Access and Reimbursement Manager

Job not on LinkedIn

🔥 12 hours ago

🗽 New York – Remote

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💵 $121k - $194k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

👻 Ghost score 0%

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Logo of Mallinckrodt Pharmaceuticals

Mallinckrodt Pharmaceuticals

1001 - 5000 employees

Founded 1867

🏥 Healthcare

🏭 Manufacturing

💊 Pharmaceuticals

Healthcare • Manufacturing • Pharmaceuticals

Mallinckrodt Pharmaceuticals is a global biopharmaceutical company that specializes in developing and delivering innovative therapies for patients with complex conditions. The company is committed to addressing unmet medical needs and improving patient care through its range of pharmaceutical products, including treatments for pain management, autoimmune disorders, and more.

📋 Description

• Create and maintain treatment access for patients throughout their course of therapy • Lead the pull-through process on open cases through compliant actions that improve access and expedite treatment starts • Work directly with prescribing offices, contracted Specialty Pharmacies, the Patient Service Center, and sales colleagues • Identify payer trends and alert business partners • Develop, coordinate, and execute tactical plans to create and maintain treatment access • Help colleagues understand legal and regulatory parameters related to anti-kickback statutes, fraud and abuse, off-label promotion, and OIG guidance for patient assistance programs • Prioritize business needs, solve complex problems, develop customer relationships, and motivate appropriate action to move cases forward • Support and educate HCP offices on authorization-process best practices • Communicate with Specialty Pharmacies to improve processing time and facilitate shipment scheduling

🎯 Requirements

• Minimum of 5 years’ experience working with specialty pharmaceutical products, or minimum of 2 years’ access-related position outside of pharma • Experience preferred in Ophthalmology, Nephrology, Rheumatology, Pulmonology, Neurology, or Dermatology • Strong understanding of insurance and benefit design with commercial and government payers • Background in Access & Reimbursement, Payer account management, Specialty Pharmacy distribution, Patient Services, or Case Management • Successful navigation of complex authorization processes for specialty medications • Experience working with a Patient Service Center/Hub to design case-specific strategies based on payer mix, benefit design, and authorization requirements • Experience coordinating case pull-through with Patient Service Center, Case Managers, Sales, and Specialty Pharmacies • Field responsibility supporting and educating HCP offices on authorization-process best practices • Experience communicating with Specialty Pharmacies to improve processing time and 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 • Bachelor’s or higher degree required

🏖️ Benefits

• Competitive pay and benefits through a Total Rewards package • Bonus eligibility in accordance with the applicable program

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