Senior Manager, Therapy Access

BioMarin Pharmaceutical Inc.

10d

About The Position

The Senior Therapy Access Manager will be responsible for the execution of the therapy access strategy for the assigned portfolio of commercialized therapies. The Senior TAM will support patient access by partnering with all relevant internal teams including Patient Access Services, National Accounts Sales, Clinical Coordinators, Marketing, Trade and Compliance and providing product access education to HCPs and their office staff. Additionally, the Senior TAM will lead process improvement projects and assist with training and onboarding of new TAMs. Senior TAMs may also serve in team lead roles for internal and/or external partners as appropriate. Serves as a mentor for TAMs. May assist with data analytics and reporting to support team initiatives.

Requirements

7+ years of Pharmaceutical or Healthcare industries, preferably including 5+ years in access/reimbursement
Bachelor’s degree required
Proven track record of supporting HCPs and office staff in seeking access/reimbursement that required significant payer and reimbursement support
Experience with both ‘buy and bill’ and Specialty Pharmacy distribution pathways for specialty oral and injectable medications
Strong knowledge of the payer environment, including but not limited to: government and commercial payers, assignment of benefits, letter of agreements, accumulators, maximizers, manufacturer financial assistance
Ability to professionally interact with customers – HCPs, office staff, institutions
Excellent communication skills; strategizes proactive solutions for keeping stakeholders informed
Solid knowledge of patient support programs including HUB programs, co-pay assistance programs, and nurse educator support
Track record of effective collaboration in a highly matrixed environment
Strong knowledge and understanding of Compliance with HIPAA regulations, OIG guidance, Advertising and Promotion requirements, the Anti-Kickback Statute, and applicable policies, best practices, and guidelines
Strong planning and organization skills including OFFICE suite of productivity tools
Rare Disease, Specialty, and Launch experience
Strong analytical skills.
Strong organizational skills; attention to detail.
Ability to travel overnight
Ability to schedule individual work-related travel (air, hotel, rental car as needed).
Ability to utilize own car for travel.
Technical knowledge of healthcare from a patient and provider perspective (miscellaneous codes, billing codes, appeals process)
Must be willing travel 60% or more of the time.

Nice To Haves

Experience working within Salesforce.com
Experience with REMS product(s)
Experience with limited distribution product(s)
Territory includes entire US and Puerto Rico.
Bilingual highly desirable.
Nursing experience a plus.

Responsibilities

Execute institutional and field access strategy for their responsible geography
Identify and educate key clinic/institution stakeholders on the patient support services/Hub, distribution model and payer requirements to gain access to the product
Partner with the Sales Account Managers, Clinical Coordinators, and Patient Support Services Hub to ensure HCPs can navigate patient access needs; lead proactive touchpoints with internal matrix partners to keep all parties informed for relevant account planning purposes
Act as a liaison between the patient support services hub and the HCP clinic to educate providers on the patient support programs. This will include educating the staff at the institution or clinic that is responsible for managing all aspects of patient access to therapy utilizing BioMarin resources including, but not limited to coverage authorization guides, Co-Pay assistance programs and other hub and patient support services
Provide live one-on-one educational support to HCP and/or office staff and address questions about coverage requirements, including education on the payers’ coverage authorization requirements and process
Champion compliance and ethical standards, mentoring junior team members on best practices within a regulated environment
Analyze payer trends and institutional feedback to inform strategic adjustments and support escalation pathways for challenging cases
Educate HCPs, office staff, and institutions on how to work with patient support services hub, payer issues, policies/guidelines, trends, common reasons for PA delays, denials, and appeal processes
Review escalated individual patient cases to identify and address any coverage barriers; proactively scan payer policies tailored to each clinic’s needs and provide regular updates based on market dynamics
Travel ~25-60% to support above responsibilities, as needed; represent team at national meetings as appropriate