Patient Access Manager

Mallinckrodt; Bridgewater Township (NJ); On-site; USD 60,000 - 90,000; Full time

Job summary

Keenova is seeking a Patient Access Manager to lead patient access, reimbursement, and support services for high-touch biologic medications in Bridgewater, NJ. This role focuses on improving patient experience and ensuring timely access to care.

You will work with Specialty Pharmacies and internal teams to educate patients, analyze access data, and navigate payer landscapes to remove barriers and optimize patient outcomes.

Qualifications

• Front-line patient access experience
• Reimbursement knowledge
• Healthcare navigation expertise

Responsibilities

• Serve as primary point for patient access and reimbursement for high-touch biologics
• Educate patients on Buy/Bill processes and MARC resources
• Collaborate with SPs, FRMs, and internal teams to resolve access barriers
• Analyze data to identify and address reimbursement and affordability challenges
• Support patients and caregivers throughout the treatment journey

Job description

Job Title

Patient Access Manager

Requisition

JR000016055 Patient Access Manager (Open)

Location

Bridgewater, NJ

Additional Locations

Hazelwood, MO, Malvern, PA

Job Description Summary

The Patient Access Manager (PAM) is a critical front-line member of the Keenova Patient Support Services team who represents Keenova's commitment to improving the patient experience by supporting patients, caregivers, healthcare providers, and internal stakeholders throughout the treatment journey. The PAM serves as a trusted resource and subject matter expert, providing education, support, navigation assistance, and hands-on guidance related to treatment access, reimbursement, affordability, and patient support services. Having gained significant experience in patient access, reimbursement, patient support services, and healthcare navigation, the PAM possesses the ability to synthesize complex information and apply it to improve patient outcomes, reduce access barriers, and enhance the overall patient experience. The PAM effectively identifies patient-specific and systemic obstacles impacting treatment initiation and continuity of care and proactively collaborates with internal and external stakeholders to develop solutions that support timely patient access. The PAM is proficient in analyzing patient access trends, reimbursement challenges, affordability concerns, and treatment journey insights. Using these insights, the PAM identifies opportunities for process improvement, patient support enhancements, and operational efficiencies that improve access outcomes. The PAM takes initiative to work collaboratively with patients, caregivers, provider offices, specialty pharmacies, case managers, and FRMs while ensuring solutions remain patient-centered, compliant, and aligned with organizational objectives. The PAM operates effectively as part of a cross-functional team to navigate complex patient situations and resolve access-related obstacles. With minimal guidance, the PAM serves as a strategic voice of the patient, identifying emerging trends, unmet needs, healthcare literacy challenges, affordability barriers, and access obstacles that impact patient outcomes. The PAM translates these insights into actionable recommendations that support patient support strategy, operational improvements, resource allocation decisions, and future program design. Through expertise, influence, and collaboration, the PAM helps drive patient-centered solutions that improve treatment initiation, continuity of care, and overall patient experience.

Key Responsibilities :

• Patient Support
• Critical point person for all reimbursement and acquisition logistical aspects of a high touch biologic medication for an orphan disease, and testosterone products with multiple acquisition options within a changing payer landscape.
• Assists patients with questions related to Buy/Bill BI management. Educate/Assist with Specialty Pharmacy (SP) understanding, expectations and logistics. Continually educate patients on appropriate steps, educate on the importance of answering the phone throughout the journey to ensure there are no delays
• Primary responsibilities include:
• Managing patient assistance and reimbursement support services offered to patients and related to patient access buy/bill products.
• Coordinating with Keenova's patient support services program representatives, as needed
• Educating patients on the Buy/Bill process, patient assistance and reimbursement support services.
• Utilizing data to critically think through acquisition challenges from a variety of outlets including SP and Specialty Distributors
• Is proficient in business analytics and can use this to understand common logistical issues in accounts and elevate cases appropriately so that the FRM can proactively develop plans for remediation.
• Assist new patients from a reimbursement perspective to inform them about the reimbursement process as well as education on various MARC approved resources pertaining to reimbursement, acquisition and financial assistance.

Specialty Pharmacy (SP) Support

• Work closely with the external and internal customers to trouble shoot any SP related issues. PAM work closely with their FRM's to partner and manage any customer-related issues directly with the SP's.
• SP experience is critical. Each Senior Patient Access Engagement Manager should be an expert in SP logistics and operations.
• Must be able to analyze data and know how to make that data into actionable steps to facilitate patient access to Keenova products.
• Work closely with SP's to understand logistical issues that arise and provide MARC approved resources and programs to facilitate patient access as well as communicate with SP's to find resolutions to issues that arise at the SP.
• Identify gaps in knowledge of patients from a SP process and help provide education for the patient to better understand their role

Patient Experience, Insights & Strategic Impact:

Collect, analyze, and synthesize field