Access Solutions Specialist

2 months ago

Rockville, Maryland, United States Aurinia Pharmaceuticals Full time


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

At Aurinia Pharmaceuticals, we are a passionate team of professionals dedicated to altering the course of autoimmune diseases that currently lack effective treatment options. Our commitment to delivering groundbreaking medical solutions drives us forward. We are determined. We care deeply.

In addition to promoting our approved therapy, LUPKYNISTM, for eligible patients with lupus nephritis, we are actively developing a diverse range of innovative therapies for autoimmune diseases.

Our approach harnesses the expertise of our skilled team and our extensive experience in ethical drug development and commercialization. Aurinia fosters a work environment where every individual can excel, guided by our Cultural Values:
  • Collaborate for success
  • Work together
  • Innovate and develop
  • Act with integrity
Together, we strive to change the course of autoimmune diseases for patients in need.

Position Overview
Aurinia is currently in search of a Field Access Navigator (FAN). The FAN is crucial in overcoming payer challenges and enhancing access to Aurinia products for patients and healthcare providers (HCPs). Within a cohesive, cross-functional operational framework, the FAN is tasked with resolving access barriers by strategically collaborating with HCPs and their office personnel to address issues related to prior authorizations, denials, appeals, and complex patient access challenges. The FAN will closely engage with prescribing HCPs, their office staff, nurse case managers, and Specialty Pharmacy liaisons on any access issues that require escalation. The FAN will also facilitate the resolution of HCP challenges as they arise by involving relevant Aurinia cross-functional team members. The FAN will devise a customer-centric reimbursement strategy and proactively communicate payer criteria, terms, and practices related to reimbursement for assigned Aurinia products.

Key Responsibilities:
  • Deliver personalized, face-to-face resolution of access issues 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.
  • Work with Specialty Pharmacy and HUB staff to address any denials or appeals.
  • Maintain expertise on 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 during the development of Patient Services marketing support materials as needed.
  • Understand and adhere to Anti-bribery & Corruption (ABAC) requirements to ensure compliance with pharmaceutical industry laws and Aurinia Policies.
  • Stay informed about healthcare industry trends, identifying patterns or connections that may indicate future challenges.
  • The FAN may be assigned to additional products as Aurinia expands its portfolio.
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, solution-oriented approach, and excellent verbal and written communication skills are essential. The candidate should demonstrate a results-driven attitude, adaptability to shifting priorities in a growing organization, and the ability to work with minimal supervision.
  • Bachelor's Degree required.
  • Eight or more years of relevant experience in the biopharmaceutical sector, with preferred experience in market access, insurance reimbursement, or billing, particularly related to specialty drug products.
  • A minimum of two years of proven experience in reimbursement support and resolution directly with HCP office staff.
  • Demonstrated ability to apply reimbursement knowledge to address and resolve patient access barriers.
  • Prior experience with both private and public payers is strongly preferred.
  • Experience in other pharmaceutical or biotech functions, such as product marketing, managed care, field sales, or case management, is a plus.
  • Proven track record of consistently achieving or exceeding 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 is necessary 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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