Market Access Specialist, I – II

Emploi pas sur LinkedIn

🕒 il y a 1 mois

🏄 California – Distant

🏄 California – Remote

💵 $75 000 - $100 000 / an

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

🚫👨‍🎓 Aucun diplôme requis

🦅 Parrain de Visa H1B

Cette entreprise a parrainé des visas H1B par le passé.

👻 Score fantôme 0%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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SetPoint Medical

Site WebLinkedInTous les Emplois

51 - 200 employés

🏭 Fabrication

🏥 Santé

🧬 Biotechnologie

Manufacturing • Healthcare • Biotechnology

SetPoint Medical est une entreprise privée en phase clinique dédiée au traitement des patients souffrant de maladies auto-immunes. La société développe une plateforme innovante conçue pour stimuler le nerf vague afin d'activer les voies anti-inflammatoires innées et produire un effet immuno-restaurateur systémique. La technologie de plateforme de SetPoint Medical est conçue pour offrir aux patients et aux prestataires une alternative de traitement pour la polyarthrite rhumatoïde, la maladie inflammatoire de l'intestin et d'autres affections auto-immunes chroniques avec potentiellement moins de risques et de coûts que la thérapie médicamenteuse.

Description

• Facilitate patient access to support the launch of SetPoint Therapy, the first neuroimmune modulation therapy to treat rheumatoid arthritis in the United States • Manage the pre-service clearance and prior authorization process for patients seeking access to SetPoint Therapy • Engage with patients, rheumatology providers, neurosurgery practices, and hospitals to ensure a smooth pre-service clearance process • Provide customer support to providers, HCO support staff, patients, and internal teams • Review and log incoming medical record documentation and provide feedback to providers where necessary • Verify medical benefits and facilitate the prior authorization process for company products • Coordinate the pre-service appeals process, including composing appeals • Establish relationships with referring rheumatology practices, neurosurgery providers, hospitals, and health systems • Identify payer behaviors, actions, and trends that inform the prior authorization approach • Complete corporate administrative and training requirements accurately and on time • Maintain company ethical, moral, and professional standards • Market Access Specialist I: Execute defined access programs with moderate guidance and support payer account management • Market Access Specialist II: Independently manage payer accounts or access workstreams and own territory-level outcomes • Report to the Market Access Manager

🎯 Exigences

• 2+ years of relevant experience, depending on level • Experience working in prior authorization and/or a pre-service clearance function at a medical device/pharmaceutical company, healthcare provider, or third-party market access service provider • Excellent interpersonal communication skills • Skilled in appeal composition and/or persuasive writing • Understanding of medical practice management, including prior authorization portals, NPIs, electronic health records, and patient/provider releases • Knowledge of prior authorization appeal processes including external review, state fair hearing, and ALJ • Awareness of State and Federal laws affecting patient and provider appeal rights, external review protocols, and URAC standards • Experience with HIPAA compliance standards for covered entities • Understanding of prior authorization workflows and ability to learn and use systems such as Salesforce, EPIC, and Cerner • Ability to work independently • Proven ability to manage complexity and reprioritize work to drive efficiency and outcomes • Demonstrated ability to understand trends, identify issues, and develop corrective actions • Ability to thrive in a fast-paced, dynamic startup environment and adapt to changing priorities and market conditions • Passion for improving patient outcomes and commitment to the company’s mission and values • Ability to perform routine physical tasks, including lifting up to 20 pounds • Prolonged periods of sitting at a desk and working on a computer • Must have and maintain authorization to work in the United States

🏖️ Avantages

• Fully remote work arrangement • Occasional travel up to 10%, including travel to Company Headquarters in Valencia, CA • Equal opportunity employer and commitment to diversity