Associate Director, Patient Services and Distribution Case Management

This is a fully remote position, open to applicants in United States.

📋 Description

• Provide support for the myBeOne Patient Support Program and the specialty pharmacy distribution network.

• Educate and inform both internal and external stakeholders about the myBeOne Patient Support Program and Specialty Pharmacy/Distribution Network.

• Analyze stakeholder requirements and deliver knowledgeable responses.

• Collaborate with myBeOne Oncology Nurse Advocates and Specialty Pharmacies to assist patients in accessing therapy.

• Help maintain relationships with patients and physicians to ensure continuous therapy adherence and gather any missing information.

• Conduct both in-person and virtual presentations of myBeOne/Distribution to healthcare provider offices.

• Engage with patients, caregivers, and healthcare professionals throughout the patient journey to eliminate barriers to therapy access.

• Assess active patient cases and review status within the internal database.

• Facilitate communications with myBeOne, Corporate Account Directors, Field Account Managers, and Specialty Pharmacy Partners.

• Address, troubleshoot, and resolve reimbursement challenges including step-edits, prior authorizations, denials, appeals, and re-authorizations.

• Act as a liaison between healthcare provider offices/internal customers and the myBeOne Support Program/Specialty Pharmacies regarding delays, updates, and escalations.

• Collaborate with Commercial Operations and Data Analytics to identify data discrepancies and analyze trends.

• Present the patient support program offerings and distribution model to healthcare provider stakeholders.

• Ensure that absent patient information does not hinder therapy initiation.

• Serve as the main contact for Oncology Nurse Advocates regarding issues with information retrieval or therapy delays.

• Report directly to the Director of Patient Services and Distribution Case Management.

• Provide support for the Great Lakes/Northeast territory.

⛳️ Requirements

• A Bachelor’s degree is required.

• BS Degree with a minimum of 5 years of experience in the pharmaceutical field (Patient Services, Vendor Management, Specialty Pharmacy Operations).

• Experience in supporting oral oncolytics through multiple distribution channels.

• Previous reimbursement experience with the capability to research, resolve, and convey complex case/reimbursement scenarios.

• Familiarity with benefits, access, and coverage provided by health insurance carriers.

• Proficient in interpreting payer coverage policies (both commercial and government).

• Ability to multitask, prioritize, problem-solve, and manage communication across various geographies and time zones.

• Engage in cross-functional collaboration to facilitate case resolution and progress.

• Excellent verbal and written communication skills.

• Capacity to manage sensitive PHI information appropriately.

• High attention to detail, with strong analytical, investigative, and critical thinking abilities.

• Capability to navigate missing information with healthcare providers, patients, myBeiGene, and Specialty Pharmacies.

• Flexibility to work various shifts from 8 AM to 8 PM EST based on business requirements.

• Strong data entry capabilities.

• Knowledge of medical terminology.

• Proficient in computer usage.

• Willingness to travel up to 25% of the time.

🏝️ Benefits

• Annual bonus plan for non-commercial roles.

• Incentive compensation plan for commercial positions.

• Discretionary equity awards.

• Employee Stock Purchase Plan.

• Medical insurance coverage.

• Dental insurance coverage.

• Vision insurance coverage.

• 401(k) retirement plan.

• Flexible Spending Account/Health Savings Account.

• Life Insurance.

• Paid Time Off.

• Wellness programs.