Patient Access Manager, Rare Disease

Ipsen•Cambridge, MA

About The Position

Ipsen is a mid-sized global biopharmaceutical company focused on transformative medicines in Oncology, Rare Disease, and Neuroscience, with nearly 100 years of development experience. With global hubs in the U.S., France, and the U.K., Ipsen addresses high unmet medical needs through research and innovation, bringing medicines to patients in 88 countries. The company fosters a human-centric, collaborative, and impactful workplace. The Patient Access Manager, Rare Diseases, is part of the Patient Services, Value and Access organization. This role ensures seamless, patient-centric support, helping patients access appropriate education and support to start and continue prescribed therapy with Ipsen products. This involves working directly with patients, HCP offices, Payers, and Specialty Pharmacies to clarify complex reimbursement issues, insurance options, limitations, benefits, and requirements for therapy initiation and maintenance. The role also facilitates prompt product shipment to eligible patients. It is a highly skilled support role, not promotional selling, requiring coordination with various Ipsen teams (Medical, Clinical, Regulatory, Quality, Compliance, Marketing, Market Access and Pricing, Patient Education Liaison Team, Field Access Director, and other field-based colleagues) to support patients ethically and compliantly. Strong customer-service and solution-orientation mindsets are essential, and the manager is accountable for compliance with all relevant laws, regulations, and policies.

Requirements

Exceptional proficiency to overcome access-related issues at the provider and payer level.
Strong understanding of and comfort with a highly regulated life-sciences environment.
Functional competencies include: Market, Disease and Product Knowledge, Customer Understanding - especially Patient, Customer Experience, Operations and Customer Engagement.
Demonstrated ability to listen, solve problems, seek answers and drive to solutions.
Ability to navigate difficult conversations and handle sensitive matters.
Excellent written and verbal communication skills.
Comfort and aptitude for using information technologies.
Proven track record for consistently meeting or exceeding quantitative and qualitative goals.
Minimum 5 years of recent case management experience in the healthcare or Pharma/Biotech industry, reimbursement experience related to specialty products, and/or Experience working with patient access, benefits investigations, billing and coding, and social service support.
Demonstrated passion for patients.
Reimbursement experience and strong understanding of health insurance and benefits, co-pay assistance programs, Medicare, Medicaid, and private-payer policies.
Bachelor’s degree in health care, social work, nursing or equivalent degree.
English language proficiency.

Nice To Haves

Rare-disease experience

Responsibilities

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.
Work directly with Field Access Director to resolve complex access questions in a timely manner.
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 customer 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.