Manager, Pricing and Contracting
Braeburn
SQL
Senior Manager, Patient Access Support
Braeburn
full-time
Posted on:
Location Type: Hybrid
Location: Plymouth Meeting • Pennsylvania • 🇺🇸 United States
Visit company websiteJob Level
Senior
About the role
- Support strategy execution and drive optimization of patient access programs, with primary focus on HUB operations and specialty pharmacy network engagement.
- Ensure seamless onboarding, benefits investigation, prior authorization assistance, financial assistance coordination, and product fulfillment for patients and providers.
- Serve as cross-functional point of contact between internal stakeholders, specialty pharmacy partners, and HUB vendor operations to optimize patient experience and reduce time-to-therapy.
- Act as coach and professional mentor for internal patient access roles.
- Independent oversight of day-to-day operations and performance of the HUB vendor.
- Monitor KPIs and SLAs including time-to-fill, prior authorization turnaround time, benefits investigation accuracy, and case closure rates.
- Partner with HUB vendor leadership to address escalations, improve workflows, and ensure compliance with program SOPs.
- Ensure HUB services align with brand access strategy, payer coverage landscape, and evolving patient support needs.
- Lead and/or develop and coordinate quarterly business reviews (QBRs) with HUB to assess performance and identify continuous improvement opportunities.
- Drive and implement process improvements that positively impact access experience for patients and providers.
- Manage relationships with and act as primary point of contact for HUB leadership team.
- Maintain strong working relationships with Corporate Trade Team and contracted specialty pharmacies to ensure timely access and proactive issue resolution.
- Collaborate with Trade Team and SP partners to support initiatives related to patient adherence, service implementation, and process improvements.
- Keep SPs informed of HUB processes, financial assistance programs, and payer policy changes that may impact fulfillment or access.
- Act as liaison between HUB and SP network and attend specialty pharmacy meetings and QBRs as needed.
- Provide cross-functional teams with insights on trends, access barriers, and operational challenges to inform brand strategy and forecasting.
- Act as subject matter expert for patient access in collaboration with Market Access, Trade & Distribution, Field Reimbursement, Marketing, and Compliance teams.
- Monitor payer policy updates and support reimbursement teams with escalation cases and payer issue resolution.
- Provide Patient Access Leadership with ongoing updates, weekly and monthly program scorecards, and recommendations for operational enhancements.
- Partner with analytics teams to review HUB and SP performance dashboards and extract actionable insights; support data onboarding efforts and UAT when applicable.
- Track and monitor patient journey milestones from prescription to fulfillment to identify gaps and opportunities.
- Participate in quality review activities including quality auditing of hub records, benefit investigation outcomes, and customer calls.
Requirements
- In-depth understanding of the reimbursement landscape including buy-and-bill, specialty pharmacy, payer and pharmacy benefit management dynamics, copay assistance, alternate coverage options, and patient support HUB service offerings.
- Experience working with multi-disciplinary functions which may include Sales, Market Access, Marketing and Business Operations
- Critical thinking skills and ability to act independently yet work collaboratively to complete role responsibilities
- Previous vendor engagement experience
- In-depth knowledge of performance metrics management, data and analytics
- Strong presentation and training skills
- Willingness to travel up to 15%
- Market Access operations (recent and preferable)
- Developing HUB Standard Operating Procedures (SOPs) or Work Instructions (recent and preferable)
- Patient access performance and services analytics (recent and preferable)
- Data management and reporting experience, including: Managing or informing build of patient access-related reports, CRMs, and related systems; Reviewing and/or creating business requirements, data interface agreements; Actively participating in UAT process
- Addiction medicine or behavioral health experience (recent and preferable)
- Experience working in start-up biopharmaceutical environment (recent and preferable)
- Leadership experience at a patient access HUB (recent and preferable)
- BA/BS degree with focus in business, science, analytics, or pharmaceutical studies or extensive direct work experience
- 5+ years of progressive experience in the Biopharmaceutical/Biotech industry (minimum of 3 or more years recent pharmaceutical HUB experience)
- Proficiency in Microsoft Suite, with emphasis working in Salesforce, Excel, MS Project, PowerPoint and Word.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
reimbursement landscapeperformance metrics managementdata analyticspatient access performance analyticsdata managementreportingdeveloping SOPsvendor engagementpatient support HUB servicescritical thinking
Soft skills
collaborationindependent workpresentation skillstraining skillsleadershipcoachingrelationship managementproblem-solvingcommunicationmentoring
