Therapy Access Manager (TX/AR/LA/MS)

Role Summary

The 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 provides education to healthcare providers and office staff on access services and reimbursement solutions for United Therapeutics' products, and maintains a compliant, 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 providing education to healthcare providers and office staff on access services and reimbursement solutions specific to United Therapeutics' products. Execute a region or territory strategic plan through partnership with internal and external stakeholders, which may include call center / HUB services, market access, and/or other matrix field partners. Serve as the payer expert for a defined geography and communicate payer changes to key stakeholders in a timely manner.
• 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 well-defined Rules of Engagement. Abide in a compliant manner and work closely within a defined set of Rules of Engagement
• Manage daily activities that support appropriate patient access to United Therapeutics’ products in the provider offices and work as a liaison to other patient assistance and access support services offered by United Therapeutics
• Compliantly serve and support customers as an extension of patient support as appropriate, and provide in-person customer visits
• Participate in cross-matrix meetings as appropriate. Participate in regularly scheduled team meetings and calls. Input call activity into customer relationship management tool (CRM).
• Provide office education and awareness during the entire access process which may include formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution
• Educate physician office staff on the use of patient support services using UT approved educational materials, including web-based provider portals and other tools/resources 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 (i.e. copay, nurse education, patient assistance, etc.)
• Required: Ability to manage ambiguity & problem solve
• Required: Solution oriented mindset, strong business acumen, & 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 the therapeutic area of cardiology or pulmonology
• 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 technology platforms such as Zoom, Webex, and/or Teams
• Preferred: Advanced knowledge of medical insurance terminology
• Preferred: Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare (Part B and Part D)

Education

• Bachelor’s Degree