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Patient Access Specialist, Philadelphia
2 months ago
We are seeking a highly skilled Patient Access Specialist to join our team at Insmed Incorporated. As a Patient Access Specialist, you will play a critical role in ensuring that patients have access to our life-changing treatments.
Key Responsibilities- Establish and maintain collaborative relationships with Patient Support Services, Field Sales, Channel Management, and Market Access colleagues to support patient access.
- Assist in resolving patient-specific access barriers to Insmed's products as prescribed by healthcare providers.
- Educate healthcare office staff about prior authorization and appeals processes, and provide high-level information about submission procedures and reauthorization requirements.
- Work compliantly and proactively to identify and resolve patient access and reimbursement issues within assigned geography.
- Provide factual process information to healthcare offices utilizing patient health information, with appropriate patient consent.
- Serve as a reimbursement expert for the patient support services team for assigned geography/plans.
- Monitor patient start trends in assigned geographies/plans, and collaborate with the Market Access team to proactively address emerging patient access challenges.
- Maintain an up-to-date repository of plan-specific reimbursement criteria, forms, and submission procedures.
- Comply with Insmed's reimbursement support policy and rules of engagement.
- 5+ years of relevant experience in reimbursement and patient access, market access, specialty pharmacy, or physician/system account management.
- Bachelor's degree required.
- Experience working with healthcare providers strongly preferred.
- Product launch experience preferred.
- Experience navigating payer reimbursement processes, preferably Medicare Part D (pharmacy benefit design and coverage policy).
- Experience with specialty products acquired through specialty pharmacy networks.
- Proven record of success through cross-functional collaboration and execution.
- Patient-centric and service-oriented mindset, with a high degree of emotional intelligence and empathy.
- Exemplary interpersonal and listening skills.
- Strong communication (written and verbal), and presentation skills.
- Understanding of patient privacy laws, including HIPAA and similar state laws.
- High learning agility.
- Strong business acumen.
- High enthusiasm with a drive to success within a team.
- Highly organized with a strong attention to detail.
- Highly proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook).
- Ability to travel and cover large multistate geography/territories.
- Competitive compensation package, including bonus.
- Stock options and RSU awards.
- Employee Stock Purchase Plan (ESPP).
- Flexible vacation policy.
- Generous paid vacation schedule and winter break.
- 401(k) plan with company match.
- Medical, dental, and vision plans.
- Company-provided Life and Accidental Death & Dismemberment (AD&D) insurance.
- Company-provided short and long-term disability benefits.
- Unique offerings of pet, legal, and supplemental life insurance.
- Flexible spending accounts for medical and dependent care.
- Accident and Hospital Indemnity insurance.
- Employee Assistance Program (EAP).
- Mental Health online digital resource.
- Well-being reimbursement.
- Paid leave benefits for new parents.
- Paid time off to volunteer.
- On-site, no-cost fitness center at our U.S. headquarters.
