Access & Reimbursement Strategist - NYC Metro

Lobby Co; New York (NY); Hybrid; USD 121,000 - 194,000; Full time

Benefits offered by this job

Total Rewards package

Bonus eligible

Job summary

Keenova seeks an Access and Reimbursement Manager to lead patient access through the course of therapy in the NYC metro area. You will drive pull-through on open cases by coordinating with prescribing offices, specialty pharmacies, the Patient Service Center, and sales colleagues.

The role requires deep knowledge of insurance/benefit design, payer strategies, and complex authorization navigation. Travel up to 60% is expected based on geography and program needs.

Qualifications

• Minimum of 5 years’ experience working with specialty pharmaceutical products, or minimum of 2 years’ access-related position outside of pharma.
• Experience preferred in one or more of the following areas: Ophthalmology, Nephrology, Rheumatology, Pulmonology, Neurology, Dermatology.
• Strong understanding of insurance and benefit design with both commercial and government payers; background in Access & Reimbursement, Payer account management, Specialty Pharmacy distribution, Patient Services, Case Management.
• Bachelor’s or higher degree required.

Responsibilities

• Lead case pull-through and optimize access by collaborating with prescribing offices, contracted Specialty Pharmacies, the Patient Service Center, and sales teams.
• Identify payer trends, alert partners, and develop tactical plans to ensure patient access to therapy.
• Navigate complex authorization processes and coordinate with the Patient Service Center, Case Managers, Sales, and Specialty Pharmacies.
• Educate HCP offices on best practices to streamline the authorization process and expedite treatment access for patients.

Skills

Access Expertise

Payer Relations

Case Management

Leadership

Education

Bachelor’s degree

Job description

Keenova seeks an Access and Reimbursement Manager to lead patient access through the course of therapy in the NYC metro area. You will drive pull-through on open cases by coordinating with prescribing offices, specialty pharmacies, the Patient Service Center, and sales colleagues.

The role requires deep knowledge of insurance/benefit design, payer strategies, and complex authorization navigation. Travel up to 60% is expected based on geography and program needs.