Patient Access Manager

Location: New York City, NY, US

Job Description:

horizon.PNG

Responsibilities

  • Assesses the individual needs of the patient and develops an appropriate education plan of action, taking into account the patient’s family and team of healthcare providers.

  • Educate the office staff regarding billing, coding, healthcare reform and other pertinent issues regarding access to healthcare.

  • Works closely with the Horizon Pharma case management team and also Horizon’s regional business management representatives.

  • Ensure a smooth process for drug access, the team works with the patient to help obtain authorization prior to treatment. Sometimes services are performed without a pre-authorization and the PAM and the case manager’s work together to resolve any related issues.

  • Guide the patient through the appeals process and coordinate the delivery of appropriate documentation for each appeal in order to maintain coverage for medical services.

  • Provide accessible co-pay assistance programs, national foundations and free drug programs; and are able to provide information for these options to patients as needed.

  • Develop a cohesive relationship with the patients and their families as they navigate through the healthcare system and the options that may be available.

  • Empower the patient to become their own advocate.

Required Qualifications, Skills And Education

  • Minimum of a Bachelor’s Degree required

  • Minimum of 3 years of prior relationship management experience

  • Minimum of 3 years of field based experience in account management, sales or medical affairs

  • Minimum 5 years pharma/account management experience

  • Buy and bill experience and success required

  • Biologic/biotech reimbursement experience preferred

  • Rheumatology therapeutic area experience preferred

  • Experience working with institutions and integrated delivery networks preferred

  • Experience working in a team environment which successfully partners with all Commercial Operations functions

  • Proficient in Microsoft Office.

  • Professional, proactive demeanor.

  • Strong interpersonal skills.

  • Excellent written and verbal communication skills.

Physical Demands (additions As Needed)

  • Ability to sit and stand for extended periods of time

  • Ability to carry, handle and reach for objects

  • Manual dexterity to operate office equipment, e.g. computer, phones, etc.

Travel Requirements

  • Access to transportation to attend various meetings/events held in proximity to the Horizon offices and meetings.

  • Requires approximately 50-60 % travel, including some overnight and weekend commitments.

Horizon Core Values & Competencies

Growth

  • Manages Ambiguity

  • Strategic Mindset

  • Demonstrates Self-awareness

  • Cultivates Innovation

  • Develops Talent

Accountability

  • Drives Results

  • Ensures Accountability

  • Decision Quality

Transparency

  • Courage

  • Collaboration

  • Instills Trust

 

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