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Field Access Manager
Ionis Pharmaceuticals, Inc.Field Access Manager at Ionis Pharmaceuticals supporting patient access through education and collaboration with healthcare providers and cross-functional teams. Traveling 50% within assigned territory while integrating programs into workflows.
Core Competencies
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Demonstrates expertise in patient access and reimbursement processes within the healthcare and pharmaceutical industry, with a strong focus on collaboration and compliance with regulations such as HIPAA. Proven ability to leverage analytical tools and data to address customer inquiries and support integration of programs into workflows.
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About the role
Key responsibilities & impact- Interact within assigned accounts to support patient access, providing proactive face-to-face (or virtual if appropriate) education on programs to providers and staff to support integration of those programs into office processes and workflows.
- Leverage data and analytical tools to address customer questions for issues related to payer policies and access requirements .
- Work with key members of customer accounts (e.g., providers, administrators, billing and coding staff, etc.) to appropriately support patient access.
- Address customer questions related to payer policies (e.g., utilization management, denial, and appeals) and patient reimbursement.
- Collaborate with aligned cross-functional partners (identified above) to share insights on customer needs and barriers related to access and reimbursement.
- Maintain a deep understanding of Ionis policies and requirements and perform all responsibilities with integrity and in a manner consistent with company guidance and prescribed Values and Behaviors.
- Handle Patient Identifiable Information (PII) appropriately (understand and ensure compliance with HIPAA and other privacy laws and regulations and internal Company compliance policies/guidelines).
- Responsible for identifying and reporting adverse events via the established Ionis systems as per applicable processes.
Requirements
What you’ll need- Valid driver’s license required as driving is fundamental to the purpose of this job and cannot be eliminated.
- Must live within assigned territory.
- Bachelor’s Degree required; advanced degree preferred
- Minimum 8 years in the healthcare/pharmaceutical industry.
- Prior reimbursement or case management experience required (prior field access/reimbursement experience preferred).
- Experience with pharmacy benefit reimbursement/access and specialty pharmacy required
- CPC or similar coding certification preferred
- Experience working in the cardiometabolic area preferred
- Knowledge of key Medicare policies such as Part D design and IRA
- Proven teamwork and collaboration skills with a demonstrated track record of working in highly matrixed and cross-functional work teams.
- Ability to travel to meetings/trainings/programs as necessary - additional travel will be required within the assigned geography (~50% travel required depending on territory)
Benefits
Comp & perks- Health insurance
- 401(k) matching
- Flexible work arrangements
- Professional development opportunities
- Paid time off