Field Access Manager, Rare Disease (Midwest)

Field Access Manager, Systemic

Opportunity awaits those up to the challenge of developing transformative therapies across a broad range of debilitating diseases.

US Patient Services is focused on maintaining excellence in patient services and delivering an exquisite patient and healthcare professional (HCP) experience. The Field Access Manager, Systemic is an integral part of the team responsible for supporting patient access to prescribed treatment for patients battling serious and rare diseases. The Field Access Manager will use their reimbursement and access expertise to compliantly address challenges impacting patients' access to Apellis products prescribed by their HCP. This position will cover the following territory: UT, WY, CO, ND, SD, NE, IA, MN, WI, IL, IN, and MI.

Roles and Responsibilities

• Establish collaborative relationships within Patient Services, Field Sales, Value Access and Policy (VAP) and other relevant teams to support patient access.
• Provide proactive education to key facility/practice staff regarding Apellis Patient Services Programming and reimbursement specific to Apellis products. Apellis Patient Services include but are not limited to case management, reimbursement, patient assistance, care educator support & affordability programming and product dispensing.
• Provide coverage and reimbursement information, including payer-specific prior authorization requirements, to key staff members to support patient access to Apellis products.
• Ensure compliant use of Personal Health Information (PHI) with appropriate patient consent.
• Track reimbursement journey, focusing on aging patient cases, to ensure thoughtful support and effective intervention when appropriate.
• Maintain a current repository of plan-specific reimbursement criteria, forms, and submission procedures.
• Identify coverage issue patterns to resolve payer issues quickly.
• Review patient status trackers daily to ensure quality service by network pharmacy(ies).
• Communicate cross-functionally to ensure current and accurate communication on the status of Start Forms.
• Proactively prioritize and address patient access bottlenecks. Trends identified should be internally escalated, as appropriate.
• Works as an integral part of the Patient Services team – functioning as the key point person for field escalations to ensure quick resolution of stakeholder challenges.
• Gains and maintains Apellis Patient Services operations expertise and is a trusted resource cross-functionally.

Experience

• 5+ years of commercial experience in the pharmaceutical or biotech industry
• 5+ years of experience in healthcare coverage, coding and/or reimbursement experience
• Experience with specialty pharmacy products
• Hematology/Oncology and/or Nephrology experience preferred
• Rare disease experience preferred

Knowledge, Skills, and Abilities

• Embodies Apellis values
• Knowledge of pharmacy data and patient support case management processes
• Has a results orientation with attention to detail and ability to meet deadlines
• Strong operational competencies
• Excellent written and verbal communication skills, able to communicate effectively with different levels of management as well as with peers
• Demonstrate initiative and proactivity with ambiguity
• Highly motivated with the ability to be flexible, creative and learn quickly in a fast-paced environment
• Excellent attention to detail

Travel Requirements

Travel Requirements: Travel up to 80% inclusive of Company meetings and conferences.

Education

Bachelor's Degree

Pay Information

Base salary for this role will consider multiple factors, including but not limited to, candidate qualifications, relevant expertise, specialized skills, and industry experience in complement-targeted therapies. The targeted base salary range for this position is $146,000-$219,000. This range represents the base salary only and reflects Apellis' commitment to competitive compensation within the biopharmaceutical industry. The final salary offered may vary based on individual qualifications, business needs, and current market conditions.

Work Arrangement

Field