Therapy Access Manager (MO/KY/TN/IN)

United Therapeutics Corporation•Winnipeg, TN

3d•Remote

About The Position

United Therapeutics (Nasdaq: UTHR) is a public benefit corporation dedicated to developing novel pharmaceutical therapies and technologies to expand the availability of transplantable organs. Founded in 1996, the company has developed six FDA-approved therapies for rare diseases like pulmonary arterial hypertension (PAH), pulmonary hypertension associated with interstitial lung disease (PH-ILD), and neuroblastoma. United Therapeutics is also working on creating manufactured organs to address the organ transplant shortage. The Therapy Access Manager (TAM) is a customer-facing role responsible for managing defined accounts within a specific region or territory to support provider and patient access to United Therapeutics' therapies. The TAM will educate healthcare providers and office staff on access services and reimbursement solutions, ensuring a compliant and consultative approach to insurance authorization and reimbursement for appropriate patients.

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.
Candidates must live within the assigned territory: KS, NE, IA, MO, S. IL, IN, KY, TN.

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.
Provide education to healthcare providers and office staff on access services and reimbursement solutions specific to United Therapeutics' products.
Demonstrate a compliant and consultative approach providing education to offices related to insurance authorization and/or reimbursement of products for appropriate patients.
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.