8 дней назад
Patient Access Liaison (Rare Disease)
158 394 - 185 578$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Patient Access Liaison (Rare Disease): Supporting patients, caregivers, healthcare providers, and sites of care in navigating insurance coverage, prior authorization, reimbursement, and financial assistance for infused and specialty therapies with an accent on rare disease access and complex reimbursement barriers. Focus on resolving denied claims, educating stakeholders on coding and billing, coordinating cross-functional patient support, and maintaining HIPAA and regulatory compliance across a field-based territory.
Location: US Field (West), based in Los Angeles, California; field-based role with phone, virtual, and in-person engagement and up to 50% travel, including occasional overnight and weekend commitments.
Annual base salary: $158,394–$185,578 for Level 5 or $164,276–$222,256 for Level 6.
Company
is a biotechnology company developing, manufacturing, and delivering medicines across oncology, inflammation, general medicine, and rare disease.
What you will do
- Support patients, caregivers, healthcare providers, and sites of care with insurance benefits, prior authorization, reimbursement, and access to infused and specialty therapies.
- Assess patient needs and provide education on coverage requirements, co-pay assistance, foundations, and free drug programs.
- Educate physician offices and infusion centers on reimbursement pathways, coding, billing, and common prior authorization requirements.
- Investigate access barriers, denied claims, and reimbursement issues before and after infusion, escalating complex cases when needed.
- Collaborate with Market Access, Medical Affairs, Advocacy, Case Management, Marketing, and Site of Care teams.
- Document activities accurately, report adverse events and product complaints, and follow HIPAA, compliance, and pharmacovigilance procedures.
Requirements
- Level 5: doctorate; or master's degree plus 2 years of relevant experience; bachelor's degree plus 4 years; associate's degree plus 8 years; or high school diploma/GED plus 10 years of patient services or access and reimbursement experience.
- Level 6: doctorate plus 2 years, master's degree plus 4 years, or bachelor's degree plus 6 years of relevant experience.
- Experience with patient access, reimbursement, prior authorization, appeals, denied claims, and healthcare reimbursement systems.
- Strong analytical, problem-solving, written, verbal communication, and stakeholder engagement skills.
- Ability to manage complex patient situations, respond rapidly to urgent access needs, and work effectively in a matrix field environment.
- Ability to travel up to 50% within the US Field (West) territory.
Nice to have
- Experience with buy-and-bill or infused pharmaceutical therapies.
- Rare disease or orphan drug experience.
- Clinical background in nursing or allied health.
- Knowledge of HIPAA, FDA, OIG, and internal compliance requirements.
- Proficiency with Microsoft Office, CRM, AI, and relevant systems.
Culture & Benefits
- Collaborative, innovative, science-based work environment.
- Health, dental, vision, life, disability, and flexible spending benefits.
- Retirement and savings plan with company contributions.
- Annual bonus or sales-based incentive plan, plus stock-based long-term incentives.
- Paid time off, biannual company-wide shutdowns, and career development opportunities.
- Flexible work models, including remote arrangements where possible.
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