Neuropsychiatry Access Navigator – Central

Biogen•Dallas, TX

1d•$170,000 - $234,000•Remote

About The Position

Biogen is searching for a dynamic and seasoned Access Navigator to join our US Neuropsychiatry Franchise. This role is pivotal for ensuring patient access to our products and a positive customer experience through education on effective script fulfillment processes. In this remote-based, regional scope position, the NAN is the subject matter expert for reimbursement, prior authorizations, coding, pharmacy distribution models, and patient access issues related to administration of therapy by practices treating postpartum depression (i.e., women’s health, perinatal-focused psychiatrists, and PCP offices). Collaborating closely with the Neuropsych Account Managers (NAMs) and other customer-facing teams as necessary and appropriate, the NAN will strategically educate and support appropriate account stakeholders – i.e., healthcare providers and office staff involved in fulfillment processes – on access and reimbursement and script pull through processes, distribution pathways, specific payer policy requirements, and clinical information when appropriate.

Requirements

BA/BS required, preferably in one of the following areas: Business Administration, Communications, Healthcare Management, and Marketing.
The ideal candidate will have 7+ years of access and reimbursement experience, with a successful track record across field reimbursement, clinical education or pharmaceutical account management of products that required significant payer and reimbursement support; specific emphasis on limited distribution network and controlled substances.
Comprehensive understanding of all aspects of reimbursement models (coding, coverage, and payment), including complete understanding of Commercial and Medicaid benefit designs and ability to locate applicable coverage policies.
Demonstrated advanced level of expertise with e-Prescribing and Prior Authorization processes.
Specialty Pharmacy, HUB and/or Patient service model experience, including experience with financial assistance programs.
Proactive and resourceful problem-solver with excellent interpersonal skills, exemplary and collaborative work ethic, and an ability to manage multiple and often-evolving strategic priorities.
Excellent written and verbal communication and presentation skills, tailored to various levels of internal and external audiences up to and including executive audiences.
Remote role with travel required – customer engagement will be virtual as well as in-person (~80% virtual and ~20% in-person)

Responsibilities

Engage and work strategically with account decision-makers, relevant HCPs, and support personnel to deliver educational information that facilitates patient access and reimbursement for PPD therapy.
Educate stakeholders in key accounts who are involved in the script fulfillment process, with a focus on successful script submission, getting the script to the proper pharmacy, navigating the prior authorization process, and setting fulfillment process expectations with PPD patients.
Work closely with the account stakeholders to identify potential opportunities to improve fulfillment processes.
Act as the subject matter expert on all aspects of reimbursement, distribution options, and public and private payer policy coverage determination criteria relevant to specific customer’s practices.
Collaborate closely with Neuropsych Account Managers (NAMs), Trade, Payer, and Patient Services teams on script fulfillment issues (e.g., Specialty Pharmacy, account access and reimbursement management, etc.) to support pull-through and ensure that issues are resolved in a timely manner.
Organize and lead virtual as well as in-person access and reimbursement presentations to key account stakeholders, leveraging expert-level acumen on national and local payer payment trends, public and private payer dynamics, and pharmacy benefit reimbursement practices.
Serve as the regional reimbursement resource for key customer accounts providing both technical and practical advice to avert or resolve reimbursement issues and support patient access across the journey.
Promote a culture of compliance to ensure that all activities are fully compliant with Company policies and procedures, applicable laws, regulations, and industry standards.

Benefits

Medical, Dental, Vision, & Life insurances
Fitness & Wellness programs including a fitness reimbursement
Short- and Long-Term Disability insurance
A minimum of 15 days of paid vacation and an additional end-of-year shutdown time off (Dec 26-Dec 31)
Up to 12 company paid holidays + 3 paid days off for Personal Significance
80 hours of sick time per calendar year
Paid Maternity and Parental Leave benefit
401(k) program participation with company matched contributions
Employee stock purchase plan
Tuition reimbursement of up to $10,000 per calendar year
Employee Resource Groups participation