Access & Reimbursement Manager — Neph Overlay Lead

Lobby Co; Los Angeles (CA); On-site; USD 121,000 - 194,000; Full time

Benefits offered by this job

Total Rewards benefits

Job summary

Keenova is seeking an Access and Reimbursement Manager (Neph Overlay - West) in Los Angeles to lead the pull-through process for treatment access. You will collaborate with prescribers, Specialty Pharmacies, the Patient Service Center, and sales teams to expedite patient start-of-therapy efforts.

Ideal candidates have 5+ years in specialty pharma access, strong payer design knowledge, and the ability to navigate complex authorizations while traveling up to 60% as needed.

Qualifications

• Minimum of 5 years’ experience with specialty pharmaceutical products, or minimum of 2 years’ access-related position.
• Experience in Ophthalmology, Nephrology, Rheumatology, Pulmonology, Neurology or Dermatology.
• Strong understanding of insurance and benefit design with both commercial and government payers.
• Experience navigating complex authorization processes for specialty medications.
• Coordinating case pull-through with the Patient Service Center, Case Managers, Sales and Specialty Pharmacies.
• Travel up to 60% with overnights depending on geography.

Responsibilities

• Lead case pull-through with prescribing offices, contracted Specialty Pharmacies, and the Patient Service Center to expedite treatment initiation.
• Identify payer trends and develop/tactical plans to maintain patient access.
• Coordinate and execute case-specific strategies based on payer mix and authorization requirements.
• Educate and support healthcare providers on best practices to streamline authorization processes.

Skills

Access & Reimbursement

Payer management

Specialty Pharmacy

Patient Services

Case Management

Education

Bachelor’s or higher

Job description

Keenova is seeking an Access and Reimbursement Manager (Neph Overlay - West) in Los Angeles to lead the pull-through process for treatment access. You will collaborate with prescribers, Specialty Pharmacies, the Patient Service Center, and sales teams to expedite patient start-of-therapy efforts.

Ideal candidates have 5+ years in specialty pharma access, strong payer design knowledge, and the ability to navigate complex authorizations while traveling up to 60% as needed.