Patient Access Manager

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

📋 Description

• Deliver expert field-based access and reimbursement assistance to healthcare providers regarding on-label access inquiries related to company products.

• Serve as a liaison among healthcare providers, specialty pharmacies, payers, patients, hub services, and internal cross-functional teams.

• Educate healthcare providers on programs, processes, access requirements, coverage pathways, prior authorization, specialty pharmacy coordination, appeals, hub resources, and patient support services.

• Prevent and resolve access and reimbursement challenges through education, problem-solving, and issue resolution.

• Develop and nurture access-related relationships with healthcare provider accounts, office support staff, and pharmacy personnel.

• Utilize market knowledge to navigate patient access processes as well as coverage and reimbursement requirements.

• Escalate local payer issues to National Account Managers and PAM Leads.

• Collaborate cross-functionally to simplify complex issues and enhance customer experience.

• Deliver pre-referral and post-referral educational in-services and support referral monitoring.

• Ensure continuity of patient access through reauthorization education, payer transition assistance, and program services.

• Guide offices through prior authorizations, appeals, and financial support options.

• Provide expertise on regional and national payer plans to team members and PAM Leads.

• Contribute to national initiatives aimed at improving access and reimbursement strategies across brands.

• Oversee the appropriate utilization of patient support services while ensuring compliance with legal and regulatory standards.

⛳️ Requirements

• A Bachelor’s degree is required; a concentration in life sciences is preferred.

• A minimum of 4+ years of pertinent experience in pharmaceutical sales, market access, national accounts, or specialty pharmacy is essential.

• In-depth knowledge of access and reimbursement strategies is required.

• Medicare expertise is strongly preferred.

• A solid background and understanding of the field environment in the healthcare industry is necessary.

• An equivalent combination of relevant education and applicable job experience may be considered.

• Experience engaging with provider offices such as physician practices, patient assistance programs, or similar pharmaceutical support programs is strongly preferred.

• Familiarity with HIPAA rules and regulations related to patient privacy is essential.

• Excellent written and verbal communication, as well as presentation skills, are required.

• Strong computer proficiency, including Microsoft Office applications such as Outlook, Excel, Word, and PowerPoint, is necessary.

• Capability to manage expenses within allocated budgets is required.

• Ability to work independently and adapt quickly is essential.

• Willingness to travel up to 60% is required.

• Ability to perform physical activities including standing, walking, sitting, reaching, climbing or balancing, stooping, kneeling, crouching, seeing, talking, and hearing; occasional lifting or moving of up to 20 pounds is necessary.

🏝️ Benefits

• Competitive base salary, bonuses, new hire incentives, and ongoing equity packages.

• Comprehensive medical, dental, and vision insurance.

• Employer-sponsored life, disability, business travel, and EAP coverage.

• 401(k) Plan with a fully vested company match of 1:1 up to 5%.

• Employee Stock Purchase Plan with a 2-year purchase price lock-in.

• 15+ vacation days.

• 13-15 paid holidays, including office closure from December 24th to January 1st.

• 10 days of paid sick leave.

• Paid parental leave benefits.

• Tuition assistance.