Manager – Executive Patient Access

This is a fully remote position, open to applicants in New Jersey, +2 more states.

📋 Description

• Act as a strategic leader and a trusted ally for patients, caregivers, and internal stakeholders throughout the treatment journey.

• Recognize obstacles to therapy and implement innovative solutions through education, advocacy, and collaboration across functions.

• Oversee complex, high-impact patient access scenarios and manage organizational escalations.

• Administer patient assistance and reimbursement support services for buy-and-bill products.

• Provide education to office staff and patients regarding buy-and-bill procedures, patient assistance, reimbursement support, and Specialty Pharmacy logistics.

• Examine acquisition and reimbursement data to pinpoint logistical challenges and formulate actionable steps.

• Collaborate with patient support services representatives, specialty pharmacies, provider offices, case managers, and FRMs to address access issues.

• Serve as the definitive authority on Patient Access Liaison best practices and offer consultation on intricate access, reimbursement, and patient experience issues.

• Lead the onboarding and training process for new team members while maintaining onboarding resources, workflow guidelines, and knowledge repositories.

• Create SOPs and engage in launch readiness task forces; evaluate launch-related risks.

• Design and refine patient access performance frameworks, launch metrics, escalation governance, and patient experience measurement strategies.

• Impact patient access performance, program effectiveness, operational efficiency, and patient support KPIs.

• Represent Patient Support Services in cross-functional workstreams with Customer Experience, compliance, marketing, and other teams.

• Identify trends in reimbursement, payer, and access, translating field observations into strategic recommendations.

• Manage patient access resources, tools, educational materials, and process improvements.

• Facilitate knowledge-sharing sessions and case reviews.

• Evaluate the patient journey, identify systemic barriers, and suggest enhancements to treatment access and patient experience.

• Act as the Voice of the Patient and share patient insights with leadership.

• Provide advice to Customer Experience, Market Access, Commercial Operations, and Brand Leadership teams on access trends and reimbursement risks.

• Advocate for solutions that enhance the experiences of patients and caregivers.

⛳️ Requirements

• A BS or equivalent is required; an MBA or advanced degree is preferred.

• Experience with Physician Administered Products is required.

• A minimum of 10-15 years of relevant experience in the Biopharma industry is essential.

• 8-10 years of experience in reimbursement is required.

• Prior experience managing vendor relationships is desirable.

• Previous experience in handling customer interactions is necessary.

• Experience in onboarding team members is required.

• Proven track record of identifying systemic business challenges and implementing solutions that enhance patient and organizational outcomes.

• A history of translating field insights into strategic recommendations that impact business decisions is essential.

• Recognized subject matter expert with a demonstrated ability to shape organizational strategy through insights on access, reimbursement, and patient experience.

• Demonstrated experience leading enterprise-wide initiatives, establishing best practices, and driving organizational change through influence rather than direct authority.

• Experience in leading teams without direct authority is preferred.

• Comprehensive understanding of the global payer and distribution landscape, particularly concerning 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 Keenova products according to each regional MAC.

• Familiarity with Medicare billing/coding and the appeal process; ability to interpret Medicare EOBs.

• Understanding of legislative, legal, and regulatory environments.

• Strong comprehension of coverage policy creation, interpretation, and management.

• Knowledge of buy-and-bill and Specialty Pharmacy channels.

• Awareness of HIPAA requirements and FDA regulations.

• Ability to simplify complex clinical, reimbursement, or program-related information into clear, actionable language.

• Willingness to travel up to 50% may be required.

🏝️ Benefits

• Competitive salary and benefits package.

• Eligibility for bonuses in accordance with the relevant program.

• Willingness to travel up to 50% may be required.