[Hiring] Patient Access Manager @Mallinckrodt Pharmaceuticals

Role Description

The Patient Access Manager (PAM) is a critical front-line member of the Keenova Patient Support Services team who represents Keenova's commitment to improving the patient experience by supporting patients, caregivers, healthcare providers, and internal stakeholders throughout the treatment journey. The PAM serves as a trusted resource and subject matter expert, providing education, support, navigation assistance, and hands-on guidance related to treatment access, reimbursement, affordability, and patient support services.

The PAM effectively identifies patient-specific and systemic obstacles impacting treatment initiation and continuity of care and proactively collaborates with internal and external stakeholders to develop solutions that support timely patient access.

Key Responsibilities:

• Patient Support
• 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.
• 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 buy/bill products.
• Coordinating with Keenova’s patient support services program representatives, as needed.
• Educating patients on the Buy/Bill process, 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 and education on various MARC approved resources.
• Specialty Pharmacy (SP) Support
• Work closely with external and internal customers to troubleshoot any SP related issues.
• Must be able to analyze data and know how to make that data into actionable steps to facilitate patient access to Keenova products.
• Identify gaps in knowledge of patients from a SP process and help provide education for the patient to better understand their role.
• Patient Experience, Insights & Strategic Impact
• Collect, analyze, and synthesize field intelligence related to patient access, reimbursement, affordability, healthcare system dynamics, and patient experience.
• Serve as the voice of the patient and field-based access expert by translating patient journey insights into strategic recommendations.
• Identify trends and root causes impacting access and make recommendations to appropriate stakeholders.
• Acts as a liaison between patients, providers, specialty pharmacies, and internal stakeholders to improve access effectiveness.
• Support continuous improvement initiatives designed to reduce access barriers and enhance patient experience.
• Evaluate patient journey challenges and recommend innovative solutions to improve patient engagement.
• Participate in pilot programs, launch readiness activities, and strategic initiatives designed to enhance patient support effectiveness.
• Internal Partnerships
• Consistent, reliable, timely, and high-quality support for patients, caregivers, and internal stakeholders.
• Identify patients experiencing complex access, reimbursement, affordability, healthcare literacy, or logistical challenges.
• Partner with Case Managers, specialty pharmacies, provider offices, and FRMs to coordinate resources.
• Gather and communicate actionable patient insights related to access barriers.
• Empower patients and caregivers to navigate complex healthcare systems through education and support.
• Advocacy
• Serve as the "Voice of the Patient" by identifying recurring challenges and unmet needs.
• Translate patient experiences into actionable recommendations for leadership and patient support programs.
• Identify systemic barriers affecting multiple patients and advocate for organizational changes.

Qualifications

• BS or equivalent is required; MBA or advanced degree ideal.
• 8-10 years of relevant experience in the Biopharma industry required.
• 5 years of reimbursement experience required.
• Previous experience working with Keenova relationships desirable.
• Demonstrated expertise resolving highly complex reimbursement, affordability, and access challenges.
• Proven ability to influence outcomes across cross-functional stakeholders 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, payment and reimbursement requirements and policies.
• Knowledge of Local Coverage Determinations (LCDs) for all Keenova products.
• Knowledgeable on Medicare billing/coding and appeal process.
• Understanding of buy-and-bill and Specialty Pharmacy channels.
• Knowledge of HIPAA requirements & FDA regulations.

Benefits

• Competitive pay and benefits.
• Eligible for a bonus in accordance with the terms of the applicable program.