Access & Reimbursement Lead — Patient Access Advocate

Mallinckrodt Pharmaceuticals

Oregon

Hybrid

USD 132,000 - 211,000

Full time

10 days ago

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Job summary

Keenova is seeking an Access and Reimbursement Manager for the San Francisco/Sacramento area. You will lead case pull-through, collaborate with prescribers, specialty pharmacies, and the Patient Service Center to improve patient access and treatment initiation.

The role requires deep payer knowledge, strategic coordination with cross-functional teams, and the ability to navigate complex authorization processes while maintaining regulatory and ethical standards.

Qualifications

  • Minimum of 5 years' experience with specialty pharmaceutical products, or 2 years' access-related position outside pharma.
  • Experience in Ophthalmology, Nephrology, Rheumatology, Pulmonology, Neurology, Dermatology.
  • Strong understanding of insurance and benefit design with commercial and government payers.
  • Background in Access & Reimbursement, Payer account management, Specialty Pharmacy distribution, Patient Services, Case Management.
  • Successful navigation of complex authorization processes for specialty medications.
  • Coordination of case pull-through with Patient Service Center, Case Managers, Sales, and Specialty Pharmacies.
  • Field responsibilities include educating HCP offices to streamline authorization and expedite access.
  • Communication with SPs to improve processing time and shipment scheduling.

Responsibilities

  • Lead pull-through process on open cases to expedite patient start to therapy.
  • Work with prescribing offices, contracted Specialty Pharmacies, the Patient Service Center, and sales teams.
  • Develop, coordinate, and execute tactical plans to improve treatment access for patients.
  • Identify payer trends and alert business partners to changes in coverage and requirements.

Skills

Specialty pharma
Payer knowledge
Case management
Authorization processes

Education

Bachelor's degree or higher

Job description

Keenova is seeking an Access and Reimbursement Manager for the San Francisco/Sacramento area. You will lead case pull-through, collaborate with prescribers, specialty pharmacies, and the Patient Service Center to improve patient access and treatment initiation.

The role requires deep payer knowledge, strategic coordination with cross-functional teams, and the ability to navigate complex authorization processes while maintaining regulatory and ethical standards.

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