Specialist, Access and Reimbursement

Role: Patient Access Specialist focusing on reimbursement and access support, partnering with Field Reimbursement Managers (FRMs) and Healthcare Providers (HCPs) to optimize patient outcomes through education on patient support programs and payer processes. Responsibilities: educate stakeholders on prior authorization, appeals, and medical exception procedures; develop provider relationships; enhance process efficiencies; monitor and improve communication workflows; ensure compliance with legal and company standards. Requirements: Bachelor’s or Associate degree in health sciences or business preferred; 3-5 years in healthcare with expertise in reimbursement, billing, prior authorization, and specialty pharmacy operations; strong knowledge of payer policies, coding, and regulatory risks; excellent communication skills to build relationships and maintain a positive service image. HighValue: healthcare industry experience, reimbursement expertise, specialty pharmacy familiarity, and compliance understanding. WorkSetup: Not specified, likely office-based with regional travel to healthcare providers.