Patient Access Manager

Mallinckrodt Pharmaceuticals • Bridgewater, NJ

20h

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 serves as a trusted resource and subject matter expert in treatment access, reimbursement, affordability, and patient support services, helping patients navigate complex processes and overcome barriers to treatment initiation and continuity of care.

The role provides hands-on reimbursement and acquisition support for biologic and testosterone products across changing payer landscapes and multiple acquisition channels, including Buy and Bill and specialty pharmacy. The PAM educates patients about reimbursement processes, patient assistance, financial support resources, and specialty pharmacy logistics; analyzes access and reimbursement information; resolves or escalates challenges; and works with field reimbursement managers (FRMs), case managers, provider offices, specialty pharmacies, and other stakeholders.

The PAM also gathers and interprets patient and field insights to identify recurring access barriers, reimbursement trends, affordability concerns, and opportunities to improve patient support programs and operations. As a strategic voice of the patient, the PAM translates these insights into recommendations for leadership and cross-functional partners, supporting program design, resource allocation, process improvements, and patient-centered strategies. The position requires compliance with company policies and regulatory requirements and may require up to 30% travel.

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 complex reimbursement, affordability, and access challenges across multiple payer channels.
• 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 Medicare Administrative Contractor relevant to Keenova products.
• Knowledge of Medicare billing, coding, and appeals processes; ASP, WAC, sequestration, and interpreting Medicare EOBs.
• Understanding of the Buy and Bill and specialty pharmacy channels.
• Knowledge of HIPAA requirements and FDA regulations.
• Understanding of legislative, legal, and regulatory environments and their potential impact on Keenova.
• Ability to influence outcomes across cross-functional stakeholders without direct authority.
• Experience identifying systemic access trends and translating observations into actionable business recommendations.
• Ability to synthesize broad information and use business analytics to identify patient and account issues and support appropriate office intervention with FRMs.
• Strong written and verbal communication skills, self-awareness, and ability to exercise self-control.
• Ability to communicate complex clinical, reimbursement, or program information clearly and appropriately for different audiences.
• Ability to work collaboratively with patients, FRMs, case managers, and others to develop strategic plans addressing product access issues.
• Ability to work effectively as part of a cross-functional team and collaborate when obstacles arise.
• Initiative and ability to collaborate with field-based and home-office personnel to meet patient needs.
• Ability to model Keenova’s vision and core values and educate external partners about compliance with Keenova policies.
• Up to 30% travel may be required.

Nice To Haves

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

Responsibilities

• Manage patient assistance and reimbursement support services related to patient access and Buy and Bill products.
• Educate patients about the Buy and Bill process, reimbursement, patient assistance, financial resources, specialty pharmacy expectations, and steps needed to avoid delays.
• Coordinate with Keenova patient support program representatives and partner with FRMs, case managers, provider offices, specialty pharmacies, and other internal and external stakeholders.
• Troubleshoot specialty pharmacy and other acquisition-related issues, identify logistical challenges, and help determine appropriate resolutions.
• Use data and business analytics to identify common patient and account issues, assess access challenges, and escalate cases appropriately.
• Provide new patients with reimbursement process information and education on MARC-approved reimbursement, acquisition, and financial assistance resources.
• Identify gaps in patient understanding of specialty pharmacy processes and provide education to help patients understand their roles.
• Collect, analyze, and synthesize field intelligence about patient access, reimbursement, affordability, healthcare systems, and patient experience.
• Serve as a subject matter expert and the voice of the patient, translating patient experiences and access trends into actionable recommendations for leadership and cross-functional stakeholders.
• Identify root causes and systemic barriers affecting treatment access, and recommend operational, process, and program improvements.
• Develop individualized strategies for patients experiencing complex access, reimbursement, affordability, healthcare literacy, or logistical challenges.
• Advocate for patients by identifying concerns and unmet needs, coordinating resources, and escalating issues to support timely treatment initiation and continuity of care.
• Support continuous improvement of patient support programs, educational resources, patient engagement strategies, and access-related initiatives.
• Participate in pilot programs, launch readiness activities, and strategic initiatives to improve patient support effectiveness.
• Present access trends, reimbursement challenges, and patient experience findings to internal stakeholders to support data-driven decisions.
• Assess the effects of market access changes on patients and recommend mitigation strategies.
• Provide internal stakeholders with guidance on patient support offerings and patient interactions consistent with company policies and compliance requirements.
• Travel up to 30% as required.

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: Manager