Patient Access Liaison
$110k - $130kGrifols
Would you like to join an international team working to improve the future of healthcare Do you want to enhance the lives of millions of people Grifols is a global healthcare company that since 1909 has been working to improve the health and well-being of people around the world. We are leaders in plasma-derived medicines and transfusion medicine and develop produce and market innovative medicines solutions and services in more than 110 countries and regions.
The role of the Patient Access Liaison (PAL) is to minimize access and reimbursement barriers for patients and providers to Prolastin-C. They will accomplish this by executing the market access reimbursement plan in the assigned geographic area with physicians office staff and institutional customers. The PAL will work closely with internal and external partners including HCPs and their staff Market Access Sales and SP/Hub partners in the field supporting accounts in resolving reimbursement issues and concerns. The PAL is expected to have a deep working knowledge of both public and private payer policies within their market as it relates to Prolastin-C coverage and access. This position will serve as subject matter expert on payer/reimbursement matters patient services and pharmacy processes and requirements. This role covers multiple states in the North Central and South Central regions. For this role to be remote you have to be located near a major airport in one of the following states: North Central: ND SD NE MN WI IA MO. South Central: TX LA AR MS
Primary responsibilities for role:
Proactively educate prescriber office personnel on the Prolastin Direct program and processes to facilitate patient access via in person and virtual interactions
Champion and manage the appropriate utilization of patient support services and reimbursement programs to ensure compliance with legal and regulatory requirements
Demonstrate deep knowledge in reimbursement and access across patient support offerings and be the subject matter expert in the geography.
Collaborate closely with the payor team to understand payer policies and facilitate patient access.
Ensure providers understand prior authorization requirements appeals processes and clinical criteria including technology options for electronic submission of PA Letter of Medical Necessity appeals step edits formulary exception requests and provides support for other related coverage issues and documentation requirements.
Enhance awareness and understanding of patient support offerings and specialty pharmacy (SP) processes. Ensure these solutions are optimized to support the patient journey and deliver excellent patient and provider experience.
Reactively address patient specific issues and provide issue resolution across geography
Closely collaborate with Hub/SP account management team to directly solve any customer-related issues.
Builds productive professional relationships with customers in targeted accounts to address market access issues.
Knowledge Skills and Abilities:
Extensive knowledge of medication access channels.
Strong functional knowledge of specialty pharmacy and health insurance and benefits with a demonstrated expert understanding of insurance eligibility benefit verification prior authorization processes reimbursement coverage appealing insurance denials application of financial assistance co-pay support and free product programs
Proven ability to thrive in both an independent setting and within a collaborative cross functional environment
Ability to travel and cover large multistate geography territories; > 50% travel required
Education:
BA/BS Degree Advanced degree or PharmD preferred
Experience:
2 years of rare disease specialty pharmacy pharma and/or biopharmaceutical experience.
1- 2 years of experience calling on field-based customers and proven ability to build strong relationships with healthcare professionals.
Depending on the area of assignment directly related experience or a combination of directly related education and experience and/or competencies may be considered in place of the stated requirements. Example: If a job level requires a Bachelors degree plus 4 years of experience an equivalency could include 8 years of experience an Associates degree with 6 years of experience or a Masters degree with 2 years of experience.
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The estimated pay scale for the Patient Access Liaison role based remotely in any of the listed states in the job description is $110000 to $130000 per year. Additionally the position is eligible to participate in up to 8% of the company bonus pool. We offer a wide variety of benefits including but not limited to: Medical Dental Vision life insurance PTO paid holidays and up to 5% 401(K) match and tuition reimbursement. Final compensation packages will ultimately depend on education experience skillset knowledge where the role is performed internal equity and market data. We are committed to offering our employees opportunities for professional growth and career progression. Grifols is a global healthcare organization with employees in 30 countries focused on patient health and providing impactful results. Since our humble beginnings in 1909 Grifols has been a family company that prides itself on its family-like culture. Our company has more than tripled over the last 10 years and you can grow with us!
Third Party Agency and Recruiter Notice:
Agencies that present a candidate to Grifols must have an active nonexpired Grifols Agency Master Services Agreement with the Grifols Talent Acquisition Department. Additionally agencies may only submit candidates to positions that they have been engaged to work on by a Grifols Recruiter. All resumes must be sent to a Grifols Recruiter under these terms or they will be considered a Grifols candidate.
Grifols provides equal employment opportunities to applicants and employees without regard to race; color; sex; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy childbirth or related medical conditions; status as a protected veteran or spouse/family member of a protected veteran; or disability. We will consider for employment all qualified applicants in a manner consistent with the requirements of all applicable laws.
Location:NORTH AMERICA : USA : Home Office
NORTH AMERICA : USA : Arkansas
NORTH AMERICA : USA : Iowa
NORTH AMERICA : USA : Louisiana
NORTH AMERICA : USA : Minnesota
NORTH AMERICA : USA : Mississippi
NORTH AMERICA : USA : Missouri
NORTH AMERICA : USA : Nebraska
NORTH AMERICA : USA : North Dakota
NORTH AMERICA : USA : South Dakota
NORTH AMERICA : USA : Texas
NORTH AMERICA : USA : Wisconsin:USHOME - Home Address US
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