[Hiring] Regional Patient Access Manager @Neurocrine Biosciences

Role Description

The Regional Patient Access Manager (RPAM) is responsible for three (3) main functions:

• Provide field access support services and education to Healthcare Professionals (HCPs), maximizing patient access to Company products and accelerating time to treatment.
• Communicate 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.
• Build and uphold the integrity of Neurocrine Biosciences pharmacy distribution network by conducting all vetting activities within an assigned geography.

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.

The RPAM will ensure the distribution network operates at the highest levels of effectiveness by:

• Utilizing end-user feedback.
• Continuously monitoring processes and proposing new strategies related to workflow.
• Sharing best practices with trade leadership on specialty distribution efficiency.

Qualifications

• 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.
• Master’s degree or MBA preferred AND 4+ years of related experience.
• 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.
• 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 meetings, industry meetings, and working with key customers).
• 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.

Requirements

• 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 payer specific coverage policies and documentation requirements, appeals processes for specific payers, and patient financial assistance support programs.
• 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.
• 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.

Benefits

• Annual base salary: $151,000.00 - $206,000.00.
• Annual bonus with a target of 30% of the earned base salary.
• Eligibility to participate in equity-based long-term incentive program.
• Retirement savings plan (with company match).
• Paid vacation, holiday, and personal days.
• Paid caregiver/parental and medical leave.
• Health benefits including medical, prescription drug, dental, and vision coverage.