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Reimbursement Specialist

4 weeks ago

Sacramento, California, United States HealthCare Recruiters International Full time

The Patient Access Specialist is a key field-based member of the Market Access Patient Services team responsible for contacting designated accounts and providing support to both the patients, families and healthcare providers (HCPs). This position requires expertise and knowledge of complex pharmaceutical related patient access, HUB and reimbursement processes. Strong consideration will be given to qualified applicants who are also biligual (Spanish & English)

Our client is an exciting, innovative biopharmaceutical company focused on providing advanced therapeutic options to patients suffering from rare genetic disorders.

Primary Responsibilities

  • Serves as the primary point of contact for all patient & caregiver interactions for insurance support, problem resolution, access support, office staff, education
  • Work with a 3rd party insurance support partner and specialty pharmacies
  • Work collaboratively with all appropriate field roles, HUB case mangers, sales, national accounts, reimbursement specialists
  • Must be able to travel up to 25%

Qualifications/Experience

  • BSN/MSN preferred; BA/BS in a relevant discipline required
  • PACs certification is preferred
  • Case management, patient services, or pharmaceutical market access experience
  • At least 3+ years working for a biopharmaceutical manufacturer in a similar/relevant role
  • Strong understanding of pharmacy benefit designs, prior authorization processes, and specialty pharmacy treatment pathways

Compensation

  • $195,000- $210,000
  • LTIP (long term incentive program)