Regional Patient Access Manager, Southeast

Neurocrine Biosciences • US FL Home Office, FL

3d • $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 within an assigned geography, communicates approval or denial decisions, and may remove pharmacies from the network.

The RPAM supports healthcare professionals with coverage issues for on-label prescriptions already in process, access-support services and processes, payer-specific coverage requirements, and company patient financial-support programs. The role serves as a subject-matter expert on regional and national payer coverage policies and processes, collaborating with field sales, network pharmacies, market access, commercial analytics, operations, and Payer Marketing. The RPAM also uses end-user feedback to monitor distribution-network effectiveness, recommend workflow strategies, and share specialty-distribution best practices with trade leadership. The position includes overnight travel of up to 60%; the roles are geographically dispersed across the United States.

Requirements

• Bachelor’s degree in a related field and 6 or more years of pharmaceutical or biotechnology commercial experience, including 2 or more years of specialty pharmacy or market access experience; alternatively, a master’s degree or MBA and 4 or more years of related experience, or a PharmD or PhD and 2 or more years of related experience.
• Strong understanding of specialty pharmacies, managed care, pharmacy benefit managers, and 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 functional best practices and familiarity with broader concepts of related business disciplines.
• Ability to improve tools and processes within the functional area.
• Ability to work as part of and lead multiple teams; demonstrated leadership ability, typically leading lower-level employees and/or indirect teams.
• Excellent computer, communication, problem-solving, analytical-thinking, project-management, interpersonal, and cross-functional collaboration skills.
• Ability to see broader impacts across departments and divisions and meet multiple project or program deadlines with accuracy and efficiency.

Nice To Haves

• Specialty product experience, preferably in CNS.
• Previous experience in other pharmaceutical or biotechnology functions, such as sales, management, marketing, or managed markets.
• Master’s degree or MBA preferred.

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, including Regional Sales Managers, Account Specialists, and national account directors, as well as network pharmacies and home-office colleagues, to support patient access with specific payers.
• Train and educate healthcare professionals on payer-specific coverage policies, documentation requirements, appeals processes, and patient financial-support programs, including relevant copay and patient assistance programs.
• Introduce electronic prior-authorization technology options such as CoverMyMeds; explain payer criteria, forms, prior authorization, Letters of Medical Necessity, appeals, step edits, formulary exceptions, and related coverage requirements; and resolve cases.
• 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 on 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 processes, use end-user feedback, propose workflow strategies, and share specialty-distribution efficiency best practices with trade leadership.
• Perform other duties as assigned.

Benefits

• Retirement savings plan with company match.
• Paid vacation, holidays, and personal days.
• Paid caregiver, parental, and medical leave.
• Medical, prescription drug, dental, and vision coverage, subject to applicable plan terms and conditions.
• Annual bonus with a target of 30% of earned base salary.
• Eligibility to participate in the equity-based long-term incentive program.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior