Patient Access Manager

Horizon Pharma   •  

NJ

Industry: Pharmaceuticals & Biotech

  •  

5 - 7 years

Posted 56 days ago

The Patient Access Manager works in a highly visible, strong team environment to provide exceptional customer service on all levels. Specifically, listen to and counsel patients and medical professionals, interpreting their specific needs and providing friendly, professional and well informed answers to their questions. The Patient Access Manager will work with patients, physician’s offices, and partners to manage all steps required to gaining access to therapy. The Patient Access Manager will work to maintain relationships with patients and physicians to ensure ongoing compliance with therapy.

Responsibilities:

  • Assesses the individual needs of the patient and develops an appropriate education plan of action, taking into account the patient’s family and team of healthcare providers
  • Educate the office staff regarding billing, coding, healthcare reform and other pertinent issues regarding access to healthcare
  • Works closely with the Horizon Pharma case management team and also Horizon’s regional business management representatives
  • Ensure a smooth process for drug access, the team works with the patient to help obtain authorization prior to treatment. Sometimes services are performed without a pre-authorization and the PAM and the case manager’s work together to resolve any related issues
  • Guide the patient through the appeals process and coordinate the delivery of appropriate documentation for each appeal in order to maintain coverage for medical services
  • Provide accessible co-pay assistance programs, national foundations and free drug programs; and are able to provide information for these options to patients as needed
  • Develop a cohesive relationship with the patients and their families as they navigate through the healthcare system and the options that may be available
  • Empower the patient to become their own advocate

Qualifications and Skills Required:

  • Bachelor’s Degree required
  • Minimum 5 years pharma/account management experience
  • Nursing experience is a plus
  • Patient interaction and support experience preferred
  • Biologic/biotech buy and bill experience in a reimbursement role preferred
  • Rheumatology therapeutic area experience a plus
  • Experience working with institutions and integrated delivery networks preferred
  • Experience working in a team environment which successfully partners with all Commercial Operations functions
  • Proven success in working in a cross functional environment
  • Proficient in Microsoft Office
  • Professional, proactive demeanor
  • Strong interpersonal skills
  • Excellent written and verbal communication skills

Travel Requirements:

  • Access to transportation to attend various meetings/events held in proximity to the Horizon offices and meetings
  • Requires approximately 50-60 % travel, including some overnight and weekend commitments

Physical Demands:

  • Ability to sit and stand for extended periods of time
  • Ability to carry, handle and reach for objects
  • Manual dexterity to operate office equipment, e.g. computer, phones, etc.

Horizon Core Values & Competencies:

Growth

  • Manages Ambiguity
  • Strategic Mindset
  • Demonstrates Self-awareness
  • Cultivates Innovation
  • Develops Talent

Accountability

  • Drives Results
  • Ensures Accountability
  • Decision Quality

Transparency

  • Courage
  • Collaboration
  • Instills Trust

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