Qualifications
Responsibilities
Benefits
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Your Contributions (include, but are not limited to):Builds and sustains relationships with pharmacies, physicians and their office staff and other HCPs to help resolve coverage problems for written prescriptions already in process
Works cross-functionally with field sales leadership, specifically Regional Sales Managers (RSM), Account Specialists, national account directors (NAD), network pharmacies, and home office colleagues within market access and other related functional departments, such as commercial analytics and operations, to support patient access with specific payers
Provides training and education to HCPs on payor specific coverage policies and documentation requirements, appeals processes for specific payers and patient financial assistance support programs, including Company copay assistance program and patient assistance program for relevant audiences, including internal and external customers
Introduces technology options (e.g-CoverMyMeds) for electronic Patient Access (PA) submission, explains payer criteria, forms, processes, PA, Letter of Medical Necessity, appeals, step edits, formulary exception requests and provides support for other related coverage issues and documentation requirements. Problem solves and conducts case resolution
Communicates effectively and compliantly with field sales, corporate office employees, HCPs, network pharmacies and HUB employees to help identify and resolve coverage and patient access issues
Identifies and communicates payer issues with National Account Directors (NAD) team
Interfaces with local closed-door pharmacies and LTC pharmacies providing support services and education
Communicates regularly to management the opportunities and challenges related to patient access issues
Presents insight into payer coverage policies and processes at internal business reviews and national/regional sales meetings.
Conducts Patient Access workshops during POA meetings and assists with new hire training, as needed
Works to ensure a diverse and inclusive environment free from all forms of discrimination and harassment
Builds and upholds the company27s pharmacy distribution network through the vetting process, maintaining its integrity and monitoring pharmacies to ensure their effective and efficient operations.
Other duties as assigned
BS/BA degree in related field AND 6+ years of pharma/biotech commercial experience, with 2+ years of experience with specialty pharmacy/market access. Specialty product experience, with CNS preferred. Previous experience in other functions in pharma/biotech desired. OR
Master27s degree or MBA preferred AND 4+ years of related experience OR
PharmD or PhD AND 2+ years of related experience
Strong understanding of specialty pharmacies, managed care, pharmacy benefit managers and government payers and their impact on product access
Excellent working knowledge of patient support programs, including reimbursement support, financial assistance adherence programs, etc.
Strong understanding of prescription adjudication process
Ability to communicate payer coverage criteria and prior authorization processes
Previous experience in other functions in pharma/biotech desired; i.e- sales, management, marketing, managed markets etc...
Possesses good understanding of current issues within the marketplace, pharmaceutical industry, and national health care system
Ability to travel overnight up to 60% (travel consists of working with field sales, attending business meeting, industry meetings, and working with key customers)
These roles will be geographically dispersed across the US.
Has knowledge of best practices in the functional discipline and familiarity with the broader underlying concepts of related business disciplines
Works to improve tools and processes within functional area
Developing reputation inside the company as it relates to area of expertise
Ability to work as part of and lead multiple teams
Exhibits leadership skill and ability, typically leads lower levels and/or indirect teams
Excellent computer skills
Excellent communications, problem-solving, analytical thinking skills
Sees broader picture, impact on multiple departments/divisions
Ability to meet multiple deadlines across a variety of projects/programs, with a high degree of accuracy and efficiency
Excellent project management skills and ability to work in a cross functional environment and handle multiple tasks
Excellent interpersonal skills and cross functional team success
#LI-OB1
The annual base salary we reasonably expect to pay is $151,000.00-$206,000.00. Individual pay decisions depend on various factors, such as primary work location, complexity and responsibility of role, job duties/requirements, and relevant experience and skills. In addition, this position offers an annual bonus with a target of 30% of the earned base salary and eligibility to participate in our equity based long term incentive program. Benefits offered include a retirement savings plan (with company match), paid vacation, holiday and personal days, paid caregiver/parental and medical leave, and health benefits to include medical, prescription drug, dental and vision coverage in accordance with the terms and conditions of the applicable plans.
About Neurocrine Biosciences, Inc.
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