Patient Access Manager
Location: New York City, NY, US
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.
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
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