equivalent education/experience).
- CF/rare disease patient support experience; comfort with sensitive conversations.
- Expertise in access/reimbursement (benefit investigations, prior authorizations, appeals) across commercial/government payers.
- Patient support/case management experience (pharma/biotech preferred); success with complex cases and multidisciplinary teams.
- Working knowledge of healthcare compliance/regulatory environment.
- Excellent verbal/written communication; sound judgment; independent work; manage dynamic workload.
Required/Preferred Skills & Other Requirements:
- Proficient in Outlook, Word, Excel, PowerPoint, Salesforce CRM (or similar).
- Travel up to 15%.
- Motivational Interviewing (preferred).
- Spanish fluency (optional); medical interpreter certification (optional).
Compensation/Benefits (explicit):
- Eligible for annual bonus and annual equity awards.