Role Description
The Director, Patient Access Liaison Team Lead is responsible for overseeing and leading a team of Patient Access Liaisons, ensuring seamless patient support, access to treatment, and adherence to prescribed therapy. This role requires strategic leadership in navigating payer processes, optimizing site-of-care selection, and enhancing patient engagement. The Director will drive best practices, maintain compliance, and foster collaboration with cross-functional teams to improve the overall patient experience. The Director will report to the Head of US Patient Services, Specialty Pharmacy and Advocacy.
-
Partner with the senior leadership team to identify strategic initiatives and best practices to continuously improve patient experience.
-
Lead and mentor a team of Patient Access Liaisons, providing oversight, training, and development to enhance patient support services.
-
Develop and implement strategic initiatives to improve patient access, including optimizing processes for payer authorization, reimbursement, and affordability assistance programs.
-
Ensure high-touch patient support by guiding the team in educating patients and office staff on payer access, insurance processes, and specific payer requirements.
-
Oversee the coordination of treatment access solutions, including site-of-care options closer to home and home dosing alternatives.
-
Serve as a senior resource and escalation point for complex patient access challenges, providing expertise in reimbursement, insurance navigation, and coverage issues.
-
Build and maintain strong relationships with patients, caregivers, and healthcare providers, ensuring consistent and personalized support via multiple communication channels (phone, text, email, virtual, in-person).
-
Monitor and track adherence to prescribed therapy, implementing data-driven strategies to improve patient retention and optimize treatment success.
-
Provide advanced educational support to healthcare providers, large treatment centers, and sites of care on product procurement, billing, coding, and payer reimbursement requirements.
-
Ensure compliance with all applicable laws and company policies related to patient support and access services.
-
Manage patient cases and implement standardized processes across the Patient Access Liaison Team within the CRM/workflow system, ensuring accurate documentation, timely follow-ups, and seamless case resolution.
-
Analyze program performance metrics and generate reports to assess patient support effectiveness, identify trends, and drive continuous improvement.
-
Collaborate with cross-functional teams, including Market Access, Reimbursement, and Clinical Operations & Medical Affairs, to align patient support initiatives with broader organizational goals.
-
Collaborate where appropriate with the Commercial team to align with healthcare professionals to support initiatives with broader organizational goals.
-
Lead special projects and process improvements to enhance patient access, adherence programs, and overall patient experience.
Qualifications
-
Bachelorβs degree in healthcare, life sciences, business, or a related field.
-
7+ years of experience in patient access, reimbursement, or specialty pharmacy services.
-
2+ years of first line leadership experience.
-
Scientific background and ability to learn product and disease information.
-
Orphan or Rare disease experience working directly with patients/caregivers.
-
Familiarity with HIPAA guidelines and FDA regulations.
-
Ability to travel between 40%-60%.
-
Ability to handle difficult patient cases and resolve hurdles.
-
Ability to work in a team environment and manage communication and provide appropriate leadership with internal team members, specialty pharmacy partners, and field sales.
-
Ability to respond immediately, when necessary (within 24 hours), to prevent lapses in treatment.
-
Previous experience with Patient Journey Navigator (PJN) preferred for patient services and case management workflow preferred.
-
Strong knowledge of site-of-care coordination, billing and coding requirements, and regulatory compliance in biotech/pharmaceutical patient support.