As the Patient Access Manager, you will be part of the Patient Access Team, within the Patient Services organization. The purpose of this team is to ensure seamless, patient-centric support to help patients have access to appropriate education and support to start and continue prescribed therapy with Ipsen products where appropriate.
In this role include working directly with patients, HCP offices, Payers, and Specialty Pharmacies on a one-on-one basis to ensure that patients have an appropriate understanding of complex reimbursement issues, their insurance options and limitations, benefits, and requirements necessary to initiate and maintain prescribed therapy. This function also helps ensure the prompt shipment of products to eligible patients. This is not a promotional selling role.
The Patient Access Manager, as all other employees, is fully accountable for compliance with all laws, regulations and policies that govern the conduct of Ipsen activities.
Responsibilities
Responsibilities include, but are not limited to the following:
Support appropriate Patient Access for Ipsen products by providing timely and appropriate reimbursement information related to coverage across all payers.
Help providers, patients, and caregivers understand complex reimbursement issues, insurance options and limitations, benefits, and requirements necessary to initiate and maintain therapy as prescribed.
Collaborate with the Ipsen Value & Access home office, sales teams, brand teams, and to expand access and/or reduce barriers to access for Ipsen products.
Coordinate with others to ensure appropriate product supply/delivery.
Support strategic analysis and planning related to changes in local payer coverage policies.
Ability to understand local/regional payer trends and policies.
Help troubleshoot and support resolution of reimbursement issues (insurance changes, prior authorizations, appeals, other) according to established SOPs.
Strive to deliver an exceptional customer1 experience.
Maintain complete, timely and compliant case records for all interactions and case records in the CRM system and other systems as required
Strictly follow all relevant Ipsen Policies and SOPs
Utilize only approved resources and messages to perform function responsibilities
Please take note that “Customer” in the context of this job description represents the broad and general discipline related to “customer focus and service” and not a specific transactional relationship.
Knowledge, abilities & experience
Bachelor’s degree in health care, social work, nursing or equivalent and/or; 5+ years of recent case management experience in the healthcare or Pharma/Biotech industry, 5 years of reimbursement experience related to specialty products, 5+ Experience working with Patient Access, benefits investigations, billing and coding, and social service support
Exceptional proficiency to overcome access related issues at the provider and payer level.
Rare-disease experience a plus
Demonstrated passion for patients
Reimbursement experience and strong understanding of health insurance and benefits, co-pay assistance programs, Medicare, Medicaid, and private payer policies
Strong understanding of and comfort with a highly regulated life-sciences environment