Therapy Access Manager (Ohio Valley)

United Therapeutics; United States; Remote; USD 151,000 - 200,000; Full time

Job summary

A leading biotech company is seeking a Therapy Access Manager to manage accounts and optimize patient access to therapies. The role requires collaboration with healthcare providers and a strong understanding of reimbursement processes. Candidates should have significant industry experience and a Bachelor's degree.

Benefits

Medical/Dental/Vision Coverage

401k and ESPP

Paid Time Off

Paid Parental Leave

Qualifications

• 6+ years of relevant industry experience.
• 1+ years of experience in Market Access and Field Reimbursement.

Responsibilities

• Manage defined accounts to support access for providers and patients.
• Educate healthcare providers on access services and reimbursement solutions.
• Participate in cross-matrix meetings and input call activity into CRM.

Skills

Problem Solving

Analytic Capabilities

Business Acumen

Education

Bachelor’s Degree

Job description

California, US residents click here.

The job details are as follows:

Who We Are

We are the first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter future for patients through the development of novel pharmaceutical therapies; and technologies that expand the availability of transplantable organs.

United Therapeutics (Nasdaq:UTHR) seeks to travel down the corridors of indifference to develop treatments for rare, deadly diseases. We were founded in 1996 by a family seeking a cure for their daughter’s pulmonary arterial hypertension (PAH). Today, we have six FDA-approved therapies that treat PAH, pulmonary hypertension associated with interstitial lung disease (PH-ILD) and neuroblastoma, a rare pediatric cancer. Our near-term pipeline seeks to develop additional therapies for PAH and pulmonary fibrosis (PF).

The cure for end-stage life-threatening diseases like PAH, PH-ILD, PF, and many others is an organ transplant, but only a small percentage of donated organs are available to address the vast need. For this reason, we are working to create manufactured organs to address the shortage of kidneys, hearts, lungs, and livers available for transplant. We believe an unlimited supply of tolerable, transplantable organs will eliminate the transplant waiting list and cure end-stage organ diseases for which transplant is not currently an option.

Who You Are

You are an empathetic person with a strong work ethic who enjoys supporting HCP's streamline processes and improve patient access to UT therapies. You are eager to collaborate with cross-functional teams, including UT Cares partners, Market Access, Specialty Pharmacies, and commercial teams, to develop and implement plans that optimize patient access and reimbursement. You will have a strong understanding of essential things like provider engagement, specialty pharmacies, patient services offerings, and the referral process.You want to work in an environment that is collaborative and innovative where you can showcase your knowledge and expertise.

The Therapy Access Manager (TAM) is a customer-facing role that will be responsible for managing defined accounts within a specific region or territory, to support access for providers and patients. The role will provide education to healthcare providers and office staff on access services and reimbursement solutions specific to United Therapeutics' products. The TAM will demonstrate a compliant and consultative approach providing education to offices related to insurance authorization and/or reimbursement of products for appropriate patients.

• Manage defined accounts within a specific region or territory, to support access for providers and patients including providing education to healthcare providers and office staff on access services and reimbursement solutions specific to United Therapeutics' products. Execute a region or territory strategic plan through partnership with internal and external stakeholders, which may include call center / HUB services, market access, and/or other matrix field partners. Serve as the payer expert for a defined geography and communicate payer changes to key stakeholders in a timely manner.
• Ensure understanding of the reimbursement process, specialty pharmacies, field reimbursement services, and UT's patient support program. Advise on patient level reimbursement issues in compliance with policies and well-defined Rules of Engagement. Abide in a compliant manner and work closely within a defined set of Rules of Engagement
• Manage daily activities that support appropriate patient access to United Therapeutics’ products in the provider offices and work as a liaison to other patient assistance and access support services offered by United Therapeutics
• Compliantly serve and support customers as an extension of patient support as appropriate, and provide in-person customer visits
• Participate in cross-matrix meetings as appropriate. Participate in regularly scheduled team meetings and calls. Input call activity into customer relationship management tool (CRM).
• Provide office education and awareness during the entire access process which may include formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution
• Educate physician office staff on the use of patient support services using UT approved educational materials, including web-based provider portals and other tools/resources as available

Territory to include: Detroit, Ohio, Pennsylvania, and upstate New York

Minimum Requirements

• Bachelor’s Degree
• 6+ years of relevant industry experience
• 1+ years of experience in Market Access and Field Reimbursement supporting specialty products
• Experience with specialty/biologic products and/or complex reimbursement process
• Experience educating HCPs on client specific patient service programs (i.e. copay, nurse education, patient assistance, etc.)
• Ability to manage ambiguity & problem solve
• Solution oriented mindset, strong business acumen, & strong analytic capabilities
• Ability to manage greater than 50% travel
• Candidate must reside within their territory

Preferred Qualifications

• Experience in the therapeutic area of cardiology or pulmonology
• Rare & Orphan drug experience
• Demonstrated ability to educate offices on access processes and issue resolution
• Experience delivering educational presentations in person and/or via technology platforms such as Zoom, Webex, and/or Teams
• Advanced knowledge of medical insurance terminology
• Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare (Part B and Part D)

The salary for this position ranges from $151,000 to $200,000 per year. In addition, this role is eligible for the Company’s short-term and long-term incentive programs.

The salary range is the range United Therapeutics Corporation in good faith believes is the range of possible compensation for this role at the time of this posting depending on the candidate’s experience, qualifications, geographic location, and other factors permitted by law.The Company may ultimately pay more or less than the posted range. This range may be modified in the future.No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

At United Therapeutics, our mission and vision are one. We use our enthusiasm, creativity, and persistence to innovate for the unmet medical needs of our patients and to benefit our other stakeholders. We are bold and unconventional. We have fun, we do good.

Eligible employees may participate in the Company’s comprehensive benefits suite of programs, including medical / dental / vision / prescription coverage, employee wellness resources, savings plans (401k and ESPP), paid time off & paid parental leave benefits, disability benefits, and more. For additional information on Company benefits, please visit https://www.unither.com/careers/benefits-and-amenities

United Therapeutics Corporation is an Equal Opportunity Employer, including veterans and individuals with disabilities.