Help create and maintain treatment access for patients through the duration of the course of therapy
Lead the “pull-through” process on open cases by taking compliant actions that improve access and expedite a patient's start to treatment
Work directly with prescribing offices, contracted Specialty Pharmacies, the Patient Service Center, and sales colleagues
Identify payer trends, alert business partners, and take initiative around developing, coordinating and executing tactical plans in order to create and maintain treatment access for patients
Demonstrate uncompromised ethics and integrity while helping others understand legal and regulatory parameters related to anti-kickback statutes, fraud and abuse, off-label promotion, and OIG guidance related to patient assistance programs
Adapt to evolving and changing business needs.

Minimum of 5 years’ experience working with specialty pharmaceutical products, or minimum of 2 years’ access-related position outside of pharma
Experience preferred in one or more of the following areas: Ophthalmology, Nephrology, Rheumatology, Pulmonology, Neurology, Dermatology
Strong understanding of insurance and benefit design with both commercial and government payers
Background in Access & Reimbursement, Payer account management, Specialty Pharmacy distribution, Patient Services, Case Management
Successful navigation of complex authorization processes for specialty medications
Working with a Patient Service Center/Hub in order to design case-specific strategies based on payer mix, benefit design, and authorization requirements
Coordinating case pull-through with the Patient Service Center, Case Managers, Sales, and Specialty Pharmacies
Field responsibilities that include supporting and educating HCP offices on best practices that streamline the authorization process and expedite treatment access for patients
Communicating with SPs to improve processing time and help facilitate shipment scheduling
Demonstrated analytical, problem solving, and relationship-building skills
Excellent communication, organizational and leadership skills
Customer interaction and field travel up to 60%
overnights dependent on geography.

Access and Reimbursement Manager

Key skills