Patient Access Manager

Madrigal is a biopharmaceutical company focused on delivering novel therapeutics for metabolic dysfunction-associated steatohepatitis (MASH), a serious liver disease that can progress to cirrhosis, liver failure, need for liver transplantation and premature mortality. Every member of our Madrigal team is connected by our shared purpose: leading the fight against MASH. Madrigal’s medication, Rezdiffra (resmetirom), is a once-daily, oral, liver-directed THR-β agonist designed to target key underlying causes of MASH. Rezdiffra is the first and only medication approved by both the FDA and European Commission for the treatment of MASH with moderate to advanced fibrosis (F2 to F3). An ongoing Phase 3 outcomes trial is evaluating Rezdiffra for the treatment of compensated MASH cirrhosis (F4c). Our success is driven by our people. We are building a dynamic, inclusive, and high-performing culture that values scientific excellence, operational rigor, and collaboration. To support our continued growth, we are strengthening our workforce strategy to ensure we have the right talent, at the right time, in the right way. Position Summary The Patient Access Manager serves as the primary point of contact for patients, compliantly guiding them through the medication coverage and reimbursement process to foster timely, affordable therapy access while delivering a supportive and personalized experience. This role provides education, coordination, and problem-solving to address patient and provider needs, secure insurance approvals, and proactively remove barriers to coverage. Patient Access Managers collaborate within a matrix environment, partnering with Field Access, Operations, and other support functions to deliver a seamless, patient-centered experience. Key Responsibilities Act as the main point of contact for patients and caregivers, offering education, guidance, and ongoing support throughout the access and reimbursement journey. Lead the case management process with urgency and accountability to achieve prompt and compliant access to therapy. Conduct benefit investigations, verify coverage, and facilitate prior authorization, denial, and appeal processes. Facilitate enrollment in financial assistance programs and coordinate with patients, payers, and partners to maintain continuity of care. Collaborate with healthcare offices, specialty pharmacies, payers, and internal partners to resolve complex reimbursement or fulfillment challenges. Maintain expertise in payer policies, reimbursement pathways, and product distribution channels to anticipate and address access barriers. Communicate clearly, compliantly, and compassionately with patients, families, and HCP offices about case progress and available support. Accurately document all case activity in real time within CRM systems to ensure data quality and case continuity. Share insights, identify trends, and contribute to process and quality improvement initiatives. Demonstrate professionalism, empathy, and proactive problem-solving in all interactions while adhering to company policies, privacy standards, and regulations. Qualifications Education: Bachelor’s degree preferred; advanced degree (MSW, MHA, MBA) preferred. Experience: 7+ years in healthcare or pharmaceutical industry, and 5 years of patient access, reimbursement, case management, direct patient-facing high-touch experience required. Skills: Deep understanding of health insurance benefits, payer policies, and reimbursement processes. Proven ability to coordinate across healthcare stakeholders, including providers, specialty pharmacies, and financial assistance programs. Skilled in resolving complex access issues such as benefit verification, prior authorization, and appeals. Excellent communication, empathy, and critical thinking skills. Strong organizational and documentation abilities with sharp attention to detail. Effective collaborator within a matrixed environment. Up to 15% domestic travel may be required Preferred: Experience in pharmaceutical or biotech patient services. Familiarity with multiple drug distribution channels. Proficiency in Salesforce CRM. #LI-Remote Madrigal’s Total Rewards strategy is based on a biotech industry peer group comparator and is inclusive of base pay, bonus and equity. Our equity offers meaningful opportunity allowing our employees to share in the success they help create. By aligning individual and company performance, we empower employees to think like owners, giving them a stake in the organization. All employees receive equity, which we believe reinforces our ownership culture. Base salary is determined by several factors including the candidate’s qualifications, skills, education, experience, business needs and market demands. The base salary range for this position is $136,000 - $167,000 per year. All full-time employees receive equity, which reinforces our ownership culture and offers meaningful opportunity for our employees to share in the success they help create. By aligning individual and company performance, we empower employees to think like owners, giving them a stake in the organization. Full-time employees are also eligible for comprehensive benefits, including flexible paid time off, medical, dental, vision and life/disability insurance, and 401(k) offerings (i.e., traditional, Roth, and employer match) in accordance with applicable plans. We also offer additional voluntary benefits like supplemental life insurance, legal services, and other offerings. In addition, we offer mental health benefits through our Employee Assistance Program for employees and their family. The company also provides other benefits in accordance with applicable federal, state, and local laws. We are committed to providing reasonable accommodations for individuals with disabilities throughout the hiring process. If you need assistance, please contact View email address on click.appcast.io. Madrigal is an Equal Opportunity Employer. All employment is decided on the basis of qualifications, merit, and business need. Applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex gender identity, sexual orientation, national origin, age, disability, protected veteran or disabled status, or other characteristic protected by applicable federal, state, or local law. Unsolicited resumes from agencies should not be forwarded to Madrigal. Madrigal will not be responsible for any fees arising from the use of resumes through this source. Madrigal will only pay a fee to agencies if a formal agreement between Madrigal and the agency has been established. Applications are being accepted on an ongoing basis and can be submitted through our Madrigal Careers site. Please be aware that we have received reports of individuals misrepresenting themselves as Madrigal Pharmaceuticals’ Hiring Managers, seeking to engage with job candidates through fraudulent online advertisements or job posting sites. These unauthorized individuals are using Madrigal’s name and logo in an attempt to solicit up-front fees and obtain personal information from interested job candidates. Please know that Madrigal does not conduct interviews via text or in chat rooms; conduct interviews via Skype, RingCentral or solely via telephone; charge candidates an advance fee of any kind (e.g., fees for purchasing equipment); nor does it offer positions of employment without undergoing a thorough recruiting process. Please also note that any correspondence with regard to employment would come from an authorized madrigalpharma.com email address or from an email address from one of our trusted search firm partners. We are aware that incorrect/fraudulent email addresses, with Madrigal misspelled, have been utilized in these most recent fraud attempts. If you receive unsolicited employment offers from people claiming to work for or on behalf of Madrigal, we recommend that you: do not respond to their questions; do not open any attachments; and do not click on any hyperlinks. Any questions regarding the legitimacy of job-related contacts can be directed to View email address on click.appcast.io.