Field Access Navigator

4 weeks ago


Rockville, Maryland, United States Aurinia Pharmaceuticals Full time
Job Description

Aurinia Pharmaceuticals is seeking a highly skilled Field Access Navigator to play a critical role in ensuring patient access to our innovative therapies.

Key Responsibilities:
  • Provide personalized access issue resolution to healthcare providers, addressing prior authorizations, denials, and appeals.
  • Develop and implement strategic patient access and reimbursement plans for Aurinia's products, collaborating with cross-functional teams.
  • Coordinate case escalation to Corporate Account Directors and work with Specialty Pharmacy and HUB staff to resolve denials and appeals.
  • Stay up-to-date on payer landscape knowledge, educating healthcare providers on national, regional, and local coverage policies and processes.
  • Serve as a conduit between field-facing teams and other Aurinia functions, providing insights on public and private payer policies and practices.
  • Proactively communicate Aurinia-specific reimbursement programs, policies, and resources to healthcare providers and their office staff.
  • Anticipate and address individual account and patient access issues, partnering with stakeholders to resolve challenges.
  • Assist in providing field insights for Patient Services marketing support materials, as needed.
Requirements:
  • Strategic and operational reimbursement experience, with familiarity with office practice policies and procedures.
  • Strong cross-functional communication skills, with a solutions-oriented mindset and excellent verbal and written communication skills.
  • Bachelor's Degree required, with eight or more years of related experience in bio-pharma, preferably in market access, insurance reimbursement, or large Healthcare Practice reimbursement.
  • Minimum of two or more years of demonstrated excellence in reimbursement support and resolution, directly with HCP office staff.
  • Previous experience with both private and public payers, as well as knowledge of CMS policies and processes, is strongly preferred.


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