Patient Access Manager, Tepezza

Horizon Pharmaceutical; Las Vegas (NV); On-site; USD 70,000 - 90,000; Full time

Job summary

Horizon Pharmaceutical is seeking a Patient Access Manager in Las Vegas to educate patients on access to therapy and coordinate with the Patient Services team to secure records and assist with documentation. The role involves guiding patients through appeals, coordinating with providers, and helping families navigate the healthcare system.

The position requires at least a bachelor’s degree, 5+ years in pharma/account management, strong communication and cross-functional skills, and up to 50%

Qualifications

• Bachelor’s Degree is required.
• Minimum 5 years pharma/account management experience.
• Experience in patient interaction and support preferred.
• Biologic/biotech buy and bill experience preferred.
• Experience with institutions and integrated delivery networks preferred.
• Strong cross-functional teamwork with Commercial Operations.
• Proficient in Microsoft Office.

Responsibilities

• Assess individual needs of the patient and develops an education plan of action.
• Works closely with Horizon’s Patient Services team including Case Managers and the Regional Access Solutions team.
• Assist patients to secure records needed prior to treatment.
• Resolve issues to ensure smooth access to medication, even without pre-authorization.
• Guide the patient through the appeals process and coordinate documentation for each appeal to maintain coverage.
• Provide information on co-pay assistance programs, national foundations and free drug programs.
• Develop a relationship with patients and families navigating the healthcare system.
• Empower the patient to become their own advocate.

Skills

Interpersonal skills

Communication skills

Teamwork

Cross-functional collaboration

Customer service

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.