Field Access Manager, Rare Disease

Apellis Pharmaceuticals•Minneapolis, MN

22h•Remote

About The Position

US Patient Services is focused on maintaining excellence in patient services and delivering an exquisite patient and healthcare professional (HCP) experience. The Field Access Manager, Systemic is an integral part of the team responsible for supporting patient access to prescribed treatment for patients battling serious and rare diseases. The Field Access Manager will use their reimbursement and access expertise to compliantly address challenges impacting patients’ access to Apellis products prescribed by their HCP.

Requirements

BA/BS required
5+ years of commercial experience in the pharmaceutical or biotech industry
5+ years of experience in healthcare coverage, coding and/or reimbursement experience
Experience with specialty pharmacy products
Knowledge of pharmacy data and patient support case management processes
Has a results orientation with attention to detail and ability to meet deadlines
Strong operational competencies
Excellent written and verbal communication skills, able to communicate effectively with different levels of management as well as with peers
Demonstrate initiative and proactivity with ambiguity
Highly motivated with the ability to be flexible, creative and learn quickly in a fast-paced environment
Excellent attention to detail

Nice To Haves

Hematology/Oncology and/or Nephrology experience preferred
Rare disease experience preferred

Responsibilities

Establish collaborative relationships within Patient Services, Field Sales, Value Access and Policy (VAP) and other relevant teams to support patient access.
Provide proactive education to key facility/practice staff regarding Apellis Patient Services Programming and reimbursement specific to Apellis products.
Provide coverage and reimbursement information, including payer-specific prior authorization requirements, to key staff members to support patient access to Apellis products.
Ensure compliant use of Personal Health Information (PHI) with appropriate patient consent.
Track reimbursement journey, focusing on aging patient cases, to ensure thoughtful support and effective intervention when appropriate.
Maintain a current repository of plan-specific reimbursement criteria, forms, and submission procedures.
Identify coverage issue patterns to resolve payer issues quickly.
Review patient status trackers daily to ensure quality service by network pharmacy(ies).
Communicate cross-functionally to ensure current and accurate communication on the status of Start Forms.
Proactively prioritize and address patient access bottlenecks.
Trends identified should be internally escalated, as appropriate.
Works as an integral part of the Patient Services team – functioning as the key point person for field escalations to ensure quick resolution of stakeholder challenges.
Gains and maintains Apellis Patient Services operations expertise and is a trusted resource cross-functionally.