Field Reimbursement Liaison - Southwest

Crinetics is a pharmaceutical company based in San Diego, California, developing much-needed therapies for people with endocrine diseases and endocrine-related tumors. We were founded by a dedicated team of scientists with the simple belief that better therapies developed from rigorous innovation can lead to better lives. We have a prolific discovery engine and a robust preclinical and clinical development pipeline. We are driven by science with a patient-centric and team-oriented culture. The Field Reimbursement Liaison (FRL) - Southwest provides access & reimbursement assistance to optimize the patient experience with Crinetics’ products. The FRL interfaces with healthcare professionals, including their ancillary staff, nurse case managers (NCMs), HUB coordinators, Market Access team, and various Channel Partners on complex access and reimbursement cases by providing education on Crinetics sponsored patient programs and process guidance in response to prior authorizations, resubmissions, and denials. Candidates are strongly preferred to reside within the Southwest region, including Southern California (San Diego or Los Angeles) or Arizona, to support timely and consistent engagement with healthcare providers, patient access stakeholders, and key accounts across this high priority territory. Conduct office calls with HCPs and/or office staff for support with appropriate patient access to Crinetics’ products, including assistance in resolving reimbursement, patient programs, and coverage questions. Resolve issues associated with patient coverage, access, and reimbursement in collaboration and coordination with patient services as directed by policy. Proactively communicate Crinetics’ patient services programs, policies, procedures, and resources so that office staff (i.e., practice manager, nursing, billing, and reimbursement staff) are fluent in how to use our sponsored programs and systems. Liaise with CrinetiCARE (Crinetics Patient Support Center) and our network Specialty Pharmacies. Provide strategic coverage/reimbursement leadership and support to the internal Crinetics Sales team. Recommend and implement process improvement updates/changes to improve the patient experience. Serve as the subject matter expert on the reimbursement / access landscape, including payer policies, prior authorization requirements, denials, appeals, peer to peer, and other education required to navigate access. Provide insights and updates regarding product and support service integration at HCP and Hospital Pharmacy accounts. Create training materials and deliver education programs to sales force, physicians, pharmacy directors, billing personnel, and other internal and external stakeholders as needed. Keep abreast of customer and market access industry trends; analyze access/reimbursement issues and opportunities. Maintain a deep understanding of Crinetics policies and requirements and perform all responsibilities in a manner consistent with company guidance. Bachelor’s degree required with a minimum of 12 years’ experience in healthcare and/or pharmaceutical/biotech industry. Clinical, technical, and scientific knowledge and aptitude in complex/rare diseases. Knowledge of third-party payers (Medicare, Medicaid, commercial) and case management process (prior authorization and appeals). Demonstrated technical aptitude and working proficiency in using iPad and working proficiency in Microsoft Word, Excel, PowerPoint, and Outlook. Ability to balance strategic thinking/analytical analysis with tactical execution. At least 3-5 years of access and reimbursement experience. Case management and Customer Relationship Management (CRM) systems experience. Minimum of 2 years’ experience working with specialty pharmacy networks. Strong understanding of US health care policy and payment systems, including hospital and physician reimbursement. Working knowledge of CPT, ICD-10, HCPCS coding; site of care reimbursement environment (infusion site, physician office, HOPD reimbursement). Experience in launching a new specialty pharmaceutical/biologic product or new product indication. Physical Activities : On a continuous basis, sit at desk for a long period of time; intermittently answer telephone and write or use a keyboard to communicate through written means. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions and responsibilities. Travel and Role Related Areas Ability to travel regionally and cover large multi-state territories relocation assistance is not provided Ability to travel to work related meetings and ability to travel overnight for 2-3 nights per week Ability to travel up to 75% Ability to drive to assigned targets within the territory via an automobile (a car allowance is provided) We provide equal employment opportunities to all employees and employment applicants without regard to unlawful considerations of sex, sexual orientation, gender (including gender identity and/or expression), pregnancy, race, color, creed, national or ethnic origin, citizenship status, religion or similar philosophical beliefs, disability, marital and civil union status, age, genetic information, veteran status or any personal attribute or characteristic that is protected by applicable local, state or federal laws. #LI-CR1 #Remote In addition to your base pay, our total rewards program consists of a discretionary annual target bonus, stock options, ESPP, and 401k match. We also provide top-notch health insurance plans for employees (and their families) to include medical, dental, vision and basic life insurance, 20 days of PTO, 10 paid holidays, and a winter company shutdown. #J-18808-Ljbffr Crinetics Pharmaceuticals