Ophthalmology Portfolio Access Strategist

3 weeks ago


Waltham, Massachusetts, United States Apellis Pharmaceuticals Full time
Job Overview

Apellis Pharmaceuticals is seeking a skilled Ophthalmology Portfolio Access Strategist to join our team. As a key member of our front-line field team, you will be responsible for minimizing access & reimbursement barriers for patients and providers to optimize access to our Ophthalmology portfolio.

About the Role

In this role, you will strategically work with customers and accounts to solve the most complex patient access issues through all facets of the reimbursement cycle. You will proactively provide education and support on Apellis reimbursement support programs for retina practices, multi-specialty groups, facilities, and their staff.

Responsibilities

- Partner with internal and external stakeholders to identify, anticipate, and address patient and practice reimbursement issues.
- Implement updates/changes based on solutions generated to address issues.
- Identify facilities and practices that need reimbursement education and support regarding Apellis products.
- Provide insights and updates regarding product and support service integration at accounts.
- Educate facility staff on policies related to product acquisition, inventory management, product returns, and replacement to support full integration of product into practice workflow.
- Provide coverage, coding, and reimbursement information to key staff members (i.e., practice manager, nursing, billing, and reimbursement staff) in order to appropriately support patient access.
- Collaborate with field-facing "One Team" to compliantly share insights into customer needs, potential barriers, and payer issues/opportunities for access at practices.
- Communicate and explain payer policy updates or system changes that impact access in assigned accounts.
- Proactively communicate Apellis-specific patient services programs, policies, procedures, and resources so that office staff is fluent in how to use access programs and systems.
- Support questions associated with patient coverage, access, and reimbursement from accounts in collaboration and coordination with patient services as directed by policy and procedure.
- Conduct quarterly reviews with practices on their utilization of Apellis reimbursement support services to better understand how we may evolve our offering to best suit the needs of the customer.

Requirements

- 10 years of commercial experience in the pharmaceutical or biotech industry.
- 5+ years of experience in healthcare coverage, coding, and/or reimbursement experience.
- Experience with Buy and Bill products, Medicare Part B, and Miscellaneous J-Codes required.
- Ophthalmology experience strongly preferred.
- Start-up experience preferred.

Salary Information

The estimated salary for this position is $120,000 - $170,000 per year, depending on experience.

Benefits

Apellis offers a great benefit package, including health insurance with full premium coverage, 401K with company match, paid time off (PTO), long-term disability insurance, life insurance, and more. Visit https://apellis.com/careers/ to learn more.

About Us

Apellis Pharmaceuticals, Inc. is a global biopharmaceutical company that combines courageous science and compassion to develop life-changing therapies for some of the most challenging diseases patients face. We ushered in the first new class of complement medicine in 15 years and now have two approved medicines targeting C3. These include the first and only therapy for geographic atrophy, a leading cause of blindness around the world.

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