Neuropsychiatry Access Navigator – West

5 days ago

Salt Lake, Utah, United States Biogen Idec Full time
About This Role

Biogen is seeking a seasoned Access Navigator to join our US Neuropsychiatry Franchise. This role is pivotal for ensuring patient access to our products and a positive customer experience through education on effective script fulfillment processes.

Key Responsibilities
  • Engage and work strategically with account decision-makers, relevant HCPs, and support personnel to deliver educational information that facilitates patient access and reimbursement for PPD therapy.
  • Educate stakeholders in key accounts who are involved in the script fulfillment process, with a focus on successful script submission, getting the script to the proper pharmacy, navigating the prior authorization process, and setting fulfillment process expectations with PPD patients.
  • Work closely with the account stakeholders to identify potential opportunities to improve fulfillment processes.
  • Act as the subject matter expert on all aspects of reimbursement, distribution options, and public and private payer policy coverage determination criteria relevant to specific customer's practices.
  • Provide disease state education around PPD screening, diagnosis, and treatment.
  • Collaborate closely with Neuropsychiatry Account Managers (NAMs), Trade, Payer, and Patient Services teams on script fulfillment issues (e.g., Specialty Pharmacy, account access and reimbursement management, etc.) to support pull-through and ensure that issues are resolved in a timely manner.
  • Organize and lead virtual as well as in-person access and reimbursement presentations to key account stakeholders, leveraging expert-level acumen on national and local payer payment trends, public and private payer dynamics, and pharmacy benefit reimbursement practices.
  • Serve as the regional reimbursement resource for key customer accounts providing both technical and practical advice to avert or resolve reimbursement issues and support patient access across the journey.
  • Promote a culture of compliance to ensure that all activities are fully compliant with Company policies and procedures, applicable laws, regulations, and industry standards.
Requirements
  • BA/BS required, preferably in one of the following areas: Business Administration, Communications, Healthcare Management, and Marketing.
  • 7+ years of access and reimbursement experience, with a successful track record across field reimbursement, clinical education or pharmaceutical account management of products that required significant payer and reimbursement support, specific emphasis on limited distribution network and controlled substances.
  • Comprehensive understanding of all aspects of reimbursement models (coding, coverage, and payment), including complete understanding of Commercial and Medicaid benefit designs and ability to locate applicable coverage policies.
  • Demonstrated advanced level of expertise with e-Prescribing and Prior Authorization processes.
  • Specialty Pharmacy, HUB and/or Patient service model experience, including experience with financial assistance programs.
  • Proactive and resourceful problem-solver with excellent interpersonal skills, exemplary and collaborative work ethic, and an ability to manage multiple and often-evolving strategic priorities.
  • Excellent written and verbal communication and presentation skills, tailored to various levels of internal and external audiences up to and including executive audiences.
  • Hybrid role with travel required – customer engagement will be virtual as well as in-person.
  • Driving is an essential duty of the job; candidates must have a valid driver's license to be considered.

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