Associate Director, Patient Services, Distribution Case Management

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

📋 Description

• Engages with Patients, Caregivers, and Healthcare Professionals throughout the patient journey as needed or directed by internal stakeholders to eliminate barriers to accessing therapy.

• Actively assesses all current patient cases to enhance time-to-fill opportunities.

• Examines cases within the internal database to confirm that patients are categorized correctly based on insights and discussions with key partners (HUB and Specialty Pharmacies).

• Collaborates with the Sr. Director of Patient Services and Sr. Director of Distribution/Trade Relations to conduct regular calls with myBeOne, Corporate Account Directors, Field Account Managers, and Specialty Pharmacy Partners to gain insight into the patient journey and clarify specific patient therapy status or inquiries.

• Triage, troubleshoot, and resolve initial and ongoing reimbursement challenges by coordinating with all relevant partners (step-edits, prior authorizations, denials, appeals, re-authorizations).

• Serves as the liaison between healthcare provider offices/internal customers and the myBeOne Support Program/Specialty Pharmacies when necessary (case/shipment delays, case status updates, and case escalations).

• Collaborates with Commercial Operations and Data Analytics to proactively identify any data discrepancies and assess trends.

• Works closely with Field Sales Account Managers and Corporate Account Directors to present myBeOne Patient Support Program offerings and provide an overview of the distribution model to various HCP stakeholders.

• Leverages all available tools and resources to ensure that any missing patient information does not hinder the initiation of therapy.

• Acts as the primary contact for myBeOne Oncology Nurse Advocates in cases of unsuccessful retrieval of missing information or other information that may be causing delays.

⛳️ Requirements

• Bachelor's Degree with over 5 years of experience in the pharmaceutical industry (Patient Services, Vendor Management, Specialty Pharmacy Operations).

• Experience in supporting oral oncolytics through various distribution channels.

• Previous reimbursement experience with the capability to research, resolve, and communicate complex case/reimbursement scenarios to patients, caregivers, HCPs, field sales, FMAD, and CADs.

• Familiarity with understanding benefits, access, and coverage from health insurance providers.

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

• Ability to multitask, prioritize, problem-solve, and manage communications with Oncology Nurse Advocates, Specialty Pharmacies, Corporate Account Directors, Field Market Access Directors, and Account Managers across different geographies and time zones.

• Cross-functional collaboration skills to enhance case resolution and ensure case pull-through.

• Excellent verbal and written communication skills.

• Capability to handle sensitive PHI information.

• Strong attention to detail, analytical, investigative, and critical thinking skills.

• Proficient in navigating missing information with HCPs, Patients, myBeiGene, and Specialty Pharmacies.

• Availability to work various shifts from 8 AM to 8 PM EST based on business needs.

• Strong data entry abilities.

• Knowledge of medical terminology.

• Proficient in computer use.

🏝️ Benefits

• Medical

• Dental

• Vision

• 401(k)

• FSA/HSA

• Life Insurance

• Paid Time Off

• Wellness