Patient Access Manager

Emploi pas sur LinkedIn

🕒 il y a 5 jours

🏖️ New Jersey, Missouri, +1 états de plus – Distant

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💵 $111 000 - $178 000 / an

⏰ Temps Plein

🟠 Senior

🔴 Expert

👔 Manager

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Mallinckrodt Pharmaceuticals

Mallinckrodt Pharmaceuticals

1001 - 5000 employés

Fondée en 1867

🏥 Santé

🏭 Fabrication

💊 Pharmaceutique

Healthcare • Manufacturing • Pharmaceuticals

Mallinckrodt Pharmaceuticals est une entreprise biopharmaceutique mondiale qui se spécialise dans le développement et la mise à disposition de thérapies innovantes pour les patients souffrant de conditions complexes. La société s'engage à répondre aux besoins médicaux non satisfaits et à améliorer les soins aux patients grâce à sa gamme de produits pharmaceutiques, y compris les traitements pour la gestion de la douleur, les troubles auto-immuns, et plus encore.

Description

• Serve as a critical point person for reimbursement and acquisition logistics for high-touch biologic, orphan-disease, and testosterone products • Manage patient assistance and reimbursement support services • Educate patients on Buy/Bill, Specialty Pharmacy logistics, reimbursement, acquisition, and financial assistance resources • Coordinate with Keenova patient support program representatives • Analyze acquisition and reimbursement data to identify logistical issues and escalate cases appropriately • Troubleshoot Specialty Pharmacy issues with internal and external stakeholders • Partner with Field Reimbursement Managers, case managers, provider offices, and specialty pharmacies to resolve access barriers • Collect, analyze, and synthesize field intelligence on patient access, reimbursement, affordability, healthcare systems, and patient experience • Translate patient journey insights and reimbursement trends into strategic recommendations • Identify root causes and trends affecting access and recommend operational and systemic improvements • Serve as a patient access and reimbursement subject matter expert • Act as liaison between patients, providers, specialty pharmacies, and internal stakeholders • Advise Patient Access leadership on access trends, operational opportunities, and healthcare challenges • Support continuous improvement, pilot programs, launch readiness, and strategic patient-support initiatives • Evaluate and optimize patient support programs, resources, access pathways, and service offerings • Present access trends, reimbursement challenges, and patient experience findings to internal stakeholders and senior leadership • Advocate for patients by identifying unmet needs, access barriers, and treatment journey obstacles • Develop individualized strategies to support timely treatment initiation and continuity of care • Empower patients and caregivers through education, resource awareness, and navigation support

🎯 Exigences

• BS or equivalent is required; MBA or advanced degree ideal • 8-10 years of relevant experience in the Biopharma industry required • 5 years of reimbursement experience required • Previous experience working with Keenova relationships desirable • Expertise resolving complex reimbursement, affordability, and access challenges across multiple payer channels • Ability to influence outcomes across cross-functional stakeholders without direct authority • Experience identifying systemic access trends and translating observations into actionable business recommendations • Understanding of the global payer and distribution environment, particularly biologic In-Office Injectables in the U.S. • Understanding of coverage, coding, payment, and reimbursement requirements and policies • Knowledge of Local Coverage Determinations per regional MAC for Keenova products • Knowledge of Medicare billing/coding and appeal processes, ASP, WAC, Sequestration, and Medicare EOBs • Understanding of legislative, legal, and regulatory environments • Understanding of buy-and-bill and Specialty Pharmacy channels • Knowledge of HIPAA requirements and FDA regulations • Effective communication and ability to translate complex information into clear, actionable language • Business analytics proficiency • Strong written and verbal communication skills • Ability to develop strategic plans for product access • Ability to work cross-functionally • Hands-on operational reimbursement experience desirable • Ability to work with field-based and home office personnel • Compliance with Keenova policies • Up to 30% travel may be required

🏖️ Avantages

• Competitive pay and benefits • Bonus eligibility in accordance with the applicable program • Up to 30% travel may be required

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