Title:Patient Access Manager, Rare Disease
Company:Ipsen Biopharmaceuticals Inc.
Job Description:The Patient Access Manager, Rare Diseases is part of the Patient Services, Value and Access organization. The purpose of this team is to ensure seamless, patient-centric support to help patients have access to appropriate education and support to start and continue prescribed therapy with Ipsen products where appropriate.
Specifically, activities of this role include working directly with patients, HCP offices, Payers, and Specialty Pharmacies on a one-on-one basis to ensure that patients have an appropriate understanding of complex reimbursement issues, their insurance options and limitations, benefits, and requirements necessary to initiate and maintain prescribed therapy. This function also helps ensure the prompt shipment of products to eligible patients. This is not a promotional selling role.
This is a highly skilled support role requiring appropriate coordination with other Ipsen teams (Medical, Clinical, Regulatory, Quality, Compliance, Marketing, Market Access and Pricing, Patient Education Liaison Team, Field Access Director and other field-based colleagues) to help patients throughout their journey in a most appropriate, compassionate, ethical, and compliant way. This role requires strong customer-service and solution-orientation mindsets.
The Patient Access Manager, as all other employees, is fully accountable for compliance with all laws, regulations and policies that govern the conduct of Ipsen activities.
WHAT - Main Responsibilities & Technical CompetenciesResponsibilities include, but are not limited to the following:
- Support appropriate patient access for Ipsen products by providing timely and appropriate reimbursement information related to coverage across all payers.
- Help providers, patients, and caregivers understand complex reimbursement issues, insurance options and limitations, benefits, and requirements necessary to initiate and maintain therapy as prescribed.
- Collaborate with the Ipsen Value & Access home office, sales teams, brand teams, and to expand access and/or reduce barriers to access for Ipsen products.
- Work directly with Field Access Director to resolve complex access questions in a timely manner
- Coordinate with others to ensure appropriate product supply/delivery.
- Support strategic analysis and planning related to changes in local payer coverage policies.
- Ability to understand local/regional payer trends and policies.
- Help troubleshoot and support resolution of reimbursement issues (insurance changes, prior authorizations, appeals, other) according to established SOPs.
- Strive to deliver an exceptional customer1 experience.
- Maintain complete, timely and compliant case records for all interactions and case records in the CRM system and other systems as required
- Strictly follow all relevant Ipsen Policies and SOPs
- Utilize only approved resources and messages to perform function responsibilities
Note: "Customer" in the context of this Job Description represents the broad and general discipline related to "customer focus and service" and not a specific transactional relationship.
HOW - Technical Competencies Required- Exceptional proficiency to overcome access-related issues at the provider and payer level.
- Strong understanding of and comfort with a highly regulated life-sciences environment
- Functional competencies include: Market, Disease and Product Knowledge, Customer Understanding - especially Patient, Customer Experience, Operations and Customer Engagement
- Demonstrated ability to listen, solve problems, seek answers and drive to solutions
- Ability to navigate difficult conversations and handle sensitive matters
- Excellent written and verbal communication skills
- Comfort and aptitude for using information technologies
- Proven track record for consistently meeting or exceeding quantitative and qualitative goals
HOW - Knowledge & ExperienceKnowledge & Experience:
- Minimum 5 years of recent case management experience in the healthcare or Pharma/Biotech industry, reimbursement experience related to specialty products, and/or Experience working with patient access, benefits investigations, billing and coding, and social service support
- Exceptional proficiency to overcome access-related issues at the provider and payer level.
- Rare-disease experience a plus
- Demonstrated passion for patients
- Reimbursement experience and strong understanding of health insurance and benefits, co-pay assistance programs, Medicare, Medicaid, and private-payer policies
- Strong understanding of and comfort with a highly regulated life-sciences environment
Education / Certifications (essential):
- Bachelor's degree in health care, social work, nursing or equivalent degree
Language(s) (essential):
The annual base salary range for this position is $91,500 - $134,200.
This job is eligible to participate in our short-term incentives program.
At Ipsen we are proud to offer a comprehensive employee benefits package, including 401(k) with company contributions, group medical, dental and vision coverage, life and disability insurance, short- and long-term disability insurance, as well as flexible spending accounts. Ipsen also provides parental leave, paid time off, a discretionary winter shutdown, well-being allowance, commuter benefits, and much more.
The pay range displayed above is the range of base pay compensation within which Ipsen expects to pay for this role at the time of this posting. Individual compensation within this range depends on a variety of factors, including, but not limited to, prior education and experience, job-related knowledge and demonstrated skills.
