Patient Access Manager

Job not on LinkedIn

🔥 2 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 high-touch biologic and testosterone products • Manage patient assistance and reimbursement support services • Educate patients on Buy/Bill processes, patient assistance, reimbursement, Specialty Pharmacy logistics, and treatment journey steps • Coordinate with Keenova patient support services representatives, FRMs, Case Managers, provider offices, specialty pharmacies, and internal stakeholders • Analyze acquisition challenges, reimbursement trends, affordability concerns, payer dynamics, and patient access data • Troubleshoot Specialty Pharmacy issues and partner with FRMs to resolve customer-related issues • Identify patient-specific and systemic barriers to treatment initiation and continuity of care • Serve as the patient advocate and Voice of the Patient • Translate patient journey insights and field intelligence into strategic recommendations for leadership and organizational decision-making • Identify root causes of access barriers and recommend operational, systemic, and process improvements • Evaluate and optimize patient support programs, educational resources, access pathways, and service offerings • Participate in pilot programs, launch readiness activities, and strategic patient support initiatives • Present access trends, reimbursement challenges, and patient experience findings to internal stakeholders • Collaborate on emerging technologies, digital engagement tools, and service models • Maintain compliance with company policies, HIPAA, FDA regulations, and appropriate regulatory boundaries

🎯 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 • Previous experience working with Keenova relationships desirable • Expertise resolving complex reimbursement, affordability, and access challenges across multiple payer channels • Ability to influence 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, especially biologic In-Office Injectables in the U.S. • Understanding of coverage, coding, payment, and reimbursement requirements and policies • Knowledge of Local Coverage Determinations (LCDs) for regional MACs • 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 • Business analytics proficiency • Strong written and verbal communication skills • Hands-on operational reimbursement experience; in-house and outsourced experience desirable • Ability to collaborate with patients, FRMs, Case Managers, and cross-functional teams • Up to 30% travel may be required

🏖️ Benefits

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