2 дня назад
Dedicated Case Coordinator (Patient Access and Reimbursement)
162 900 - 271 500$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Dedicated Case Coordinator (Patient Access and Reimbursement): Managing end-to-end patient access cases for prescribed pharmaceutical products, from HUB enrollment and benefits investigation through prior authorization, fulfillment, and post-fill follow-up with an accent on reimbursement navigation, coverage support, and compliant patient and provider communication. Focus on coordinating complex access journeys, resolving payer and authorization barriers, administering copay and interim care programs, and maintaining accurate case documentation and safety reporting.
Location: Remote from the United States, assigned to Arizona and Nevada; Pacific Time Zone; approximately 10%–20% travel
Annual base salary: $162,900–$271,500, plus a target bonus of 20% and eligibility for a share-based long-term incentive program.
Company
is a pharmaceutical company developing and providing medicines and patient access support programs.
What you will do
- Own assigned patient cases from HUB enrollment through post-fill follow-up, serving as the primary contact for patients, caregivers, and healthcare providers.
- Conduct benefits investigation and verification, explain coverage and out-of-pocket costs, and support prior authorization and appeals.
- Coordinate baseline assessments, patient appointments, testing, vouchers, Interim Care, copay assistance, and prescription fulfillment.
- Manage patient cases in Polaris, including prescription triage, documentation, secure communications, consents, and coordination with HUB partners and vendors.
- Follow up with patients after prescriptions are filled and resolve logistical, financial, and access-related issues.
- Report adverse events and communicate with patients and providers in accordance with compliance and safety requirements.
Requirements
- Bachelor’s degree and 8+ years of pharmaceutical or related customer-facing experience.
- At least 6 months of experience in a comparable access and reimbursement role, such as FRM, PAC, or FAS, including work with Polaris.
- Working knowledge of benefits investigation, prior authorization, appeals, copay programs, vouchers, Interim Care, specialty pharmacy networks, and government payment systems.
- Ability to manage a high volume of concurrent cases with disciplined documentation and follow-through.
- Strong patient, provider, payer, and cross-functional communication skills, including the ability to meet adverse event reporting obligations.
- Must be authorized to work in the United States by any employer and hold permanent U.S. work authorization.
Nice to have
- Experience working with patient hubs and third-party vendors such as IQVIA/MDX or specialty pharmacies.
- Experience with Kiteworks, DocuSign, copay portals, Interim Care, free goods, bridge programs, or both PBM and major medical coverage pathways.
Culture & Benefits
- Remote work from home five days a week or field-based work not affiliated with a site.
- Benefits include a 401(k) with matching and retirement contributions, paid vacation, holidays, personal days, caregiver and medical leave.
- Medical, prescription drug, dental, and vision coverage are provided.
- U.S. work visa sponsorship is not available now or in the future.
- Work requires strict confidentiality, regulatory compliance, responsible communication, and cross-functional collaboration.
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