Regional Patient Access Manager - Northern CA

Neurocrine Biosciences•US CA Home Office, CA

2d•$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 communicates with specialty pharmacies, closed-door pharmacies (including Genoa), and the patient-physician services HUB partner in support of marketed U.S. products. It also conducts pharmacy-network vetting in an assigned geography, communicates approval or denial decisions, and may remove pharmacies from the network when appropriate. The RPAM supports healthcare professionals with coverage issues for on-label prescriptions already in process, access services and documentation, payer-specific coverage requirements, and patient financial support programs. The position serves as a subject matter expert on regional and national payer coverage policies and processes, works cross-functionally with field sales, network pharmacies, market access, commercial analytics, and operations, and partners with Payer Marketing on materials about critical coverage requirements. The RPAM monitors distribution-network effectiveness, uses end-user feedback to improve processes, proposes workflow strategies, and shares best practices with trade leadership. This geographically dispersed U.S. role may require overnight travel of up to 60%, including work with field sales, business and industry meetings, and key customers.

Requirements

Bachelor of Science or Bachelor of Arts degree in a related field and at least 6 years of pharma/biotech commercial experience, including at least 2 years of specialty pharmacy or market access experience; alternatively, a master's degree or MBA and at least 4 years of related experience, or a PharmD or PhD and at least 2 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.
Knowledge of current issues in the marketplace, pharmaceutical industry, and national healthcare system.
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; exhibits leadership skills and ability, typically leading lower levels and/or indirect teams.
Excellent computer, communication, problem-solving, and analytical-thinking skills.
Ability to understand the broader picture and impacts across multiple departments or divisions.
Ability to meet multiple deadlines across projects and programs with a high degree of accuracy and efficiency.
Excellent project-management skills and ability to work cross-functionally and handle multiple tasks.
Excellent interpersonal skills and a record of cross-functional team success.

Nice To Haves

Specialty product experience, preferably in CNS.
Previous experience in other pharmaceutical or biotech functions, such as sales, management, marketing, or managed markets.
A master's degree or MBA is preferred for the related-experience pathway.

Responsibilities

Build and sustain relationships with pharmacies, physicians, office staff, and other healthcare professionals to 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, and home-office market access and related teams to support patient access with specific payers.
Train and educate healthcare professionals on payer-specific coverage policies, documentation requirements, appeals processes, and patient financial assistance programs, including copay and patient assistance programs.
Introduce electronic patient access submission technology options such as CoverMyMeds and explain payer criteria, forms, processes, prior authorizations, Letters of Medical Necessity, appeals, step edits, and formulary exception requests.
Provide support for coverage issues and documentation requirements, including problem-solving and case resolution.
Communicate compliantly with field sales, corporate employees, healthcare professionals, network pharmacies, and HUB employees to identify and resolve coverage and patient access issues.
Identify and communicate payer issues to the National Account Directors team.
Interface with local closed-door pharmacies and long-term-care pharmacies, providing support services and education.
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 pharmacy distribution network through vetting, maintaining network integrity, and monitoring pharmacies for effective and efficient operations.
Monitor distribution processes, propose workflow strategies, use end-user feedback to improve effectiveness, and share best practices with trade leadership.
Perform other duties as assigned.