Therapy Access Manager (Chicago/Minneapolis/Detroit)

Role Summary

Therapy Access Manager (TAM) is a customer-facing role responsible for managing defined accounts within a specific region or territory to support access for providers and patients. The TAM educates healthcare providers and office staff on access services and reimbursement solutions for United Therapeutics' products, using a compliant and consultative approach related to insurance authorization and reimbursement.

Responsibilities

• Manage defined accounts within a specific region or territory to support access for providers and patients, including educating healthcare providers and office staff on access services and reimbursement solutions for United Therapeutics' products. Execute a regional/territory strategic plan in partnership with internal and external stakeholders, potentially including call center/HUB services, market access, and other matrix field partners. Serve as the payer expert for a defined geography and communicate payer changes to key stakeholders promptly.
• Ensure understanding of the reimbursement process, specialty pharmacies, field reimbursement services, and UT's patient support program. Advise on patient-level reimbursement issues in compliance with policies and established Rules of Engagement. Adhere to the Rules of Engagement.
• Manage daily activities that support appropriate patient access to United Therapeutics’ products in provider offices and coordinate with other patient assistance and access support services.
• Compliantly serve and support customers as an extension of patient support, including in-person visits.
• Participate in cross-matrix meetings as appropriate and in regular team meetings/calls. Input call activity into a CRM.
• Provide office education and awareness during the entire access process, including formulary coverage, utilization management criteria, insurance forms/procedures, benefits investigation, prior authorization, appeal, and/or claims resolution.
• Educate physician office staff on patient support services using UT-approved educational materials, including web-based provider portals and other tools/resources.

Qualifications

• Bachelor’s Degree
• 6+ years of relevant industry experience
• 1+ years of experience in Market Access and Field Reimbursement supporting specialty products
• Experience with specialty/biologic products and/or complex reimbursement processes
• Experience educating HCPs on client-specific patient service programs (e.g., copay, nurse education, patient assistance, etc.)
• Ability to manage ambiguity and problem solve
• Solution-oriented mindset, strong business acumen, and strong analytic capabilities
• Ability to manage greater than 50% travel
• Ability to prepare and submit appropriate expense reports in a timely manner

Preferred Qualifications

• Experience in cardiology or pulmonology therapeutic areas
• Rare & Orphan drug experience
• Demonstrated ability to educate offices on access processes and issue resolution
• Experience delivering educational presentations in person and/or via Zoom/Webex/Teams
• Advanced knowledge of medical insurance terminology
• Knowledge of CMS policies and processes with expertise in Medicare (Part B and Part D)

Education

• Bachelor’s Degree

Additional Requirements

• Geographic territory: North Dakota, South Dakota, Minnesota, Wisconsin, Michigan, and Northern Illinois