Therapy Access Manager (Chicago/Minneapolis/Detroit)

Role Summary

The Therapy Access Manager (TAM) is a customer-facing role responsible for managing defined accounts within a specific region to support access for providers and patients. The TAM provides education to healthcare providers and office staff on access services and reimbursement solutions for United Therapeutics' products, using a compliant and consultative approach focused on insurance authorization and reimbursement for appropriate patients. Territory includes North Dakota, South Dakota, Minnesota, Wisconsin, Michigan, and Northern Illinois.

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; execute a regional/territorial strategic plan in partnership with internal and external stakeholders; serve as the payer expert for the geography and communicate payer changes to key stakeholders.
• 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 defined Rules of Engagement.
• Manage daily activities that support appropriate patient access to United Therapeutics’ products in provider offices and liaise with other patient assistance and access support services.
• Compliantly support customers as an extension of patient support and provide in-person customer visits.
• Participate in cross-matrix meetings, regular team meetings, and input call activity into the CRM.
• Provide office education and awareness during the entire access process, including formulary coverage, utilization management criteria, insurance forms, benefits investigation, prior authorization, appeals, and claims resolution.
• Educate physician office staff on patient support services using UT-approved educational materials and provider portals/tools as available.

Qualifications

• Required: Bachelor’s Degree
• Required: 6+ years of relevant industry experience
• Required: 1+ years of experience in Market Access and Field Reimbursement supporting specialty products
• Required: Experience with specialty/biologic products and/or complex reimbursement process
• Required: Experience educating HCPs on client-specific patient service programs (e.g., copay, nurse education, patient assistance)
• Required: Ability to manage ambiguity and problem solve
• Required: Solution-oriented mindset, strong business acumen, and strong analytic capabilities
• Required: Ability to manage greater than 50% travel
• Required: Ability to prepare and submit appropriate expense reports in a timely manner
• Preferred: Experience in cardiology or pulmonology therapeutic areas
• Preferred: Rare & Orphan drug experience
• Preferred: Demonstrated ability to educate offices on access processes and issue resolution
• Preferred: Experience delivering educational presentations in person and/or via Zoom/Webex/Teams
• Preferred: Advanced knowledge of medical insurance terminology
• Preferred: Knowledge of CMS policies and processes with expertise in Medicare (Parts B and D)

Education

• Bachelor’s Degree

Additional Requirements

• Travel: Ability to manage greater than 50% travel