Patient Access Liaison - Remote

GRIFOLS, S.A.; Lincoln (NE); Híbrido; USD 110.000 - 130.000; Tempo integral

Benefícios oferecidos por esta vaga

Medical

Dental

Vision

Life insurance

PTO

Paid holidays

401(K) match

Tuition reimbursement

Resumo da vaga

Grifols invites a Patient Access Liaison to join an international healthcare team focused on improving patient access to Prolastin-C across multiple states. The role requires deep knowledge of public and private payer policies, strong collaboration with Market Access and Hub teams, and a passion for resolving access barriers.

Education includes BA/BS or PharmD preferred, with 2 years in rare disease or specialty pharmacy. Travel >50% across North Central and South Central regions is expected.

Qualificações

• Extensive knowledge of medication access channels and payer policies.
• Experience with insurance eligibility verification and prior authorization processes.
• Ability to navigate reimbursement programs and appeals while maintaining compliance.
• Willingness to travel and cover large multistate geography territories; >50% travel expected.

Responsabilidades

• Educate prescriber office personnel on Prolastin Direct programs to improve patient access.
• Manage payer reimbursement programs and ensure regulatory compliance.
• Serve as subject matter expert on payer/reimbursement matters across the geography.
• Collaborate with payor teams to understand policies and facilitate access.
• Explain prior authorization requirements, appeals, and documentation to providers.

Conhecimentos

Medication access

Specialty pharmacy knowledge

Insurance benefits verification

Prior authorization

Formação

BA/BS degree

PharmD preferred

Descrição da vaga

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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