Patient Access Liaison - Remote

GRIFOLS, S.A.; Austin (TX); Remote; USD 110,000 - 130,000; Full time

Benefits offered by this job

Bonus up to 8%

Medical, Dental, Vision coverage

PTO and holidays

401(k) match

Job summary

Grifols, S.A. is seeking a Patient Access Liaison to minimize access and reimbursement barriers for patients and providers in the Prolastin-C program across multiple states in the North Central and South Central regions.

The role requires deep payer knowledge, collaboration with Market Access, Sales and Hub teams, and willingness to travel >50% across a multistate geography. Remote work is possible near designated airports.

Qualifications

• Deep knowledge of medication access channels and health insurance benefits.
• Experience with prior authorization, appeals, and coverage requirements.
• Ability to work across multiple states with healthcare professionals.

Responsibilities

• Educate prescriber office personnel on Prolastin Direct program and processes.
• Manage utilization of patient support services and reimbursement programs.
• Collaborate with payor team to understand payer policies and facilitate patient access.
• Explain prior authorization requirements and electronic submission options.
• Enhance awareness of patient support offerings and SP processes across geography.
• Address patient-specific issues and provide resolution across geography.
• Work with Hub/SP account management to resolve customer issues.
• Build professional relationships with customers in targeted accounts.

Skills

Payer policy knowledge

Relationship building

Cross-functional collaboration

Travel readiness

Education

BA/BS Degree

Job description

Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the lives of millions of people? Grifols is a global healthcare company that since 1909 has been working to improve the health and well-being of people around the world. We are leaders in plasma-derived medicines and transfusion medicine and develop, produce and market innovative medicines, solutions and services in more than 110 countries and regions.

The role of the Patient Access Liaison (PAL) is to minimize access and reimbursement barriers for patients and providers to Prolastin-C. They will accomplish this by executing the market access reimbursement plan in the assigned geographic area with physicians, office staff and institutional customers. The PAL will work closely with internal and external partners including HCPs and their staff, Market Access, Sales and SP/Hub partners in the field, supporting accounts in resolving reimbursement issues and concerns. The PAL is expected to have a deep working knowledge of both public and private payer policies within their market, as it relates to Prolastin-C coverage and access. This position will serve as subject matter expert on payer/reimbursement matters, patient services and pharmacy processes and requirements. This role covers multiple states in the North Central and South Central regions. For this role to be remote you have to be located near a major airport in one of the following states: North Central: ND, SD, NE, MN, WI, IA, MO. South Central: TX, LA, AR, MS

Primary responsibilities for role:

• Proactively educate prescriber office personnel on the Prolastin Direct program and processes to facilitate patient access via in person and virtual interactions
• Champion and manage the appropriate utilization of patient support services and reimbursement programs to ensure compliance with legal and regulatory requirements
• Demonstrate deep knowledge in reimbursement and access across patient support offerings and be the subject matter expert in the geography.
• Collaborate closely with the payor team to understand payer policies and facilitate patient access.
• Ensure providers understand prior authorization requirements, appeals processes and clinical criteria, including technology options for electronic submission of PA, Letter of Medical Necessity, appeals, step edits, formulary exception requests and provides support for other related coverage issues and documentation requirements.
• Enhance awareness and understanding of patient support offerings and specialty pharmacy (SP) processes. Ensure these solutions are optimized to support the patient journey and deliver excellent patient and provider experience.
• Reactively address patient specific issues and provide issue resolution across geography
• Closely collaborate with Hub/SP account management team to directly solve any customer-related issues.
• Builds productive, professional relationships with customers in targeted accounts to address market access issues.

Knowledge, Skills, and Abilities:

Extensive knowledge of medication access channels.Strong functional knowledge of specialty pharmacy and health insurance and benefits with a demonstrated expert understanding of insurance eligibility benefit verification, prior authorization processes, reimbursement coverage, appealing insurance denials, application of financial assistance, co-pay support and free product programsProven ability to thrive in both an independent setting and within a collaborative cross functional environmentAbility to travel and cover large multistate geography territories; > 50% travel required

Education:

BA/BS Degree, Advanced degree or PharmD preferred

Experience:

2 years of rare disease, specialty pharmacy, pharma and/or biopharmaceutical experience.1- 2 years of experience calling on field-based customers and proven ability to build strong relationships with healthcare professionals.

Depending on the area of assignment, directly related experience or a combination of directly related education and experience and/or competencies may be considered in place of the stated requirements. Example: If a job level requires a Bachelor’s degree plus 4 years of experience, an equivalency could include 8 years of experience, an Associate’s degree with 6 years of experience, or a Master’s degree with 2 years of experience.

#LI-TN1The estimated pay scale for the Patient Access Liaison role based remotely in any of the listed states in the job description, is $110,000 to $130,000 per year. Additionally, the position is eligible to participate in up to 8% of the company bonus pool. We offer a wide variety of benefits including, but not limited to: Medical, Dental, Vision, life insurance, PTO, paid holidays and up to 5% 401(K) match and tuition reimbursement. Final compensation packages will ultimately depend on education, experience, skillset, knowledge, where the role is performed, internal equity and market data. We are committed to offering our employees opportunities for professional growth and career progression. Grifols is a global healthcare organization with employees in 30 countries focused on patient health and providing impactful results. Since our humble beginnings in 1909, Grifols has been a family company that prides itself on its family-like culture. Our company has more than tripled over the last 10 years, and you can grow with us!

Grifols provides equal employment opportunities to applicants and employees without regard to race; color; sex; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; status as a protected veteran or spouse/family member of a protected veteran; or disability. We will consider for employment all qualified applicants in a manner consistent with the requirements of all applicable laws.

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