Manager, Executive Patient Access

Mallinckrodt Pharmaceuticals • Bridgewater, NJ

11d

About The Position

The Manager, Executive Patient Access (Executive PAM) is the most senior individual contributor within Keenova’s Patient Access organization. This strategic role serves as a trusted partner and subject matter expert for patients, caregivers, field reimbursement managers (FRMs), and internal stakeholders, helping address complex access, reimbursement, affordability, and patient-engagement challenges across the treatment journey. The Executive PAM identifies barriers to therapy, provides education and advocacy, develops tailored solutions, and uses operational and market insights to improve patient outcomes and the patient and customer experience.

The role provides advanced expertise in patient support programs, payer processes, reimbursement pathways, buy-and-bill products, specialty pharmacy logistics, and patient engagement. The Executive PAM personally manages only the most complex, high-impact patient access situations and organizational escalations; supports patients and office staff with reimbursement and acquisition processes; and works with specialty pharmacies, FRMs, case managers, provider offices, and other partners to resolve barriers and support timely therapy initiation and continuity of care.

As a strategic leader, the Executive PAM shapes patient engagement strategy, establishes and advances organizational best practices, advises leadership on emerging access challenges, and influences enterprise decision-making. Responsibilities include onboarding and mentoring team members, developing and maintaining training and workflow resources, contributing to launch readiness, establishing performance and patient-experience frameworks, translating field observations into strategic recommendations, and representing Patient Support Services in cross-functional workstreams. The position may require up to 50% travel.

Requirements

• Bachelor of Science degree or equivalent.
• 10–15 years of relevant experience in the biopharmaceutical industry.
• 8–10 years of reimbursement experience.
• Experience with physician-administered products.
• Experience managing customer interactions.
• Experience onboarding team members.
• Demonstrated ability to identify systemic business issues and drive solutions that improve patient and organizational outcomes.
• Demonstrated ability to translate field insights into strategic recommendations that influence business decisions.
• Recognized subject matter expertise and ability to influence organizational strategy through access, reimbursement, and patient-experience insights.
• Experience leading enterprise-wide initiatives, establishing best practices, and driving organizational change through influence rather than direct authority.
• Experience leading others without direct authority.
• Systemic understanding of the global payer and distribution environment, particularly U.S. biologic in-office injectables.
• Understanding of coverage, diagnostic and procedural coding, product coding, payment, and reimbursement requirements and policies.
• Knowledge of Local Coverage Determinations for each regional MAC and Keenova products.
• Knowledge of Medicare billing, coding, appeals, and interpretation of Medicare EOBs.
• Understanding of legislative, legal, and regulatory environments and their potential impact on Keenova.
• Understanding of coverage policy creation, interpretation, and management; buy-and-bill and specialty pharmacy channels; HIPAA requirements; and FDA regulations.
• Ability to communicate effectively, guide conversations, listen actively, and translate complex clinical, reimbursement, or program information into clear, actionable language appropriate to the audience.
• Awareness of emerging healthcare trends and policy, with the ability to synthesize clinical literature and reimbursement information to anticipate needs and advocate for positive change.
• Strong written and verbal communication skills, emotional intelligence, and executive presence, including in crisis situations.
• Ability to partner with FRMs and work with healthcare providers and insurers to develop long-term solutions to product-access barriers.
• Ability to balance external stakeholders’ needs with Keenova’s needs and provide operational and systemic solutions.
• Hands-on operational reimbursement experience.
• Ability to uphold high personal standards, follow through on commitments, and handle difficult conversations with courage.
• Up to 50% travel may be required.

Nice To Haves

• MBA or advanced degree.
• Previous experience working with vendor relationships.
• Hands-on reimbursement experience in both in-house and outsourced settings.

Responsibilities

• Manage patient assistance and reimbursement support services related to patient access to buy-and-bill products.
• Personally manage the most complex, high-impact patient access situations and organizational escalations.
• Assist patients with questions related to buy-and-bill benefit investigation and educate patients about specialty pharmacy expectations, logistics, and steps in the treatment journey.
• Coordinate with patient support services program representatives as needed.
• Educate office staff and patients on buy-and-bill products, patient assistance, reimbursement support services, and reimbursement processes.
• Use data and business analytics to investigate acquisition and logistical challenges, identify account issues, and escalate cases appropriately so FRMs can develop proactive remediation plans.
• Work with internal and external customers, FRM partners, and specialty pharmacies to troubleshoot specialty pharmacy issues and develop resolutions.
• Analyze specialty pharmacy and other acquisition data and turn findings into actionable steps that facilitate patient access.
• Provide patients with MARC-approved reimbursement, acquisition, and financial-assistance resources and education.
• Serve as the organizational authority on Patient Access Liaison best practices and consult on complex access, reimbursement, and patient-experience matters.
• Lead onboarding and training for new team members; create and maintain PAM onboarding resources, workflow guidance, knowledge repositories, and best-practice materials.
• Represent PAM in launch readiness by developing SOPs, participating in launch task force meetings, assessing launch risks, and identifying strategies affecting patient access and program performance.
• Design and evolve patient access performance frameworks, launch-readiness metrics, escalation governance structures, and patient-experience measurement strategies.
• Influence patient access performance, program effectiveness, operational efficiency, and patient-support KPIs across the enterprise.
• Represent Patient Support Services in cross-functional workstreams involving Customer Experience, compliance, marketing, and other teams.
• Identify emerging reimbursement, payer, and access trends; communicate risks and opportunities to leadership; and translate field observations into strategic recommendations.
• Govern the development of patient access resources, tools, educational materials, and process enhancements; facilitate knowledge-sharing sessions and case reviews.
• Assess the patient journey, identify barriers to therapy initiation and continuity, and serve as an escalation resource for complex access or reimbursement situations.
• Establish strategic priorities for patient support programs based on reimbursement trends, patient needs, and market dynamics.
• Advise Customer Experience, Market Access, Commercial Operations, and Brand Leadership on patient access trends, reimbursement risks, patient engagement strategies, and market dynamics.
• Partner with case managers, specialty pharmacies, provider offices, and FRMs to coordinate resources, remove barriers, and support patient outcomes.
• Identify patients facing complex access, reimbursement, affordability, healthcare-literacy, or logistical challenges and develop individualized support strategies.
• Proactively identify patient concerns and unmet needs, advocate for patients, and escalate issues for timely resolution while maintaining compliance and regulatory boundaries.
• Gather and communicate actionable patient insights on access barriers, affordability, treatment-journey obstacles, and healthcare-literacy concerns to inform program enhancements and organizational decisions.
• Educate and empower patients and caregivers to navigate the healthcare system, understand available resources, and make informed decisions.
• Act as the Voice of the Patient by translating patient experiences and systemic barriers into recommendations for leadership, operations, training, resource allocation, and program design.
• Evaluate patient support services with internal stakeholders and recommend process improvements to reduce delays, improve adherence, and enhance patient experience and access effectiveness.
• Provide internal stakeholders with guidance on patient support offerings, engagement best practices, and appropriate patient interactions consistent with company policies and compliance requirements.

Benefits

• Competitive pay and benefits as part of a Total Rewards package.
• Eligible for a bonus in accordance with the applicable program; bonuses are awarded at the Company’s discretion.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior