Regional Patient Access Manager - Long Term Care - Southern California

Regional Patient Access Manager

The Regional Patient Access Manager (RPAM) is responsible for three main functions : 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. 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. 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. Work cross-functionally and collaboratively with field sales, network pharmacies, market access, commercial analytics and operations. Work closely with Payer Marketing, creating material useful in building customers' awareness of critical coverage requirements. In addition, the RPAM will be a key operational professional ensuring the distribution network is operating at the highest levels of effectiveness by utilizing end-user feedback. The RPAM will continuously monitor processes, propose new strategies related to workflow and share best practices with trade leadership on specialty distribution efficiency.

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 :

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.