Patient Access Manager

Mallinckrodt Pharmaceuticals • Malvern, PA

1d • $111,000 - $178,000

About The Position

The Patient Access Manager (PAM) is a front-line member of Keenova Patient Support Services who supports patients, caregivers, healthcare providers, and internal stakeholders throughout the treatment journey. The PAM is a trusted resource and subject matter expert in treatment access, reimbursement, affordability, and patient support services. The role applies significant patient access, reimbursement, patient support, and healthcare navigation experience to reduce access barriers, improve patient outcomes, and enhance the patient experience.

The PAM identifies individual and systemic obstacles to treatment initiation and continuity of care, collaborates with internal and external stakeholders to address them, and uses patient access, reimbursement, affordability, and treatment journey insights to recommend process improvements and program enhancements. With minimal guidance, the PAM serves as a strategic voice of the patient, translating emerging trends, unmet needs, healthcare literacy challenges, affordability barriers, and access obstacles into recommendations for patient support strategy, operational improvements, resource allocation, and future program design.

The position provides hands-on reimbursement and acquisition support for biologic and testosterone products across Buy/Bill and specialty pharmacy channels. It involves educating patients about reimbursement processes and approved resources, resolving specialty pharmacy and logistical issues, coordinating with field reimbursement managers (FRMs), case managers, providers, and other stakeholders, and supporting patient access in a changing payer landscape. The PAM also gathers and presents actionable field intelligence to influence patient support programs, operational priorities, and business decisions. Up to 30% travel may be required.

Requirements

• Bachelor of Science degree or equivalent.
• 8–10 years of relevant experience in the biopharmaceutical industry.
• At least 5 years of reimbursement experience.
• Demonstrated expertise resolving highly complex reimbursement, affordability, and access challenges across multiple payer channels.
• Proven ability to influence outcomes across cross-functional stakeholders without direct authority.
• Experience identifying systemic access trends and translating observations into actionable business recommendations.
• Systemic understanding of the global payer and distribution environment, particularly U.S. biologic in-office injectables.
• Understanding of coverage, diagnostic, procedural, and product coding, payment, and reimbursement requirements and policies.
• Knowledge of Local Coverage Determinations (LCDs) for Keenova products across regional Medicare Administrative Contractors (MACs).
• Knowledge of Medicare billing, coding, and appeals; ASP, WAC, sequestration; and the ability to interpret Medicare EOBs.
• Understanding of legislative, legal, and regulatory environments and their potential impact on Keenova.
• Understanding of Buy/Bill and specialty pharmacy channels.
• Knowledge of HIPAA requirements and FDA regulations.
• Ability to communicate effectively, guide conversations when appropriate, and listen actively to encourage patient engagement and understanding.
• Ability to translate complex clinical, reimbursement, or program information into clear, simple, actionable language and adapt the level of detail to the audience.
• Ability to synthesize broad information and use it to create positive change for patients and Keenova.
• Proficiency in business analytics and ability to use data to identify patient issues and collaborate with FRMs when office intervention is appropriate.
• Strong written and verbal communication skills, self-awareness, and self-control.
• Ability to work with patients, FRMs, case managers, and others to develop strategic plans for product access issues.
• Ability to collaborate as part of a cross-functional team to address obstacles.
• Initiative and ability to collaborate with field-based and home-office personnel to meet patient needs.
• Ability to exercise sound judgment and operate within compliance, ethical, and regulatory boundaries.

Nice To Haves

• MBA or other advanced degree.
• Previous experience working with Keenova relationships.
• Hands-on operational reimbursement experience, including in-house and outsourced experience.

Responsibilities

• Manage patient assistance and reimbursement support services for patients, including access to Buy/Bill products.
• Serve as a key contact for reimbursement and acquisition logistics for biologic and testosterone products with multiple acquisition options.
• Educate patients about the Buy/Bill process, patient assistance, reimbursement support services, specialty pharmacy expectations and logistics, and appropriate steps in the treatment journey.
• Coordinate with Keenova patient support services program representatives as needed.
• Use data and business analytics to understand acquisition challenges and recurring logistical issues, including those involving specialty pharmacies and specialty distributors.
• Escalate cases appropriately and partner with FRMs on remediation plans and account-level issues.
• Explain reimbursement processes and MARC-approved resources related to reimbursement, acquisition, and financial assistance to new patients.
• Work with internal and external customers and specialty pharmacies to troubleshoot issues, identify knowledge gaps, and find resolutions that facilitate patient access.
• Collect, analyze, and synthesize field intelligence about patient access, reimbursement, affordability, healthcare system dynamics, and patient experience.
• Identify access trends, root causes, payer dynamics, systemic barriers, and unmet needs, and make actionable recommendations to appropriate stakeholders and leadership.
• Present access trends, reimbursement challenges, and patient experience findings to internal stakeholders to support data-driven decisions.
• Serve as a patient access and reimbursement subject matter expert and strategic advisor to Patient Access leadership.
• Act as a liaison among patients, caregivers, providers, specialty pharmacies, case managers, FRMs, and internal stakeholders.
• Identify patients with complex access, reimbursement, affordability, healthcare literacy, or logistical challenges and develop individualized support strategies.
• Advocate for patients by proactively identifying concerns and unmet needs, escalating issues, and helping coordinate resources to support treatment initiation and continuity of care.
• Empower patients and caregivers through education, resource awareness, and guidance that supports self-advocacy and informed decision-making.
• Contribute to the development, refinement, and optimization of patient support programs, educational resources, and access initiatives.
• Evaluate patient journey challenges, program effectiveness, market access changes, and emerging healthcare needs; recommend solutions and mitigation strategies.
• Support continuous improvement, pilot programs, launch readiness activities, and strategic initiatives to reduce access barriers, treatment delays, and operational inefficiencies.
• Collaborate with leadership to assess emerging technologies, digital engagement tools, and service models that could improve access and patient experience.
• Provide guidance to internal stakeholders on patient support offerings and patient engagement practices consistent with company policies and compliance requirements.
• Model Keenova’s vision and core values and educate external partners about compliance with Keenova policies.

Benefits

• Competitive pay and benefits as part of a Total Rewards package.
• Eligibility 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