Therapy Access Manager (TX/AR/LA/MS)

Unither Pharmaceuticals•Bentonville, TX

29d

About The Position

We are the first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter future for patients through the development of novel pharmaceutical therapies; and technologies that expand the availability of transplantable organs. United Therapeutics (Nasdaq: UTHR) seeks to travel down the corridors of indifference to develop treatments for rare, deadly diseases. We were founded in 1996 by a family seeking a cure for their daughter’s pulmonary arterial hypertension (PAH). Today, we have six FDA-approved therapies that treat PAH, pulmonary hypertension associated with interstitial lung disease (PH-ILD) and neuroblastoma, a rare pediatric cancer. Our near-term pipeline seeks to develop additional therapies for PAH and pulmonary fibrosis (PF). The cure for end-stage life-threatening diseases like PAH, PH-ILD, PF, and many others is an organ transplant, but only a small percentage of donated organs are available to address the vast need. For this reason, we are working to create manufactured organs to address the shortage of kidneys, hearts, lungs, and livers available for transplant. We believe an unlimited supply of tolerable, transplantable organs will eliminate the transplant waiting list and cure end-stage organ diseases for which transplant is not currently an option. You are an empathetic person with a strong work ethic who enjoys supporting HCP's streamline processes to improve patient access to UT therapies. You are eager to collaborate with cross-functional teams, including UT Cares partners, Market Access, Specialty Pharmacies, and commercial teams, to develop and implement plans that optimize patient access and reimbursement. You are an expert in patient access with an understanding of essential things like provider engagement, specialty pharmacies, patient services offerings, and the referral process. You want to work in an environment that is collaborative and innovative where you can showcase your expertise. The Therapy Access Manager (TAM) is a customer-facing role that will be responsible for managing defined accounts within a specific region or territory, to support access for providers and patients. The role will provide education to healthcare providers and office staff on access services and reimbursement solutions specific to United Therapeutics' products. The TAM will demonstrate a compliant and consultative approach providing education to offices related to insurance authorization and/or reimbursement of products for appropriate patients.

Requirements

Bachelor’s Degree
6+ years of relevant industry experience
1+ years of experience in Market Access and Field Reimbursement supporting specialty products
Experience with specialty/biologic products and/or complex reimbursement process
Experience educating HCPs on client specific patient service programs (i.e. copay, nurse education, patient assistance, etc.)
Ability to manage ambiguity & problem solve
Solution oriented mindset, strong business acumen, & strong analytic capabilities
Ability to manage greater than 50% travel
Ability to prepare and submit appropriate expense reports in a timely manner

Nice To Haves

Experience in the therapeutic area of cardiology or pulmonology
Rare & Orphan drug experience
Demonstrated ability to educate offices on access processes and issue resolution
Experience delivering educational presentations in person and/or via technology platforms such as Zoom, Webex, and/or Teams
Advanced knowledge of medical insurance terminology
Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare (Part B and Part D)

Responsibilities

Manage defined accounts within a specific region or territory, to support access for providers and patients including providing education to healthcare providers and office staff on access services and reimbursement solutions specific to United Therapeutics' products.
Execute a region or territory strategic plan through partnership with internal and external stakeholders, which may include call center / HUB services, market access, and/or other matrix field partners.
Serve as the payer expert for a defined geography and communicate payer changes to key stakeholders in a timely manner.
Ensure understanding of the reimbursement process, specialty pharmacies, field reimbursement services, and UT's patient support program.
Advise on patient level reimbursement issues in compliance with policies and well-defined Rules of Engagement.
Abide in a compliant manner and work closely within a defined set of Rules of Engagement
Manage daily activities that support appropriate patient access to United Therapeutics’ products in the provider offices and work as a liaison to other patient assistance and access support services offered by United Therapeutics
Compliantly serve and support customers as an extension of patient support as appropriate, and provide in-person customer visits
Participate in cross-matrix meetings as appropriate.
Participate in regularly scheduled team meetings and calls.
Input call activity into customer relationship management tool (CRM).
Provide office education and awareness during the entire access process which may include formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution
Educate physician office staff on the use of patient support services using UT approved educational materials, including web-based provider portals and other tools/resources as available