Access and Reimbursement Manager
Mallinckrodt Pharmaceuticals
full-time
Posted on:
Location Type: Remote
Location: South Carolina • United States
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About the role
- Help create and maintain treatment access for patients through the duration of the course of therapy.
- Lead the “pull-through” process on open cases by taking compliant actions that improve access and expedite a patient's start to treatment.
- Work directly with prescribing offices, contracted Specialty Pharmacies, the Patient Service Center, and sales colleagues.
- Identify payer trends, alert business partners, and take initiative around developing, coordinating and executing tactical plans in order to maintain treatment access for patients.
- Demonstrate uncompromised ethics and integrity while helping others understand legal and regulatory parameters related to anti-kickback statutes, fraud and abuse, off-label promotion, and OIG guidance related to patient assistance programs.
- Adapt quickly and successfully to evolving and changing business needs.
Requirements
- Minimum of 5 years’ experience working with specialty pharmaceutical products, or minimum of 2 years’ access-related position outside of pharma
- Strong understanding of insurance and benefit design with both 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
- Working with a Patient Service Center/Hub in order to design case-specific strategies based on payer mix, benefit design, and authorization requirements.
- Coordinating case pull-through with the Patient Service Center, Case Managers, Sales, and Specialty Pharmacies
- Field responsibilities that include supporting and educating HCP offices on best practices that streamline the authorization process and expedite treatment access for patients
- Communicating with SPs to improve processing time and help facilitate 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 dependent on geography
Benefits
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
specialty pharmaceutical productsinsurance and benefit designAccess & ReimbursementPayer account managementSpecialty Pharmacy distributionPatient ServicesCase Managementauthorization processescase-specific strategiestreatment access
Soft Skills
analytical skillsproblem solvingrelationship-buildingcommunication skillsorganizational skillsleadership skillsadaptabilityinitiativeethicsintegrity