Patient Access Coordinator

2 weeks ago

Rockville, Maryland, United States Aurinia Pharmaceuticals Full time


Our Mission: Transforming the landscape of autoimmune disease treatment.
Our Vision: Empowering patients to achieve their best health.

Aurinia Pharmaceuticals is a passionate team of professionals dedicated to altering the course of autoimmune diseases that currently lack effective treatments. We are unwavering in our commitment to deliver groundbreaking medical solutions. Our culture is built on resilience and compassion.

In addition to promoting our approved therapy, LUPKYNISTM, for eligible patients with lupus nephritis, we are actively expanding our innovative portfolio targeting various autoimmune conditions.

Our approach harnesses the expertise of our skilled team and our extensive experience in ethical drug development and market introduction. At Aurinia, we foster an environment where every team member can excel, guided by our core Cultural Values:
  • Collaborate for success
  • Work together
  • Innovate and develop
  • Act with integrity
United, we strive to change the course of autoimmune diseases for those in need.

Position Overview
Aurinia is currently in search of a Field Access Navigator (FAN). The FAN is crucial in alleviating payer-related barriers and enhancing access to Aurinia's products for patients and healthcare providers (HCPs). Operating within a comprehensive, cross-functional operational framework, the FAN is tasked with addressing access challenges by strategically collaborating with HCPs and their office personnel to resolve issues related to prior authorizations, denials, and appeals, while tackling the most intricate patient access dilemmas. The FAN will work closely with prescribing HCPs and their staff, nurse case managers, and Specialty Pharmacy liaisons on any access issues that require escalation. Additionally, the FAN will facilitate the resolution of HCP challenges by engaging relevant Aurinia cross-functional team members. The FAN will devise a patient-centric reimbursement strategy and proactively communicate payer criteria, terms, and practices concerning reimbursement for assigned Aurinia products.

Key Responsibilities:
  • Deliver personalized, face-to-face access issue resolution as the Patient Services payer expert, supporting the healthcare provider community.
  • Collaborate with cross-functional teams to develop strategic patient access and reimbursement plans for prior authorization of Aurinia's products.
  • Coordinate case escalations to the appropriate Corporate Account Directors.
  • Engage with Specialty Pharmacy and HUB staff to address any denials or appeals.
  • Maintain expert knowledge of the payer landscape relevant to Aurinia products to educate HCPs and their office staff on coverage policies and processes.
  • Serve as a liaison between cross-functional field teams and other Aurinia departments regarding public and private payer policies affecting patient access to Aurinia products.
  • Proactively communicate and clarify Aurinia-specific reimbursement programs, policies, and resources to ensure HCP office staff are well-informed on utilizing Access Programs for Aurinia products.
  • Anticipate, navigate, and resolve individual account and patient access issues by collaborating with all relevant stakeholders.
  • Contribute insights for the development of Patient Services marketing support materials as needed.
  • Comply with Anti-bribery & Corruption (ABAC) regulations to ensure adherence to pharmaceutical industry laws and Aurinia Policies.
  • Stay informed about healthcare industry trends and identify potential challenges.
  • The FAN may be assigned to additional products as Aurinia introduces new assets.
Qualifications:

The ideal candidate will possess strategic and operational reimbursement experience, along with familiarity with office practice policies and procedures. A strong cross-functional communication mindset, solutions-oriented approach, and excellent verbal and written communication skills are essential. The candidate should demonstrate a track record of producing results, adapting to evolving priorities within a growing organization, and requiring minimal supervision.
  • Bachelor's Degree required.
  • Eight or more years of relevant experience in biopharmaceuticals, with preferred experience in market access, insurance reimbursement, or billing, particularly related to specialty drug products.
  • A minimum of two years of proven excellence and working knowledge of reimbursement support and resolution directly with HCP office staff.
  • Demonstrated ability to apply reimbursement knowledge to overcome patient access barriers.
  • Previous experience with both private and public payers is strongly preferred.
  • Experience in other pharmaceutical/biotech functions, such as product marketing, managed care, field sales, or case management, is a plus.
  • Proven ability to consistently meet or exceed goals and objectives.
  • Knowledge of CMS policies and processes, particularly regarding Part D (Pharmacy Benefit design and coverage policy).
  • Familiarity with Commercial Insurers, Managed Care, Government, and Federal payer sectors.
  • Understanding of Integrated Delivery Networks/Integrated Health Systems.
  • Experience in creating, implementing, and executing feasible business plans.
  • Awareness of national reimbursement laws and regulations impacting the FAN role.
  • Frequent travel may be required to manage the assigned territory, sometimes with little notice.
Additional Information
All candidate information will be kept confidential according to EEO guidelines.

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