Patient Access Manager, Tepezza

Horizon Pharmaceutical; Kansas City (MO); On-site; USD 85,000 - 120,000; Full time

Job summary

Horizon Pharmaceutical is seeking a Patient Access Manager to join a visible, team-driven environment in Kansas City. The role focuses on listening to patients, educating them on steps to gain access to therapy, and maintaining strong relationships with patients and cross-functional partners to ensure ongoing compliance with therapy.

The position requires interfacing with the Patient Services team, case managers, and external vendors to resolve pre-authorization and documentation issues, while

Qualifications

• Bachelor’s degree required.
• Minimum 5 years pharma/account management experience.
• Experience working with institutions and integrated delivery networks preferred.
• Proficient in Microsoft Office.
• Excellent written and verbal communication skills.

Responsibilities

• Listen to patients, interpret needs, and provide friendly, professional answers to logistical questions.
• Educate patients on next steps required to gain access to therapy.
• Coordinate with Horizon’s Patient Services team and external vendors.
• Assist patients in securing records needed prior to treatment.
• Guide patients through appeals and documentation to maintain coverage for medical services.
• Provide information on co-pay assistance programs and free drug programs.
• Develop relationships with patients and families as they navigate the healthcare system.

Skills

Patient communication

Interpersonal skills

Team collaboration

Microsoft Office

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.