Talent.com
Regional Patient Access Manager - Long Term Care - Mid South
Regional Patient Access Manager - Long Term Care - Mid SouthNeurocrine Biosciences • Port Saint Lucie, FL, US
Regional Patient Access Manager - Long Term Care - Mid South

Regional Patient Access Manager - Long Term Care - Mid South

Neurocrine Biosciences • Port Saint Lucie, FL, US
8 days ago
Job type
  • Full-time
Job description

Regional Patient Access Manager

Neurocrine Biosciences is a leading neuroscience-focused biopharmaceutical company with a simple purpose : to relieve suffering for people with great needs. We are dedicated to discovering and developing life-changing treatments for patients with under-addressed neurological, neuroendocrine and neuropsychiatric disorders.

The Regional Patient Access Manager (RPAM) is responsible for three (3) main functions : 1) to provide field access support services and education to Healthcare Professionals (HCPs), helping to maximize patient access to Company products and accelerate time to treatment. 2) communicating with all Specialty Pharmacies (SPs), Closed Door Pharmacies (CDPs) including Genoa, and Patient-Physician Services (HUB partner) in support of Neurocrine Biosciences marketed products in the U.S. 3) building and upholding the integrity of Neurocrine Biosciences pharmacy distribution network by conducting all vetting activities within an assigned geography, including communication of approval, and denial or any subsequent removal from the network. Provide support & education to all HCP entities on coverage issues for on-label prescriptions for Company products already in process; access support services, processes and forms; education on payer specific coverage issues and Company patient financial support programs. Subject matter expert on regional and national payer coverage policies & processes.

Your Contributions (include, but are not limited to) :

  • Builds and sustains relationships with pharmacies, physicians and their office staff and other HCPs to help resolve coverage problems for written prescriptions already in process
  • Works cross-functionally with field sales leadership, specifically Regional Sales Managers (RSM), Account Specialists, national account directors (NAD), network pharmacies, and home office colleagues within market access and other related functional departments, such as commercial analytics and operations, to support patient access with specific payers
  • Provides training and education to HCPs on payor specific coverage policies and documentation requirements, appeals processes for specific payers and patient financial assistance support programs, including Company copay assistance program and patient assistance program for relevant audiences, including internal and external customers
  • Introduces technology options (e.g-CoverMyMeds) for electronic Patient Access (PA) submission, explains payer criteria, forms, processes, PA, Letter of Medical Necessity, appeals, step edits, formulary exception requests and provides support for other related coverage issues and documentation requirements. Problem solves and conducts case resolution
  • Communicates effectively and compliantly with field sales, corporate office employees, HCPs, network pharmacies and HUB employees to help identify and resolve coverage and patient access issues
  • Identifies and communicates payer issues with National Account Directors (NAD) team
  • Interfaces with local closed-door pharmacies and LTC pharmacies providing support services and education
  • Communicates regularly to management the opportunities and challenges related to patient access issues
  • Presents insight into payer coverage policies and processes at internal business reviews and national / regional sales meetings
  • Conducts Patient Access workshops during POA meetings and assists with new hire training, as needed
  • Works to ensure a diverse and inclusive environment free from all forms of discrimination and harassment
  • Builds and upholds the company's pharmacy distribution network through the vetting process, maintaining its integrity and monitoring pharmacies to ensure their effective and efficient operations
  • Other duties as assigned

Requirements :

  • BS / BA degree in related field AND 6+ years of pharma / biotech commercial experience, with 2+ years of experience with specialty pharmacy / market access. Specialty product experience, with CNS preferred. Previous experience in other functions in pharma / biotech desired OR
  • Master's degree or MBA preferred AND 4+ years of related experience OR
  • PharmD or PhD AND 2+ years of related experience
  • Strong understanding of specialty pharmacies, managed care, pharmacy benefit managers and government payers and their impact on product access
  • Excellent working knowledge of patient support programs, including reimbursement support, financial assistance adherence programs, etc.
  • Strong understanding of prescription adjudication process
  • Ability to communicate payer coverage criteria and prior authorization processes
  • Previous experience in other functions in pharma / biotech desired; i.e- sales, management, marketing, managed markets etc.
  • Possesses good understanding of current issues within the marketplace, pharmaceutical industry, and national health care system
  • Ability to travel overnight up to 60% (travel consists of working with field sales, attending business meeting, industry meetings, and working with key customers)
  • These roles will be geographically dispersed across the US
  • Has knowledge of best practices in the functional discipline and familiarity with the broader underlying concepts of related business disciplines
  • Works to improve tools and processes within functional area
  • Developing reputation inside the company as it relates to area of expertise
  • Ability to work as part of and lead multiple teams
  • Exhibits leadership skill and ability, typically leads lower levels and / or indirect teams
  • Excellent computer skills
  • Excellent communications, problem-solving, analytical thinking skills
  • Sees broader picture, impact on multiple departments / divisions
  • Ability to meet multiple deadlines across a variety of projects / programs, with a high degree of accuracy and efficiency
  • Excellent project management skills and ability to work in a cross functional environment and handle multiple tasks
  • Excellent interpersonal skills and cross functional team success
  • Neurocrine Biosciences is an EEO / Disability / Vets employer. We are committed to building a workplace of belonging, respect, and empowerment, and we recognize there are a variety of ways to meet our requirements. We are looking for the best candidate for the job and encourage you to apply even if your experience or qualifications don't line up to exactly what we have outlined in the job description.

    The annual base salary we reasonably expect to pay is $142,600.00-$194,000.00. Individual pay decisions depend on various factors, such as primary work location, complexity and responsibility of role, job duties / requirements, and relevant experience and skills. In addition, this position offers an annual bonus with a target of 30% of the earned base salary and eligibility to participate in our equity based long term incentive program. Benefits offered include a retirement savings plan (with company match), paid vacation, holiday and personal days, paid caregiver / parental and medical leave, and health benefits to include medical, prescription drug, dental and vision coverage in accordance with the terms and conditions of the applicable plans.

    Create a job alert for this search

    Patient Manager Term • Port Saint Lucie, FL, US

    Related jobs
    Travel RN Case Manager (Float)

    Travel RN Case Manager (Float)

    Anders Group • Fort Pierce, FL, US
    Full-time
    Anders Group is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Fort Pierce, Florida.Job Description & Requirements. Pay package is based on 8 hour shifts and 40...Show more
    Last updated: 4 days ago • Promoted
    Travel RN Case Manager (Float)

    Travel RN Case Manager (Float)

    Nightingale Nurses • Fort Pierce, FL, US
    Full-time
    Nightingale Nurses is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Fort Pierce, Florida. Job Description & Requirements.You may not realize it, but as an RN w...Show more
    Last updated: 4 days ago • Promoted
    Travel RN Case Manager (Float)

    Travel RN Case Manager (Float)

    Genie Healthcare • Fort Pierce, FL, US
    Full-time
    Genie Healthcare is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Fort Pierce, Florida. Job Description & Requirements.Genie Healthcare is looking for a RN to ...Show more
    Last updated: 4 days ago • Promoted
    Travel RN Case Manager (Float)

    Travel RN Case Manager (Float)

    Planet Healthcare • Fort Pierce, FL, US
    Full-time
    Planet Healthcare is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Fort Pierce, Florida. Job Description & Requirements.Planet Healthcare Job ID #74254846.Pay ...Show more
    Last updated: 4 days ago • Promoted
    Travel RN Case Manager (Float)

    Travel RN Case Manager (Float)

    PRIDE Health • Fort Pierce, FL, US
    Full-time
    PRIDE Health is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Fort Pierce, Florida.Job Description & Requirements. Pay package is based on 8 hour shifts and 40...Show more
    Last updated: 4 days ago • Promoted
    Travel RN Case Manager (Float) - $1,934 per week

    Travel RN Case Manager (Float) - $1,934 per week

    Nightingale Nurses • Fort Pierce, FL, United States
    Full-time
    Nightingale Nurses is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Fort Pierce, Florida. Job Description & Requirements.You may not realize it, but as an RN with ...Show more
    Last updated: 5 days ago • Promoted
    Travel RN Case Manager (Float)

    Travel RN Case Manager (Float)

    American Medical Staffing • Fort Pierce, FL, US
    Full-time
    American Medical Staffing is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Fort Pierce, Florida. Job Description & Requirements.We’re living in the new n...Show more
    Last updated: 3 days ago • Promoted
    Travel RN Case Manager (Float) - $2,047 per week

    Travel RN Case Manager (Float) - $2,047 per week

    HealthTrust Workforce Solutions HCA • Fort Pierce, FL, United States
    Full-time
    HealthTrust Workforce Solutions HCA is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Fort Pierce, Florida. Job Description & Requirements.Entrust Your Career to He...Show more
    Last updated: 5 days ago • Promoted
    Travel Nurse RN - Case Management

    Travel Nurse RN - Case Management

    Trustaff • Fort Pierce, FL, US
    Full-time
    Trustaff is seeking a travel nurse RN Case Management for a travel nursing job in Fort Pierce, Florida.Job Description & Requirements. As a Case Management RN, you'll develop, implement, and...Show more
    Last updated: 4 days ago • Promoted
    Travel RN Case Manager (Float)

    Travel RN Case Manager (Float)

    Triage Staffing • Fort Pierce, FL, US
    Full-time
    Triage Staffing is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Fort Pierce, Florida. Job Description & Requirements.Travel Nursing : Case Management Fort Pier...Show more
    Last updated: 4 days ago • Promoted
    Travel RN Case Manager (Float) - $1,935 per week

    Travel RN Case Manager (Float) - $1,935 per week

    IDR Healthcare • Fort Pierce, FL, United States
    Full-time
    IDR Healthcare is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Fort Pierce, Florida.Job Description & Requirements. IDR Healthcare is an awarding winning staffing...Show more
    Last updated: 2 days ago • Promoted
    Travel RN Case Manager (Float) - $2,013 per week

    Travel RN Case Manager (Float) - $2,013 per week

    Anders Group • Fort Pierce, FL, United States
    Full-time
    Anders Group is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Fort Pierce, Florida.Job Description & Requirements. Pay package is based on 8 hour shifts and 40 hou...Show more
    Last updated: 2 days ago • Promoted
    Travel RN Case Manager (Float) - $1,980 per week

    Travel RN Case Manager (Float) - $1,980 per week

    Triage Staffing • Fort Pierce, FL, United States
    Full-time
    Triage Staffing is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Fort Pierce, Florida. Job Description & Requirements.Travel Nursing : Case Management Fort Pierce, ...Show more
    Last updated: 2 days ago • Promoted
    Travel RN Case Manager (Float) - $2,106 per week

    Travel RN Case Manager (Float) - $2,106 per week

    Genie Healthcare • Fort Pierce, FL, United States
    Full-time
    Genie Healthcare is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Fort Pierce, Florida. Job Description & Requirements.Genie Healthcare is looking for a RN to work...Show more
    Last updated: 2 days ago • Promoted
    Travel RN Case Manager (Float) - $2,146 per week

    Travel RN Case Manager (Float) - $2,146 per week

    Zack Group • Fort Pierce, FL, United States
    Permanent
    Zack Group is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Fort Pierce, Florida.Job Description & Requirements. Case Manager RN’s for positions in Fort Pierce, Fl...Show more
    Last updated: 2 days ago • Promoted
    Travel RN Case Manager (Float) - $2,212 per week

    Travel RN Case Manager (Float) - $2,212 per week

    Nurse First • Fort Pierce, FL, United States
    Full-time
    Nurse First is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Fort Pierce, Florida.Job Description & Requirements. Pay package is based on 8 hour shifts and 40 hour...Show more
    Last updated: 2 days ago • Promoted
    Travel RN Case Manager (Float)

    Travel RN Case Manager (Float)

    IDR Healthcare • Fort Pierce, FL, US
    Full-time
    IDR Healthcare is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Fort Pierce, Florida.Job Description & Requirements. IDR Healthcare is an awarding winning staf...Show more
    Last updated: 4 days ago • Promoted
    Travel RN Case Manager (Float) - $1,826 per week

    Travel RN Case Manager (Float) - $1,826 per week

    American Medical Staffing • Fort Pierce, FL, United States
    Full-time
    American Medical Staffing is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Fort Pierce, Florida. Job Description & Requirements.We’re living in the new normal.Live...Show more
    Last updated: 4 days ago • Promoted