Therapy Access Manager - Mid-Atlantic (Baltimore, Washington DC, Virginia Beach)

United Therapeutics Corporation•Philadelphia, VA

15d•$150,000 - $185,000•Remote

About The Position

United Therapeutics (UT) is a publicly-traded biotech/pharmaceutical company focused on developing novel therapies for rare, deadly diseases and creating manufactured organs to address transplant shortages. The company has developed six FDA-approved therapies for conditions like pulmonary arterial hypertension (PAH), pulmonary hypertension associated with interstitial lung disease (PH-ILD), and neuroblastoma. UT is also working on developing manufactured organs to eliminate transplant waiting lists. The Therapy Access Manager (TAM) is a customer-facing role responsible for managing accounts within a specific region to support patient access to UT therapies. This role involves educating healthcare providers and office staff on access services and reimbursement solutions, collaborating with internal and external stakeholders, and acting as a payer expert for a defined geography. The TAM will ensure understanding of the reimbursement process, specialty pharmacies, and UT's patient support program, while advising on patient-level reimbursement issues in a compliant manner. The role also involves managing daily activities that support patient access, serving as a liaison to patient assistance programs, conducting in-person customer visits, and providing education on formulary coverage, insurance procedures, benefits investigation, prior authorization, and claims resolution. Additionally, the TAM will educate physician office staff on patient support services using UT-approved materials.

Requirements

Bachelor’s Degree with 8+ years of relevant experience or Master's Degree with 6+ years of relevant experience or PhD/PharmD with 2+ years of relevant experience
1+ years of experience in Market Access and/or 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

Nice To Haves

Master’s Degree, Doctor of Philosophy (PhD) or Doctor of Pharmacy (PharmD)
Experience in the therapeutic area of cardiology or pulmonology
Experience with Rare & Orphan drugs
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.