Current jobs related to Access Solutions Manager - Los Angeles, California - Apellis
-
Solutions Manager
4 weeks ago
Los Angeles, California, United States Sand Tech Holdings Limited Full timeAbout the RoleWe are seeking an experienced Solutions Manager to join our team at Sand Tech Holdings Limited. As a key member of our organization, you will play a critical role in driving the success of our clients through the delivery of innovative AI and digital transformation solutions.Your primary responsibility will be to work closely with our Sales and...
-
Access and Reimbursement Manager
2 weeks ago
Los Angeles, California, United States Syneos Health inVentiv Health Commercial LLC Full timeJob Title: Access and Reimbursement ManagerAt Syneos Health, we are seeking a highly skilled Access and Reimbursement Manager to join our team. As a key member of our field access team, you will play a critical role in ensuring that patients have access to our client's products.Key Responsibilities:Analyze reimbursement and access issues to identify...
-
Los Angeles, California, United States Ekman Associates Full timeJob Title: Customer Identity and Access Management SpecialistJob Summary:The Customer Identity and Access Management Specialist at Ekman Associates is responsible for designing and implementing external identity and access management solutions to support the integration of consumer-facing applications and partner access. This role requires expertise in...
-
Senior Identity and Access Management Engineer
2 weeks ago
Los Angeles, California, United States Della Infotech Full timeJob Summary:As a key member of the Della Infotech Identity Governance team, the Senior Identity and Access Management Engineer is responsible for ensuring our Identity Management environment functions at peak efficiency. The position will be a team player working to expand the integration of our identity management solutions with our enterprise applications,...
-
Media Solutions Manager
3 weeks ago
Los Angeles, California, United States GroupM Full timeJob Title: Media Solutions ManagerAt GroupM Nexus, we are seeking a highly skilled Media Solutions Manager to join our team. As a key member of our organization, you will be responsible for delivering exceptional service to our clients and agency partners.Key Responsibilities:Develop and execute programmatic planning and strategy across Advanced TV, Advanced...
-
Media Solutions Manager
2 weeks ago
Los Angeles, California, United States GroupM Full timeJob Title: Media Solutions ManagerGroupM Nexus is seeking a seasoned Media Solutions Manager to join our team. As a key member of our organization, you will be responsible for delivering exceptional service to GroupM agencies, working closely with the agency team to understand their needs, and providing timely responses to any requests.Key...
-
Media Solutions Manager
1 month ago
Los Angeles, California, United States GroupM Full timeJob Title: Media Solutions ManagerGroupM Nexus is seeking a highly skilled Media Solutions Manager to join our team. As a key member of our organization, you will be responsible for delivering exceptional service to GroupM agencies, working closely with the agency team to understand their needs, and providing timely responses to any requests.Key...
-
Los Angeles, California, United States Della Infotech Full timeAbout the Role:We are seeking a highly skilled Senior Identity and Access Management Engineer to join our UMG Identity Governance team. As a key member of the team, you will be responsible for ensuring our Identity Management environment functions at peak efficiency.The successful candidate will be a team player who can effectively communicate with business...
-
Solutions Manager
1 month ago
Los Angeles, California, United States Sand Tech Holdings Limited Full timeAbout Sand Tech Holdings LimitedSand Tech Holdings Limited is a fast-growing technology services company with a global presence. We specialize in delivering industrial-grade AI and software applications, supported by digital twin platforms and digital skills transformation, to help enterprises improve their operations and achieve strategic business...
-
Identity and Access Management Intern
1 week ago
Los Angeles, California, United States Sirius XM Full timeWho We Are: SiriusXM is a leading audio entertainment company in North America, delivering music, sports, talk, news, comedy, and podcasts to approximately 150 million listeners. Our vision is to shape the future of audio, where everyone can be effortlessly connected to the voices, stories, and music they love. We are seeking a summer intern to work...
-
Cyber Solutions Architect
5 days ago
Los Angeles, California, United States Capgemini Full timeCyber Solutions Architect Job DescriptionAt Capgemini, we are seeking a highly skilled Cyber Solutions Architect to join our team. As a Cyber Solutions Architect, you will be responsible for designing and implementing secure identity and access management solutions for our clients. This is a unique opportunity to work with a global leader in the field of...
-
Client Solutions Manager Automotive
1 month ago
Los Angeles, California, United States META Full timeJob SummaryWe are seeking a highly skilled Client Solutions Manager to join our team at Meta. As a Client Solutions Manager, you will be responsible for building and managing key client relationships, leveraging strong analytical skills, and developing platform and product expertise to become a trusted consultant in media planning, strategy, and measurement...
-
Cybersecurity Solutions Manager
4 weeks ago
Los Angeles, California, United States Palo Alto Networks Full timeAbout the RoleWe are seeking a highly skilled and experienced Solutions Consultant Manager to join our team at Palo Alto Networks. As a Solutions Consultant Manager, you will be responsible for leading a team of Solutions Consultants in a specific district, providing technical guidance and expertise to customers, and driving the adoption of Palo Alto...
-
Los Angeles, California, United States Sirius XM Radio Inc Full timeAbout the Role:SiriusXM is seeking a Staff Engineer to drive our identity transformation. This is an excellent opportunity to make a significant impact in a growing organization committed to delivering outstanding user experiences.Key Responsibilities:Lead the design and implementation of Okta solutions to meet organizational identity and access management...
-
Regional Account Manager
1 week ago
Los Angeles, California, United States PTC Therapeutics Full timeJob Description Summary:The Regional Account Manager for Market Access is a field-based position responsible for gaining and maintaining broad coverage, access, and reimbursement for PTC Therapeutics products across key regional commercial and state Medicaid payers.This includes interacting with all levels of regional payers, including Pharmacy Directors,...
-
Security Solutions Manager
4 weeks ago
Los Angeles, California, United States Optiv Full timeJob Title: Security Solutions ManagerAs a Security Solutions Manager at Optiv, you will be responsible for selling security services and technology solutions to a select few enterprise accounts in Southern California. You will own and coordinate all aspects of the sales cycle within your assigned accounts, leading a cross-functional team to build and execute...
-
Security Solutions Manager
1 month ago
Los Angeles, California, United States Optiv Full timeJob Title: Security Solutions ManagerAs a Security Solutions Manager at Optiv, you will be responsible for selling security services and technology solutions to a select few enterprise accounts in Southern California. You will own and coordinate all aspects of the sales cycle within your assigned accounts, leading a cross-functional team to build and execute...
-
Solutions Architect Manager
2 weeks ago
Los Angeles, California, United States Verizon Full timeJob SummaryWe are seeking a highly skilled Solutions Architect Manager to join our team at Verizon. As a key member of our sales team, you will be responsible for understanding customer needs and crafting innovative solutions to meet their technical requirements.Your primary focus will be on delivering technical solutions to new business customers, ensuring...
-
Regional Account Manager
6 days ago
Los Angeles, California, United States PTC Therapeutics Full timeJob Description Summary:The Regional Account Manager - Market Access is a field-based position responsible for gaining and maintaining broad coverage, access, and reimbursement for PTC Therapeutics products across key regional commercial and state Medicaid payers.This includes interacting with all levels of regional payers, including Pharmacy Directors,...
-
Business Solutions Manager
1 month ago
Los Angeles, California, United States NBCUniversal Full timeJob Title: Business Solutions ManagerWe are seeking a highly skilled Business Solutions Manager to join our team at NBCUniversal. As a key member of our Technical Operations organization, you will be responsible for building and supporting the reporting and analytics environment for the NBCUniversal Studio Group.Key Responsibilities:Develop and maintain...
Access Solutions Manager
2 months ago
Position Summary:
The Reimbursement Field Manager (RFM) plays a crucial role in reducing access and reimbursement challenges for patients and healthcare providers, ensuring optimal access to Apellis' Ophthalmology offerings. The RFM is tasked with identifying and addressing access hurdles within their designated area by collaborating strategically with healthcare professionals and organizations to resolve intricate patient access dilemmas throughout the reimbursement process.
As a vital member of the field team, the RFM serves as the primary contact for matters related to reimbursement and access support. They will deliver education and facilitate the implementation of account strategies for Apellis products in relevant healthcare settings. Furthermore, the RFM will assess reimbursement and access challenges and, in partnership with their supervisor, act as the local resource for internal Apellis stakeholders in their assigned territory. The RFM will also work cross-functionally with Corporate Accounts, Patient Services, and Field Sales to enhance patient access to medications.
Key Responsibilities Include:
- Collaborate with both internal and external partners to identify, anticipate, and resolve reimbursement challenges faced by patients and practices; implement necessary updates based on developed solutions.
- Identify healthcare facilities and practices requiring reimbursement education and support concerning Apellis products.
- Provide updates and insights on product and service integration at healthcare accounts.
- Educate facility personnel on policies regarding product acquisition, inventory management, and returns to ensure seamless integration into practice workflows.
- Deliver coding, coverage, and reimbursement information to key staff members (e.g., practice managers, nursing, billing, and reimbursement teams) to facilitate patient access.
- Work collaboratively with the field team to share insights regarding customer needs, potential barriers, and payer issues that may affect access.
- Communicate payer policy updates or system changes that may impact access within assigned accounts.
- Proactively share information about Apellis-specific patient services programs, policies, and resources to ensure office staff are well-informed on access programs.
- Assist with inquiries related to patient coverage, access, and reimbursement in coordination with patient services as per established policies.
- Conduct regular reviews with practices to assess their utilization of Apellis reimbursement support services and identify opportunities for enhancement.
- Maintain a comprehensive understanding of Apellis policies and execute all responsibilities in alignment with company guidelines.
- Handle protected health information (PHI) with care and confidentiality.
- Foster compliant relationships with relevant local, state, and institutional organizations.
- Stay informed about industry trends related to customer and market access.
Education, Registration & Certification:
- A Bachelor's degree from an accredited institution.
Experience:
- A minimum of 10 years of commercial experience in the pharmaceutical or biotechnology sector.
- At least 5 years of experience in healthcare coverage, coding, and/or reimbursement.
- Experience with Buy and Bill products, Medicare Part B, and Miscellaneous J-Codes is essential.
- Experience in Ophthalmology is highly preferred.
- Experience in start-up environments is advantageous.
Skills, Knowledge & Abilities:
- Proven experience working with billing and medical claims personnel across various healthcare settings, including physician offices, hospitals, and outpatient surgical centers.
- Demonstrated expertise in assisting healthcare provider offices with coding, billing, and submissions across diverse payer environments.
- Well-versed in implementing and executing initiatives related to Medicare, Medicaid, and other payers.
- Familiarity with CPT, HCPCS, and ICD-10 revenue codes.
- Knowledge of health insurance claim forms, including UB-04, CMS-1450, CMS-1500, and prior authorization forms, to troubleshoot billing and claims submission issues.
- Ability to analyze and interpret regulatory and legislative payer and healthcare policies.
- Willingness to travel 50-70% of the time.
Benefits and Perks:
Apellis offers a comprehensive benefits package, including health insurance with full premium coverage, a 401K plan with company matching, paid time off (PTO), long-term disability insurance, life insurance, and more.
Company Background:
Apellis Pharmaceuticals, Inc. is a global biopharmaceutical organization dedicated to pioneering innovative therapies for some of the most challenging diseases faced by patients. We have introduced the first new class of complement medicine in 15 years and currently offer two approved therapies targeting C3, including the first and only treatment for geographic atrophy, a leading cause of blindness worldwide. With numerous clinical and pre-clinical programs in progress, we are committed to unlocking the potential of targeting C3 across various serious health conditions.
EEO Statement:
Apellis is an equal opportunity employer and adheres to all applicable federal, state, and local fair employment practices laws. We strictly prohibit discrimination against employees, applicants, or any other covered individuals based on race, color, religion, national origin, sex, age, disability, or any other characteristic protected by law.
Other Duties:
Please note that this job description is not intended to be an exhaustive list of all activities, duties, or responsibilities required of the employee for this position. Duties and responsibilities may change at any time with or without notice.
