The Gattex Onboarding and Access Specialist (OAS) is a regional, field-based position that provides care coordination, reimbursement assistance, education and support patients with Short Bowel Syndrome (SBS). This customer-facing individual will work closely with the patient and their families, physician, nurses, pharmacists, and home infusion to prevent and address barriers to patient access. The Gattex OAS will work with every new Gattex patient to ensure that all of the parties responsible for the care of the patient are educated on the process of starting on Gattex and understand how their activities may be impacted. Allocation of time will be adjusted as needed to meet the needs of each patient.
Working cross-functionally to identify and lead the resolution of patient access barriers, including: insurance coverage; reimbursement; financial limitations; site of care; procurement/distribution.
- Working directly with the following internal and external groups to resolve access issues described above: patients and/or their families and caregivers; public and private payers (local, regional, and national); specialty pharmacies and specialty distributors; patient advocacy organizations; procurement/distribution
- Provide expertise and education on local and regional health plan policies, coverage, processes, etc. to the internal patient services organization, the market access field team, and the field sales organization.
- Educate patients, families, and caregivers on coverage and reimbursement as well as available Shire service
Work with every new Gattex patient to ensure that the patient’s care environment (physician, nurse, injection training nurse, home infusion provider, family and caregiver, pharmacist) understand Gattex and the process for initiating Gattex. Coordinate communication among key players to ensure that the patient has the clinical support required to transition successfully to therapy. Work closely with Shire colleagues (case manager, RBM, and others as necessary) to ensure that all important activities related to starting therapy (e.g., timely physician detailing, injection training, specialty pharmacy delivery) are completed. Accountable for internal and external cross-functional team execution.
Participate in regular cross-functional team meetings to coordinate patient services activities and field activities; cross-functional team includes case managers and field sales, and may include other functions as appropriate
Education and Experience Requirements
- Minimum of a Bachelor’s Degreerequired
- Minimum of 3 years of prior relationship management experience
- Minimum of 3 years of field based experience in account management, sales or medical affairs
Key Skills, Abilities, and Competencies
- Experience working directly with patients on specialty products
- Ability to communicate with patients, caregivers, and family members about access and care coordination issues
- Cross-Functional Leadership:
- Ability to lead internal teams to achieve common goals; internal teams including sales, case managers, and other commercial functions
- Ability to lead external customers to achieve access for patients; external customers include physicians, nurses, and other health care professionals; public and commercial payers; specialty pharmacies;
- Superior organizational and time management skills
- Technical expertise in at least one of the following areas:
- Rare disease access or reimbursement
- Commercial and public reimbursement
- Payers/managed care organizations
- Home infusion
- Specialty pharmacies
- Billing and coding
- Demonstrate high character
- Ability to travel (80%)
Complexity and Problem Solving
- Ability to independently identify access solutions and determine the appropriate plan for resolution. Lead and manage a cross-functional team in the resolution.
- Accountable for cross-functional communication internally (case manager, RBM, Zone Director, Patient Access Field Director) and externally among a diverse set of customers (patient and their family, physician, nurse, nursing vendor, specialty pharmacy, home infusion provider)
Internal and External Contacts
External: patients and/or their families and caregivers; public and private payers (local, regional, and national); specialty pharmacies and specialty distributors; physician offices, hospitals, infusion centers, and other sites of care; patient advocacy organizations; procurement/distribution
Internal: Case managers, market access, sales force.
Req ID: R0015454