Patient Access Manager

California, US residents click here ( . The job details are as follows: Who We Are We are the first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter future for patients through the development of novel pharmaceutical therapies; and technologies that expand the availability of transplantable organs. United Therapeutics (Nasdaq: UTHR) seeks to travel down the corridors of indifference to develop treatments for rare, deadly diseases. We were founded in 1996 by a family seeking a cure for their daughter’s pulmonary arterial hypertension (PAH). Today, we have six FDA-approved therapies that treat PAH, pulmonary hypertension associated with interstitial lung disease (PH-ILD) and neuroblastoma, a rare pediatric cancer. Our near-term pipeline seeks to develop additional therapies for PAH and pulmonary fibrosis (PF). The cure for end-stage life-threatening diseases like PAH, PH-ILD, PF, and many others is an organ transplant, but only a small percentage of donated organs are available to address the vast need. For this reason, we are working to create manufactured organs to address the shortage of kidneys, hearts, lungs, and livers available for transplant. We believe an unlimited supply of tolerable, transplantable organs will eliminate the transplant waiting list and cure end-stage organ diseases for which transplant is not currently an option. Who You Are You are an empathetic person with a strong work ethic who enjoys supporting HCP's streamline processes to improve patient access to UT therapies. You are eager to collaborate with cross-functional teams, including UT Cares partners, Market Access, Specialty Pharmacies, and commercial teams, to develop and implement plans that optimize patient access and reimbursement. You are an expert in patient access with an understanding of essential things like provider engagement, specialty pharmacies, patient services offerings, and the referral process. You want to work in an environment that is collaborative and innovative where you can showcase your expertise. The Therapy Access Manager (TAM) is a customer-facing role that will be responsible for managing defined accounts within a specific region or territory, to support access for providers and patients. The role will provide education to healthcare providers and office staff on access services and reimbursement solutions specific to United Therapeutics' products. The TAM will demonstrate a compliant and consultative approach providing education to offices related to insurance authorization and/or reimbursement of products for appropriate patients. Manage defined accounts within a specific region or territory, to support access for providers and patients including providing education to healthcare providers and office staff on access services and reimbursement solutions specific to United Therapeutics' products. 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 Territory to Include Michigan, Indiana, Illinois, Iowa and Kentucky. Minimum 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 Preferred Qualifications 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) Job Location This position will require candidates to live within the assigned territory. This includes Michigan, Indiana, Illinois, Iowa, and Kentucky. The salary range for this position is $150,000 - $185,000 and reflects our good-faith estimate of the compensation for this role at the time of posting. An employee’s position within the salary range will be based on factors such as education, qualifications, experience, skills, geographic location, and business needs, as well as other factors permitted by law at the time of posting. This range may be modified in the future based on company and market factors. Eligible employees may participate in the Company's comprehensive benefits suite of programs, including medical / dental / vision / prescription coverage, employee wellness resources, savings plans (401k and ESPP), paid time off & paid parental leave benefits, disability benefits, and more. For additional information on Company benefits, please visit United Therapeutics Corporation is an Equal Opportunity Employer, including veterans and individuals with disabilities. We strive to be an organization that engages the minds, hearts, and most spirited efforts of each of our employees. Our sense of purpose transforms what we do from work into mission, occupation into vocation and achievement into success. We challenge our employees with innovative and revolutionary projects, offer an environment which fosters high-level job performance and provide a highly competitive total rewards package. This is what makes United Therapeutics a stimulating place to work. #J-18808-Ljbffr