Remote Patient Access & Reimbursement Specialist

GRIFOLS, S.A.; Nebraska; Remote; USD 110,000 - 130,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Life insurance

PTO

Holidays

401(k) match

Tuition reimbursement

Job summary

Grifols is seeking a Patient Access Liaison to minimize access and reimbursement barriers for patients across a broad North Central and South Central multi-state geography. This remote role requires deep knowledge of payer policies and the ability to educate prescribers and staff on Prolastin-C processes.

You will partner with Market Access, Sales and Hub teams, travel as needed, and contribute to a patient-centric access program with strong compliance.

Qualifications

• Extensive knowledge of medication access channels.
• Strong knowledge of specialty pharmacy and health insurance.
• Experience in payer policies and reimbursement processes.
• Ability to travel across multistate territories.

Responsibilities

• 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.

Skills

Medication access

Specialty pharmacy

Insurance eligibility

Travel ability

Education

BA/BS or PharmD preferred

Job description

Grifols is seeking a Patient Access Liaison to minimize access and reimbursement barriers for patients across a broad North Central and South Central multi-state geography. This remote role requires deep knowledge of payer policies and the ability to educate prescribers and staff on Prolastin-C processes.

You will partner with Market Access, Sales and Hub teams, travel as needed, and contribute to a patient-centric access program with strong compliance.