Patient Access Manager

Mallinckrodt Pharmaceuticals • Malvern, PA

10d • $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 provides education, navigation, reimbursement and affordability support, and practical guidance on treatment access and patient support services. The role serves as a subject matter expert in patient access, reimbursement, patient support services, and healthcare navigation, helping identify and resolve patient-specific and systemic barriers to treatment initiation and continuity of care.

The PAM manages reimbursement and acquisition logistics for biologic and testosterone products across changing payer environments and multiple acquisition channels, including buy-and-bill and specialty pharmacy. The role partners with patients, caregivers, provider offices, specialty pharmacies, case managers, Field Reimbursement Managers (FRMs), program representatives, and other stakeholders to troubleshoot access challenges, explain processes and resources, and coordinate appropriate support while maintaining compliance and regulatory boundaries.

The PAM also analyzes access, reimbursement, affordability, and patient-experience information to identify trends, root causes, and opportunities for improvement. As a voice of the patient and strategic access expert, the PAM translates field observations into recommendations for leadership and cross-functional stakeholders, contributing to program design, operational improvements, resource allocation, patient engagement, and strategies that improve access and patient outcomes. Up to 30% travel may be required.

Requirements

• Bachelor of Science degree or equivalent required.
• 8–10 years of relevant experience in the biopharmaceutical industry required.
• Five years of reimbursement experience required.
• 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 injectable products.
• Understanding of coverage, coding (diagnostic, procedural, and product), payment, and reimbursement requirements and policies.
• Knowledge of Local Coverage Determinations (LCDs) for each regional Medicare Administrative Contractor (MAC) for Keenova products.
• Knowledge of Medicare billing, coding, and appeals; ASP, WAC, sequestration; and the ability to interpret Medicare Explanation of Benefits (EOBs).
• Understanding of legislative, legal, and regulatory environments and their potential impact on Keenova.
• Understanding of buy-and-bill and specialty pharmacy channels.
• Knowledge of HIPAA requirements and FDA regulations.
• Effective communication skills, including the ability to guide conversations, listen actively, and explain complex clinical, reimbursement, or program information in clear, actionable language suited to different audiences.
• Business analytics proficiency and ability to use data to understand common patient and account issues and partner with FRMs when office intervention is appropriate.
• Strong written and verbal communication, self-awareness, and self-control.
• Ability to work with patients, FRMs, case managers, and others to develop strategic plans for product-access issues and to collaborate cross-functionally when obstacles arise.
• Ability to synthesize broad information and use it to create positive change for patients and Keenova.
• Initiative and ability to collaborate with field-based and home-office personnel to meet patient needs.
• Up to 30% travel may be required.

Nice To Haves

• MBA or 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 related to patient access and buy-and-bill products.
• Educate patients about buy-and-bill processes, patient assistance, reimbursement support, specialty pharmacy logistics, and relevant approved resources.
• Support patients through acquisition and reimbursement challenges, including helping them understand the importance of responding to calls to avoid treatment delays.
• Coordinate with Keenova patient support services program representatives as needed.
• Use data and business analytics to understand acquisition and logistical challenges across specialty pharmacies, specialty distributors, and provider accounts; escalate cases appropriately and partner with FRMs on remediation plans.
• Troubleshoot specialty pharmacy issues with internal and external customers, partner with FRMs, and work with specialty pharmacies to resolve logistical problems.
• Identify gaps in patient understanding of specialty pharmacy processes and provide education to support patient participation and 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, and systemic barriers; provide actionable recommendations to appropriate stakeholders and leadership.
• Serve as a patient access and reimbursement subject matter expert for the assigned caseload and as a liaison among patients, providers, specialty pharmacies, and internal stakeholders.
• Advise Patient Access leadership on access trends, operational opportunities, healthcare challenges, patient support strategy, resource allocation, and organizational priorities.
• Contribute to the development, refinement, and optimization of patient support programs, educational resources, patient engagement approaches, and access initiatives.
• Evaluate patient journey challenges and support process improvements that reduce barriers and delays, improve treatment initiation and continuity, and enhance patient experience and operational efficiency.
• Participate in pilot programs, launch readiness activities, and strategic initiatives; assess the potential impact of market access changes and recommend mitigation strategies.
• Present access trends, reimbursement challenges, and patient-experience findings to internal stakeholders to support data-driven decisions.
• Identify patients facing complex access, reimbursement, affordability, healthcare literacy, or logistical challenges and develop individualized support strategies.
• Partner with case managers, specialty pharmacies, provider offices, and FRMs to coordinate resources and support positive patient outcomes.
• Advocate for patients by identifying concerns, obstacles, and unmet needs, escalating issues appropriately, and communicating actionable insights to inform program enhancements.
• Empower patients and caregivers to navigate healthcare systems through education, resource awareness, and reinforcement of treatment journey milestones.
• Guide internal stakeholders on patient support offerings, patient engagement practices, and appropriate patient interactions 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.
• 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