Patient Access Liaison

1 week ago

Altoona, United States National Guard Employment Network Full time

Job Description ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps. Unless specifically stated otherwise, this role is "On-Site" at the location detailed in the job post. Pennsylvania Territory Coverage: Altoona/State College, PA; Pittsburgh, PA; Charleston, WV Ideally, candidate would reside in the territory area stated above or within a reasonable daily commuting distance. Live What you will do Let's do this. Let's change the world. In this vital role you will provide logistical, non-medical educational assistance to patients and caregivers as well as office and site of care staff, including physicians, nurses, office managers and executives. The PAL works in a highly visible, strong team environment to provide exceptional customer service on all levels. Specifically, listen to patients, interpreting their specific needs and providing friendly, professional and well-informed answers to their non-medical, logistical questions. The PAL will work with the patient to educate on next steps required to gain access to therapy. The PAL will also work to maintain relationships with patients and families, and by extension physicians and their staff and cross-functional partners to support ongoing compliance with therapy. Strong knowledge and demonstrated history of access and reimbursement for buy and bill/infused pharmaceutical products is required. The PAL will work with numerous internal teams, including Market Access, Medical Affairs, Advocacy, Marketing, and Site of Care to facilitate and improve patient access to insurance, medications, financial support, resources and more. Secure written or electronic HIPAA consent to Horizon By Your Side for patients in the assigned geography. Develop relationships with patients and caregivers by engaging via phone, text, email, virtual or in person connections. Assess individual needs of the patient and develop an appropriate education and resource plan of action, considering the patient's family and team of healthcare providers to empower the patient to become their own advocate. Educate the patient on KRYSTEXXA coverage based on their benefits and the steps needed to gain prior authorization to ensure understanding of the process for medication access. Provide information on co-pay assistance programs, national foundations, and free drug programs by sharing information to patients as appropriate and needed. Provide proactive education to prescribers and sites of care upon patient enrollment on coverage for Horizon rare disease therapies, common prior authorization requirements, and coding and billings requirements. Provide access and reimbursement education based on the enrolled patient's KRYSTEXXA benefits to physician offices and sites of care. Educate the physician office and/or SOC on KRYSTEXXA coverage based on the patient's benefits and the steps needed to gain prior authorization to ensure understanding of the process for medication access. Investigate access challenges pre and post-infusion. Partner with Safety and PV and report AE's and product complaints through medical information. Work closely with the Horizon cross functional team including Case Managers, the Site of Care team, market access, matrix partners and external vendors. Adhere to professional standards compliance guidance, policies and procedures, federal, state, and local requirements. Additional Qualifications/Responsibilities Basic Qualifications: Doctorate degree and 2 years of patient services, reimbursement, medical affairs, or account management experience Master's degree and 4 years of patient services, reimbursement, medical affairs, or account management experience Bachelor's degree and 6 years of patient services, reimbursement, medical affairs, or account management experience Preferred Qualifications: Scientific background and ability to learn product and disease information. Nursing or other clinical background preferred. Orphan or Rare disease experience. Familiarity with HIPAA guidelines and FDA requirements. Familiarity with and Adherence to internal and OIG Compliance guidelines a must Ability to handle difficult patient cases and resolve hurdles. Ability to work in team environment and manage communication with case Liaisons and sales reps. Ability to respond immediately when necessary (within 24 hours) to prevent lapses in treatment. Strong analytical skills and ability to report on meaningful activity in the region. Proficient in Microsoft Office. Professional, proactive demeanor. Strong interpersonal skills. Excellent written and verbal communication skills. Ability and willingness to conduct field travel, as well as to travel to company meetings, client sites, etc. including some overnight and weekend travel (~50%)

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