Strategic Access & Reimbursement Lead - Neph Overlay (West)

Keenova Therapeutics plc; Los Angeles (CA); On-site; USD 121,000 - 194,000; Full time

Benefits offered by this job

Total Rewards package

Bonus eligibility

Job summary

Keenova is hiring an Access and Reimbursement Manager (Neph Overlay - West) in Los Angeles to lead case pull-through and maintain patient access throughout therapy. The role partners with prescribing offices, specialty pharmacies, and the Patient Service Center to accelerate starts and ensure compliant workflows.

The ideal candidate has extensive access/reimbursement experience across multiple specialties, strong analytical and communication skills, and is comfortable traveling up to 60% to

Qualifications

• Minimum 5 years’ experience with specialty pharma products, or 2 years in an access role outside pharma.
• Experience preferred in Ophthalmology, Nephrology, Rheumatology, Pulmonology, Neurology or Dermatology.
• Strong understanding of insurance and benefit design for commercial and government payers.
• Background in Access & Reimbursement, Payer account management, Specialty Pharmacy distribution, Patient Services, Case Management.
• Successful navigation of complex authorization processes for specialty medications.
• Ability to design case-specific strategies with payer mix, benefit design, and authorization requirements.
• Coordinate pull-through with Patient Service Center, Case Managers, Sales and Specialty Pharmacies.
• Educate healthcare offices on best practices to expedite authorization and access.
• Communicate with SPs to improve processing time and shipment scheduling.
• Demonstrated analytical, problem solving and relationship-building skills.
• Excellent communication, organizational and leadership skills.
• Customer interaction and field travel up to 60% – overnights may depend on geography.

Responsibilities

• Lead case pull-through and drive access for patients throughout therapy.
• Work with prescribing offices, Specialty Pharmacies, and Patient Service Center to expedite start of treatment.
• Identify payer trends and develop/tactical plans to maintain treatment access.
• Navigate anti-kickback, fraud and abuse, off-label promotion, and patient assistance program parameters.
• Design case-specific strategies based on payer mix and authorization requirements.
• Coordinate activities with Patient Service Center, Case Managers, Sales, and Specialty Pharmacies.
• Educate HCP offices on best practices to streamline authorization and treatment access.
• Collaborate with SPs to improve processing time and shipment scheduling.

Skills

Access & Reimbursement

Payer account management

Case management

Analytical skills

Communication

Leadership

Relationship building

Field travel

Education

Bachelor’s degree

Job description

Keenova is hiring an Access and Reimbursement Manager (Neph Overlay - West) in Los Angeles to lead case pull-through and maintain patient access throughout therapy. The role partners with prescribing offices, specialty pharmacies, and the Patient Service Center to accelerate starts and ensure compliant workflows.

The ideal candidate has extensive access/reimbursement experience across multiple specialties, strong analytical and communication skills, and is comfortable traveling up to 60% to