Patient Access Manager

Job not on LinkedIn

🔥 12 hours 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, 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

🎯 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 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

🏖️ Benefits

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