Neuropsychiatry Access Navigator

3 weeks ago


Dallas, United States Biogen Full time

Neuropsychiatry Access Navigator – Central Full-time Region: US About This Role Biogen is searching for a dynamic and seasoned Access Navigator to join our US Neuropsychiatry Franchise. This role is pivotal for ensuring patient access to our products and a positive customer experience through education on effective script fulfillment processes. In this field-based, regional scope position, the NAN is the subject matter expert for reimbursement, prior authorizations, coding, pharmacy distribution models, and patient access issues related to administration of therapy by practices treating postpartum depression (i.e., women’s health, perinatal-focused psychiatrists, and PCP offices). Collaborating closely with the Neuropsychiatry Account Managers (NAMs) and other customer-facing teams as necessary and appropriate, the NAN will strategically educate and support appropriate account stakeholders – i.e., healthcare providers and office staff involved in fulfillment processes – on access and reimbursement and script pull through processes, distribution pathways, specific payer policy requirements, and clinical information when appropriate. Additionally, the NAN will work with key accounts to provide disease state education around PPD screening, diagnosis, and treatment. What You’ll Do Engage and work strategically with account decision-makers, relevant HCPs, and support personnel to deliver educational information that facilitates patient access and reimbursement for PPD therapy. Educate stakeholders in key accounts who are involved in the script fulfillment process, with a focus on successful script submission, getting the script to the proper pharmacy, navigating the prior authorization process, and setting fulfillment process expectations with PPD patients. Work closely with the account stakeholders to identify potential opportunities to improve fulfillment processes. Act as the subject matter expert on all aspects of reimbursement, distribution options, and public and private payer policy coverage determination criteria relevant to specific customer’s practices. Provide disease state education around PPD screening, diagnosis, and treatment. Collaborate closely with Neuropsychiatry Account Managers (NAMs), Trade, Payer, and Patient Services teams on script fulfillment issues (e.g., Specialty Pharmacy, account access and reimbursement management, etc.) to support pull-through and ensure that issues are resolved in a timely manner. Organize and lead virtual as well as in-person access and reimbursement presentations to key account stakeholders, leveraging expert-level acumen on national and local payer payment trends, public and private payer dynamics, and pharmacy benefit reimbursement practices. Serve as the regional reimbursement resource for key customer accounts providing both technical and practical advice to avert or resolve reimbursement issues and support patient access across the journey. Promote a culture of compliance to ensure that all activities are fully compliant with Company policies and procedures, applicable laws, regulations, and industry standards. Who You Are You are a strategic thinker and authority in access and reimbursement, with a demonstrated track record of high performance. You have robust expertise in public and private payer policies, prior authorization policies and procedures, specialty pharmacy distribution models, and access pertaining to controlled substances. You are a collaborative, resourceful, and tenacious individual who thrives in fast-paced environments and approaches challenges with creativity and determination. You have a unique ability to distill complex payer information in a streamlined and digestible manner for your stakeholders. You put the needs of patients and those who care for them above all else and have a passion for serving them. The successful candidate must reside within the boundaries of the territory and the preferred location for the successful candidate would be Dallas, TX, Houston, TX or Chicago IL. BA/BS required, preferably in one of the following areas: Business Administration, Communications, Healthcare Management, and Marketing. 7+ years of access and reimbursement experience, with a successful track record across field reimbursement, clinical education or pharmaceutical account management of products that required significant payer and reimbursement support; specific emphasis on limited distribution network and controlled substances. Comprehensive understanding of all aspects of reimbursement models (coding, coverage, and payment), including complete understanding of Commercial and Medicaid benefit designs and ability to locate applicable coverage policies. Demonstrated advanced level of expertise with e-Prescribing and Prior Authorization processes. Specialty Pharmacy, HUB and/or Patient service model experience, including experience with financial assistance programs. Proactive and resourceful problem-solver with excellent interpersonal skills, exemplary and collaborative work ethic, and an ability to manage multiple and often-evolving strategic priorities. Excellent written and verbal communication and presentation skills, tailored to various levels of internal and external audiences up to and including executive audiences. Hybrid role with travel required – customer engagement will be virtual as well as in-person. Driving is an essential duty of the job; candidates must have a valid driver’s license to be considered. Compensation and Benefits The base compensation range for this role is $164,000 to $246,000. Base salary is determined by a combination of factors including, but not limited to, job related years of relevant experience, internal equity, and location of the job. Additionally, this role is eligible for participation in Biogen’s LTI grants and other incentive programs. Biogen offers a full range of benefits that include medical, dental, life, long and short-term disability insurances, vacation, end-of-year shutdown, and 401K participation and matching contributions. Why Biogen? We are a global team with a commitment to excellence, and a pioneering spirit. As a mid-sized biotechnology company, we provide the stability and resources of a well-established business while fostering an environment where individual contributions make a significant impact. Our team encompasses some of the most talented and passionate achievers who have unparalleled opportunities for learning, growth, and expanding their skills. Above all, we work together to deliver life-changing medicines, with every role playing a vital part in our mission. Caring Deeply. Achieving Excellence. Changing Lives. At Biogen, we are committed to building on our culture of inclusion and belonging that reflects the communities where we operate and the patients we serve. We know that diverse backgrounds, cultures, and perspectives make us a stronger and more innovative company, and we are focused on building teams where every employee feels empowered and inspired. Read on to learn more about our DE&I efforts. All qualified applicants will receive consideration for employment without regard to sex, gender identity or expression, sexual orientation, marital status, race, color, national origin, ancestry, ethnicity, religion, age, veteran status, disability, genetic information or any other basis protected by federal, state or local law. Biogen is an E-Verify Employer in the United States. #J-18808-Ljbffr



  • Dallas, Texas, United States Biogen Full time

    Biogen is seeking a seasoned Access and Reimbursement Specialist to join our US Neuropsychiatry Franchise team. This role is pivotal for ensuring patient access to our products and a positive customer experience through education on effective script fulfillment processes.About This RoleThe Access and Reimbursement Specialist will be the subject matter expert...


  • Dallas, Texas, United States Salto Inspired Access Full time

    Job DescriptionAt Salto Inspired Access, we're seeking a highly skilled Field Engagement Specialist to join our team. As a key member of our access control team, you'll be responsible for ensuring customer satisfaction, retention, and standards compliance across various industry applications and technologies.Key Responsibilities:Customer Advocacy: Engage...


  • Dallas, Texas, United States Salto Inspired Access Full time

    Job DescriptionAre you passionate about delivering exceptional customer experiences in the access control industry? Do you have a knack for problem-solving and a passion for staying up-to-date with the latest security solutions?We are seeking a highly skilled Field Engagement Specialist to join our dynamic team at Salto Inspired Access. As a key member of...


  • Dallas, Texas, United States Children's Health (Dallas) Full time

    Nurse Navigator Job DescriptionChildren's Health (Dallas) is seeking a highly skilled Nurse Navigator to join our team. As a Nurse Navigator, you will play a vital role in coordinating patient care and ensuring seamless transitions between healthcare services.Key Responsibilities:Collaborate with healthcare teams to identify patient needs and develop...

  • Nurse Navigator

    1 week ago


    Dallas, United States Children's Health Full time

    Job Title & Specialty Area: Nurse Navigator Department: Enterprise Care Management Location: Dallas Shift: Day Job Type: Hybrid (on campus 3 days per week) Why Children's Health? At Children's Health, our mission is to Make Life Better for Children, and we recognize that their health plays a crucial role in achieving this goal. Through our...

  • Resource Navigator

    4 weeks ago


    Dallas, Oregon, United States Polk County, OR Full time

    About the JobPolk County is seeking a skilled Resource Navigator to join our team. As a key member of our Family and Community Outreach department, you will play a vital role in supporting families by connecting them with local resources.Key Responsibilities:Provide case management services to families in need, focusing on connecting them with local...


  • Dallas, United States Baylor Scott & White Healthcare Full time

    JOB SUMMARY The Member Navigator works directly with members who have chronic health issues, gaps in care, or are difficult to engage; guides these members through the health care system and works to overcome non-clinical obstacles that prevent them from receiving the care and treatment they require. Works closely with teams across multiple departments,...


  • Dallas, Texas, United States Baylor Scott & White Healthcare Full time

    Job SummaryThe Patient Access Representative is responsible for obtaining current and accurate demographics and insurance information to register patients, verify insurance benefits, and negotiate and collect patient financial responsibilities. This role requires a high level of empathy and effective communication skills to interact with patients and family...


  • Dallas, Texas, United States Cencora Full time

    At Cencora, we're seeking a highly motivated and task-oriented Specialty Pharmacist Navigator to join our innovative team. This role will play a crucial part in building and creating our specialty program, working closely with our clinical pharmacy team and providers to deliver exceptional patient care.Key Responsibilities:Establish relationships with...


  • Dallas, Texas, United States Baylor Scott & White Health Full time

    Job SummaryThe Access Services Representative 2 plays a critical role in ensuring seamless patient registration and financial clearance processes. This individual is responsible for obtaining accurate demographics and insurance information, verifying patient eligibility, and negotiating payment arrangements. A key member of the revenue cycle team, the Access...

  • Clinic Nurse Navigator

    18 hours ago


    Dallas, United States Baylor Scott & White Health Full time

    Title: Clinic Nurse Navigator Work Status: Full-Time Work Schedule: Monday - Friday 8am - 5pm Specialty/Setting: Orthopedic Surgery About Us At Baylor Scott & White Health, we promote well-being for all people. It is the largest not-for-profit healthcare system in Texas. Baylor Scott and White helps you live well. Our Core Values are: * We serve...


  • Dallas, Texas, United States Parkland Health and Hospital System Full time

    Job SummaryAs a member of the interdisciplinary team at Parkland Health and Hospital System, the Referral and Care Coordinator plays a vital role in ensuring seamless access to high-quality care for patients. This talented professional will serve as a liaison between patients, families, physicians, and nurses to coordinate referrals, appointments, and...


  • Dallas, Texas, United States Parkland Health and Hospital System (PHHS) Full time

    Parkland Health and Hospital System (PHHS) is committed to providing exceptional care to individuals and communities. As a Peer Recovery Navigator - Opioid Abatement Specialist, you will play a vital role in supporting patients and families in their recovery journey.**Key Responsibilities:**Coordinate care among healthcare providers, including screening...


  • Dallas, United States Rightway Inc Full time

    ABOUT THE ROLE: This position provides additional PBM operational experience as we grow our Pharmacy Navigation team to scale with new memberships. This role will be key in supporting our Clinical Pharmacists to deliver on the "pharmacist in the family" approach to engaging our members. We are looking for an experienced certified pharmacy technician to...

  • Nurse Navigator

    4 weeks ago


    Dallas, Texas, United States Children's Health Full time

    Job Title & Specialty Area: Pediatric Nurse Navigator Department: Enterprise Care Management Location: Dallas Shift: Day Job Type: Hybrid (on campus 3 days per week) At Children's Health, our mission is to Make Life Better for Children, and we recognize that their health plays a crucial role in achieving this goal. Through our cutting-edge treatments and...


  • Dallas, United States Su Vida Services Inc Full time

    Who We AreAt Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well-being of an underserved community and their families. Our...


  • Dallas, United States Baylor Scott & White Health Full time

    Title: Clinic Nurse Navigator Work Status: Full-Time Work Schedule: Monday - Friday 8am - 5pm Specialty/Setting: Orthopedic Surgery About Us At Baylor Scott & White Health, we promote well-being for all people. It is the largest not-for-profit healthcare system in Texas. Baylor Scott and White helps you live well. Our Core Values are: We serve faithfully...


  • Dallas, United States Baylor Scott & White Health Full time

    JOB SUMMARY The Access Services Representative 2 obtains current and accurate demographics and insurance information in order to register patient, verification of insurance benefits, negotiates and collects patient financial responsibilities. Passionately cross-trains and works in all areas as assigned. Serves as a mentor and / or trainer for peers. SHIFT...


  • Dallas, United States Baylor Scott & White Health Full time

    **JOB SUMMARY** The Access Services Representative 2 obtains current and accurate demographics and insurance information in order to register patient, verification of insurance benefits, negotiates and collects patient financial responsibilities. Passionately cross-trains and works in all areas as assigned. Serves as a mentor and / or trainer for peers....

  • Healthcare Navigator

    4 weeks ago


    Dallas City, Illinois, United States The Wright Center Medical Group Full time

    Job Title: Community Health WorkerAt The Wright Center Medical Group, we are seeking a highly motivated and compassionate Community Health Worker to join our team. The successful candidate will work closely with medical providers, primary care teams, and social services agencies to provide short-term care coordination and connection to resources and support...