Regional Patient Access Manager - Long Term Care, Mid South

Neurocrine Biosciences•US TN Home Office, IN

21d•$151,000 - $206,000

About The Position

The Regional Patient Access Manager (RPAM) provides field access support and education to healthcare professionals to help maximize patient access to Neurocrine Biosciences products and accelerate time to treatment. The role supports healthcare professionals with coverage issues for on-label prescriptions already in process, access support services and processes, payer-specific coverage issues, and company patient financial support programs. The RPAM serves as a subject matter expert on regional and national payer coverage policies and processes and works collaboratively with field sales, network pharmacies, market access, commercial analytics, operations, and other colleagues. The RPAM communicates with specialty pharmacies, closed-door pharmacies (including Genoa), long-term care pharmacies, and the patient-physician services hub partner. The role also conducts pharmacy network vetting within an assigned geography, communicates approval or denial decisions, and may remove pharmacies from the network. The manager monitors network operations, uses end-user feedback to identify opportunities, proposes workflow strategies, and shares best practices related to specialty distribution efficiency. The position requires overnight travel of up to 60%, including work with field sales, business and industry meetings, and key customers; roles are geographically dispersed across the United States.

Requirements

Bachelor’s degree in a related field and 6 or more years of pharma/biotech commercial experience, including 2 or more years of specialty pharmacy or market access experience; specialty product experience is preferred, with CNS preferred.
Alternatively, a master’s degree or MBA and 4 or more years of related experience.
Alternatively, a PharmD or PhD and 2 or more years of related experience.
Strong understanding of specialty pharmacies, managed care, pharmacy benefit managers, government payers, and their impact on product access.
Excellent working knowledge of patient support programs, including reimbursement support and financial assistance adherence programs.
Strong understanding of the prescription adjudication process.
Ability to communicate payer coverage criteria and prior authorization processes.
Ability to travel overnight up to 60%.
Knowledge of best practices in the functional discipline and familiarity with broader concepts in related business disciplines.
Ability to improve tools and processes within the functional area.
Ability to work as part of and lead multiple teams; leadership skills and ability, typically leading lower levels and/or indirect teams.
Excellent computer skills.
Excellent communication, problem-solving, and analytical thinking skills.
Ability to understand broader impacts across departments and divisions.
Ability to meet multiple deadlines across a variety of projects and programs with accuracy and efficiency.
Excellent project management skills and ability to work cross-functionally and manage multiple tasks.
Excellent interpersonal skills and demonstrated success on cross-functional teams.

Nice To Haves

Master’s degree or MBA.
Specialty product experience, preferably in CNS.
Previous experience in other pharma/biotech functions, such as sales, management, marketing, or managed markets.
PharmD or PhD, in the alternative qualification pathway.

Responsibilities

Build and sustain relationships with pharmacies, physicians, office staff, and other healthcare professionals to help resolve coverage problems for written prescriptions already in process.
Work cross-functionally with field sales leadership, regional sales managers, account specialists, national account directors, network pharmacies, market access, commercial analytics, operations, and other home-office colleagues to support patient access with specific payers.
Train and educate healthcare professionals on payer-specific coverage policies and documentation requirements, payer appeals processes, and patient financial assistance programs, including relevant copay and patient assistance programs.
Introduce electronic patient access submission technology options, such as CoverMyMeds, and explain payer criteria, forms, prior authorizations, Letters of Medical Necessity, appeals, step edits, formulary exception requests, and related coverage and documentation issues.
Problem-solve and conduct case resolution for patient access and coverage issues.
Communicate compliantly with field sales, corporate employees, healthcare professionals, network pharmacies, and hub employees to identify and resolve coverage and patient access issues.
Identify payer issues and communicate them to the National Account Directors team.
Interface with local closed-door and long-term care pharmacies to provide support services and education.
Regularly communicate patient access opportunities and challenges to management.
Present insights into payer coverage policies and processes at internal business reviews and national or regional sales meetings.
Conduct patient access workshops during POA meetings and assist with new-hire training as needed.
Help ensure a diverse and inclusive environment free from discrimination and harassment.
Build and uphold the company’s pharmacy distribution network through vetting, maintaining network integrity, and monitoring pharmacy effectiveness and efficiency.
Monitor distribution network processes, propose workflow strategies, use end-user feedback to improve effectiveness, and share specialty distribution best practices with trade leadership.
Perform other duties as assigned.