[Hiring] Manager, Executive Patient Access @Mallinckrodt Pharmaceuticals

Role Description

The Patient Access Manager Executive (Executive PAM) is a highly strategic leader within Keenova’s Patient Access organization who serves as a trusted partner to patients, caregivers, and internal stakeholders to optimize the patient access experience across the treatment journey. The Executive PAM represents Keenova’s commitment to patient access and engagement by identifying barriers to therapy, driving innovative solutions, and facilitating successful patient outcomes through education, advocacy, and cross-functional collaboration.

Key Responsibilities:

• Critical point person for all reimbursement and acquisition logistical aspects of a high touch biologic medication for an orphan disease, and testosterone products with multiple acquisition options within a changing payer landscape.
• Personally manages only the most complex, high-impact patient access situations and organizational escalations.
• Assists patients with questions related to Buy/Bill BI management.
• Educate/Assist with Specialty Pharmacy (SP) understanding, expectations and logistics.
• Continually educate patients on appropriate steps, educate on the importance of answering the phone throughout the journey to ensure there are no delays.
• Managing patient assistance and reimbursement support services offered to patients and related to patient access to buy/bill products.
• Coordinating with Keenova’s patient support services program representatives (as necessary).
• Educating office staff on the use of Buy/Bill products patient assistance and reimbursement support services.
• Utilizing data to critically think through acquisition challenges from a variety of outlets including SP and Specialty Distributors.
• Proficient in business analytics to understand common logistical issues in accounts and escalate cases appropriately.
• Assist new patients from a reimbursement perspective to inform them about the reimbursement process as well as education on various MARC approved resources.

Qualifications

• BS or equivalent is required; MBA or advanced degree ideal.
• Physician Administered Product Experience required.
• 10-15 years of relevant experience in the Biopharma industry required.
• 8-10 years of reimbursement experience required.
• Previous experience working with vendor relationships desirable.
• Previous experience managing customer interactions.
• Experience onboarding team members.
• Proven ability to identify systemic business issues and drive solutions that improve patient and organizational outcomes.
• Demonstrated history of translating field insights into strategic recommendations that influence business decisions.
• Recognized subject matter expert with demonstrated ability to influence organizational strategy through access, reimbursement, and patient experience insights.
• Demonstrated experience leading enterprise-wide initiatives, establishing best practices, and driving organizational change through influence rather than direct authority.
• Experience leading others without direct authority.

Requirements

• Systemic understanding of the global payer and distribution environment, particularly biologic In-Office Injectables (IOI) in the U.S.
• Understanding of coverage, coding (diagnostic, procedural and product), payment and reimbursement requirements and policies.
• Knowledge / expertise in Local Coverage Determinations (LCDs) per each regional MAC for all Keenova products.
• Knowledgeable on Medicare billing/coding and appeal process; interpret and understand Medicare EOBs.
• Understands the legislative, legal and regulatory environments and anticipates potential impact to Keenova.
• Solid understanding of coverage policy creation, interpretation and management.
• Understanding of buy-and-bill channel.
• Understanding of Specialty Pharmacy channel.
• Knowledge of HIPAA requirements & FDA regulations.
• Ability to translate complex clinical, reimbursement, or program-related information into clear, simple, and actionable language.

Benefits

• Competitive pay and benefits.
• Bonus eligibility in accordance with the terms of the applicable program.

Company Description

At Keenova, we believe that no one should be alone in their pursuit of better health. This purpose drives us as we pair quality therapeutics with human support—showing up in big moments and small to help patients find comfort and confidence.

We bring deep expertise and resolve to every therapeutic area we serve, including immunology, urology, men’s health, orthopedics, critical care, and pediatric endocrinology. We work with patients, care partners, and physicians to help them navigate healthcare system complexity and access therapies that make a meaningful difference.

We are Keenova—keen to solve, keen to serve. Learn more at www.keenova.com .