Patient Access Manager

Job not on LinkedIn

🔥 10 minutes ago

🏖️ New Jersey, Missouri, +1 more states – Remote

🏖️ New Jersey – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote

💵 $111k - $178k / year

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Manager

👻 Ghost score 0%

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Mallinckrodt Pharmaceuticals

WebsiteLinkedInAll Job Openings

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

• Serve as a critical point person for reimbursement and acquisition logistics for biologic, orphan-disease, and testosterone products • Manage patient assistance and reimbursement support services • Educate patients on Buy/Bill processes, patient assistance, reimbursement support, and Specialty Pharmacy logistics • Analyze acquisition challenges, account issues, reimbursement trends, affordability concerns, and patient access data • Escalate cases appropriately and partner with FRMs on remediation plans • Coordinate with patient support representatives, patients, caregivers, provider offices, specialty pharmacies, case managers, and internal stakeholders • Troubleshoot Specialty Pharmacy issues and develop resolutions with internal and external customers • Identify patient knowledge gaps and provide education to improve understanding of Specialty Pharmacy processes • 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 systemic barriers affecting access and recommend operational improvements • Serve as a recognized patient access and reimbursement subject matter expert • Act as the voice of the patient and strategic advisor to Patient Access leadership • Support continuous improvement, pilot programs, launch readiness, and strategic initiatives • Present access trends, reimbursement challenges, and patient experience findings to internal stakeholders • Evaluate and optimize patient support programs, service offerings, access pathways, and patient engagement strategies • Advocate for patients, identify unmet needs, and recommend process improvements that reduce delays and improve outcomes • Collaborate with leadership on emerging technologies, digital engagement tools, and service models

🎯 Requirements

• 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 • Demonstrated expertise resolving highly complex reimbursement, affordability, and access challenges across multiple payer channels • Proven ability to influence outcomes across cross-functional stakeholders without direct authority • Experience identifying systemic access trends and translating observations into actionable business recommendations • Systemic understanding of the global payer and distribution environment, particularly biologic In-Office Injectables (IOI) in the U.S. • Understanding of coverage, coding, payment, and reimbursement requirements and policies • Knowledge of Local Coverage Determinations (LCDs) for regional MACs and Keenova products • Knowledge of Medicare billing/coding and appeals; 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 • Ability to translate complex clinical, reimbursement, or program-related information into clear, simple, actionable language • Proficiency in business analytics • Strong written and verbal communication skills • Ability to develop strategic plans for product access issues • Ability to work cross-functionally • Hands-on operational reimbursement experience; in-house and outsourced experience desirable • Up to 30% travel may be required

🏖️ Benefits

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