Patient Access Manager, Tepezza

Horizon Pharmaceutical; Anaheim (CA); On-site; USD 90,000 - 120,000; Full time

Job summary

Horizon Pharmaceutical seeks a Patient Access Manager to deliver exceptional patient support and education, guiding access steps and coordinating with care teams to ensure therapy access.

The role collaborates with Case Managers, Regional Access Solutions, and external vendors, requiring strong communication and a proactive, patient-first approach, with travel up to 50%.

Qualifications

• Bachelor’s Degree required.
• Minimum 5 years pharma/account management experience.
• Excellent written and verbal communication skills.
• Proficient in Microsoft Office.

Responsibilities

• Assess individual patient needs and develop an education plan of action.
• Collaborate with Horizon’s Patient Services team including Case Managers, Regional Access Solutions, and external vendors.
• Assist patients in securing records required prior to treatment.
• Resolve issues when services are performed without pre-authorization to ensure access.
• Guide patients through appeals process and coordinate documentation for each appeal to maintain coverage.
• Provide information on accessible copay assistance programs, national foundations, and free drug programs.
• Develop relationships with patients and families as they navigate the healthcare system and options.
• Empower patients to become their own advocates.

Skills

Interpersonal skills

Communication skills

Team collaboration

Cross-functional work

Education

Bachelor's degree

Tools

Microsoft Office

Job description

The Patient Access Manager (PAM) works in a highly visible, strong team environment to provide exceptional customer service on all levels. Specifically, listen to patients, interpreting their specific needs and providing friendly, professional and well-informed answers to their logistical questions. The PAM will work with patient to educate on next steps required to gain access to therapy. The PAM will also work to maintain relationships with patients and cross-functional partners to support ongoing compliance with therapy.

Responsibilities:

• Assess individual needs of the patient and develops an appropriate education plan of action, taking into account the patient’s family and team of healthcare providers.
• Works closely with Horizon’s Patient Services team including Case Managers, the Regional Access Solutions team, and external vendors.
• The PAM team assists patients to secure records needed prior to treatment.
• Sometimes services are performed without a pre-authorization and the PAM along with Patient Service’s team resolve any related issues to ensure a smooth process for medication access.
• Guide the patient through the appeals process and coordinate the delivery of appropriate documentation for each appeal in order to maintain coverage for medical services.
• Provide accessible co-pay assistance programs, national foundations and free drug programs by sharing information to patients as needed.
• Develop a cohesive relationship with the patients and their families as they navigate through the healthcare system and the options that may be available.
• Empower the patient to become their own advocate.

Qualifications and Skills Required:

• Bachelor’s Degree required
• Minimum 5 years pharma/account managementexperience
• Patient interaction and support experience preferred
• Biologic/biotech buy and bill experience in a reimbursement role preferred
• Experience working with institutions and integrated delivery networks preferred
• Experience working in a team environment which successfully partners with all Commercial Operations functions
• Proven success in working in a cross functional environment
• Proficient in Microsoft Office
• Professional, proactive demeanor
• Strong interpersonal skills
• Excellent written and verbal communication skills
• Requires approximately 50% travel, including some overnight and weekend commitments.