The purpose of this position is to be a primary resource to patients enrolled in SOURCE (PharmaEssentia's dedicated patient support program). This role is responsible for engaging each identified patient, conducting dedicated patient outreach, and providing guided support throughout the patient access journey. This role will identify patient barriers to treatment, provide education, and work to alleviate barriers on a case-by-case basis. This role will interact with internal and external stakeho... more details
Location: Preferred Location is a candidate living in PST or MST (Western US)
Position Overview: The purpose of this position is to be a primary resource to patients enrolled in SOURCE (PharmaEssentia’s dedicated patient support program). This role is responsible for engaging each identified patient, conducting dedicated patient outreach, and providing guided support throughout the patient access journey. This role will identify patient barriers to treatment, provide education, and work to alleviate barriers on a case-by-case basis. This role will interact with internal and external stakeholders to prevent and address non-clinical barriers to access.
The Company: It’s not often you get the chance to make a real impact on the lives of others, while expanding your own possibilities. You’ll find that rare opportunity at PharmaEssentia. Join us, and let’s transform lives, together.
PharmaEssentia Corporation is a rapidly growing biopharmaceutical innovator. We are leveraging deep expertise and proven scientific principles to deliver effective new biologics for challenging diseases in the areas of hematology and oncology, with one approved product and a diversifying pipeline. We believe in the potential to improve both health and quality of life for patients with limited options today through the combination of rigorous research and innovative thinking. Founded in 2003 by a team of Taiwanese-American executives and renowned scientists from U.S. biotechnology and pharmaceutical companies, today we are listed on the Taipei Exchange (TPEx: 6446) and are expanding our global presence with operations in the U.S., Japan, China and Korea, along with a world-class biologics production facility in Taichung. Roles and Responsibilities:
Patient Access
Lead the case management process, while balancing the needs of individual patients and aligning with department goals and objectives.
Act as primary patient support to ensure a seamless and personalized patient experience.
Engage patients/families to create a trusting relationship, uncover patient needs, understand challenges, and provide education and support.
Educate patients/caregivers and other collaboration members about SOURCE, insurance requirements or limitations, assistance programs, disease specific organizations and relevant disease/product information as necessary to support access.
Consistently identify complex patient specific issues and provide relevant education and resources to patients with goal of empowering patients to identify and initiate an action plan to eliminate any access barriers.
Work collaboratively with all access stakeholders to ensure all available resources have been activated to address access barriers.
Identify and complete follow up calls at critical points in patient journey to provide additional support and resources, until identified access barriers are eliminated.
When eligible, educate and enroll patients in assistance programs available through SOURCE. Monitor to ensure continued eligibility.
Consistently maintain accurate data, including case updates and next steps, new insurance information or coverage approvals, for all patient interactions.
Leverage CRM functions and reporting tools to manage caseload and prioritize patient needs.
Coordinate communication between the Manager of Patient Access, Field Access Manager, Case Manager and Specialty Pharmacy and notify of case updates that require their action via identified process.
Demonstrate and maintain an understanding of HUB Business rules, patient journey and HUB communication documents for patients and HCPs.
Provide caseload coverage outside of assigned territory as needed.
Establish and maintain professional and effective relationships with all internal and external stakeholders including but not limited to HUB, specialty pharmacies and market access colleagues.
Represent SOURCE and serve as a subject matter expert at external meetings and conferences on an as needed basis.
Demonstrate and maintain an understanding of the role for all market access colleagues, patient access goals, and patient support services at HUB and specialty pharmacy.
Demonstrate innovation by consistently monitoring systems, processes, and potential gaps by offering new ideas and solutions to elevate the patient support program.
Maintain a comprehensive understanding of navigation of health care systems, pharmacy and medical coverage, insurance plan types & payer trends.
Effectively identify and share new trends or other knowledge that could negatively impact BESREMi access with the Patient Access leadership team.
Comply with laws, regulations and rules governing the pharmaceutical industry.
The Person: Education: BA/BS degree
Qualifications and Experience:
Bachelor’s degree required.
Degree in health care, social work, or case management (or equivalent professional experience in a health care or insurance setting).
Minimum 3-5 years of experience in a patient facing or case management role.
In-depth understanding of health insurance benefits, relevant state and federal laws and insurance regulations.
Proficiency in billing/coding, insurance plan types, medical and pharmacy benefits, and relevant state and federal laws and insurance regulations preferred.
Experience with financial assistance programs, charitable access and related resources preferred.
Proven ability to collaborate with internal and external stakeholders.
Prior experience in oncology or rare disease/specialty therapies or relatable experience
Experience with Salesforce CRM preferred.
Excellent attention to detail, organizational skills and ability to multi-task and deliver results in a fast-paced environment.
Ability to appropriately represent the patient access team in all internal and external settings.
Willingness to travel up to ~25% domestically.
Strong interpersonal skills including the ability to listen actively and synthesize information in a meaningful way.
Strong analytical capabilities to ensure robust inputs to decision-making.
Excellent communication (verbal and writing) skills with proven ability to present to large and small audiences.
Good judgment, and ability to adapt and change in a shifting environment.
Strategic, passionate, self-starter who takes initiative.
Benefits of working with our team: PharmaEssentia USA strives every day to improve the lives of patients as well as our employees. As a valued member of PharmaEssentia USA, you will enjoy the following benefits:
Comprehensive medical coverage: 80% employer paid
Dental and vision coverage: 90% employer paid
Vision coverage: 100% employer paid
Generous paid time-off
401(k) retirement plan with competitive company match
Medical & Dependent Care Flexible Spending Account
Up to $150 monthly cell phone reimbursement
Employee Assistance Program
EEO Statement: At PharmaEssentia USA, we are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants without regard to race, color, religion, sex, pregnancy (including childbirth and related medical conditions), national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military and veteran status, and any other characteristic protected by applicable law. PharmaEssentia USA believes that diversity and inclusion among our team are critical to our success as a global company, and we seek to recruit, develop and retain the most talented people from a diverse candidate pool.
PharmaEssentia does not accept unsolicited agency resumes. Staffing agencies should not send resumes to our HR team or to any PharmaEssentia employees. PharmaEssentia is not responsible for any fees related to unsolicited resumes from staffing agencies.
At PharmaEssentia, our goal is to treat as many people with cancer as possible. That means challenging the status quo with better science that leads to better lives. By joining our team, you will not only expand your own possibilities, but you will contribute to expanding options for people with cancer.
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