Senior Patient Support Specialist

Job Description

General Summary :

The Senior Patient Support Specialist (SPSS) provides personalized support for cystic fibrosis patients leading engagements with healthcare providers (HCPs) from CF center care teams vendor partners and Specialty Pharmacies. The SPSS applies commercial and government reimbursement expertise to counsel HCPs and patients on coverage requirements and acts as the subject-matter-expert in supporting patients through access and reimbursement challenges

Key Duties and Responsibilities :

Reimbursement & Access : (60%)

• Develops and maintains a strategic business plan for supporting their CF patients; utilizes analytics tools to proactively monitor medication schedules and anticipate patient needs to rapidly respond to trends
• Leverages insurance access and reimbursement expertise to counsel patients and HCPs on coverage and SP requirements
• Manages multiple complex access and reimbursement challenges to completion in a time-sensitive fast-paced environment
• Effectively escalates access vendor and pharmacy challenges keeping appropriate stakeholders informed
• Maintains a comprehensive understanding of commercial and government prescription insurance coverage requirements for access and payer trends
• Assesses patient eligibility for Vertex financial assistance programs including copay and patient assistance programs; advises on complex and sensitive financial circumstances

Adherence & Education : (25%)

Knowledge and Skills :

Education and Experience :

Other Requirements :

Correct Pay Range :

$34 / hour - $43 / hour

Pay Range : $34 - $51

Disclosure Statement :

The range provided is based on what we believe is a reasonable estimate for the base salary pay range for this job at the time of posting. This role is eligible for an annual bonus and annual equity awards. Some roles may also be eligible for overtime pay in accordance with federal and state requirements. Actual base salary pay will be based on a number of factors including skills competencies experience and other job-related factors permitted by law.

At Vertex our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career financial family and wellbeing journey while providing flexibility and resources to support their growth and aspirations. From medical dental and vision benefits to generous paid time off (including a week-long company shutdown in the Summer and the Winter) educational assistance programs including student loan repayment a generous commuting subsidy matching charitable donations 401(k) and so much more.

Flex Designation :

Hybrid-Eligible Or On-Site Eligible

Flex Eligibility Status :

In this Hybrid-Eligible role you can choose to be designated as :

1. Hybrid : work remotely up to two days per week; or select

2. On-Site : work five days per week on-site with ad hoc flexibility.

Note : The Flex status for this position is subject to Vertexs Policy on Flex @ Vertex Program and may be changed at any time.

#LI-Hybrid

Company Information

Vertex is a global biotechnology company that invests in scientific innovation.

Vertex is committed to equal employment opportunity and non-discrimination for all employees and qualified applicants without regard to a persons race color sex gender identity or expression age religion national origin ancestry ethnicity disability veteran status genetic information sexual orientation marital status or any characteristic protected under applicable law. Vertex is an E-Verify Employer in the United States. Vertex will make reasonable accommodations for qualified individuals with known disabilities in accordance with applicable law.

Any applicant requiring an accommodation in connection with the hiring process and / or to perform the essential functions of the position for which the applicant has applied should make a request to the recruiter or hiring manager or contact Talent Acquisition at

Required Experience :

Senior IC

Key Skills

Children Activity,Access Control,Human Resources Administration,Government,Actuary,Hydraulics

Employment Type : Full-Time

Experience : years

Vacancy : 1

Monthly Salary Salary : 34 - 51