The Associate Director, Patient Access (Patient Access Manager) is a regional, field-based position that provides logistical reimbursement assistance, education and support for the ENDO and LSD business units, including patients with hypoparathyroidism and lysosomal storage disorders. This individual will work closely with the physicians, nurses, pharmacists and ancillary staff, as well as patients, families and patient organizations to prevent and address barriers to patient access. Allocation of time will be adjusted as needed to meet the needs and objectives of Patient Access and Site Support.
Working cross-functionally to identify and lead the resolution of patient access barriers, including: insurance coverage; reimbursement; financial limitations; site of care; procurement/distribution
Working directly with the following internal and external groups to revolve access issues described above: patients and/or their families and caregivers; public and private payers (local, regional, and national); specialty pharmacies and specialty distributors; physician
offices, hospitals, infusion centers, and other sites of care; patient advocacy organizations; procurement/distribution
Provide expertise and education on local and regional health plan policies, coverage, processes, etc. to the internal patient services organization, the market access field team, and the field sales organization.
Educate patients, families, and caregivers on coverage and reimbursement as well as available Shire service
Participate in regular cross-functional team meetings to coordinate patient services activities and field activities; cross-functional team includes case managers and field sales, and may include other functions as appropriate
Education and Experience Requirements
• Minimum of a Bachelor's Degree required
• Minimum of 3 years of prior relationship management experience
• Minimum of 3 years of field based experience in account management, sales or medical affairs
Key Skills, Abilities, and Competencies
• Experience working directly with patients on specialty products
• Ability to communicate with patients, caregivers, and family members about access issues
• Ability to lead internal teams to achieve common goals; internal teams including sales, case managers, and other commercial functions
• Ability to lead external customers to achieve access for patients; external customers include physicians, nurses, and other health care professionals; public and commercial payers; specialty pharmacies;
• Superior organizational and time management skills
Technical expertise in at least one of the following areas:
• Rare disease access or reimbursement
• Commercial and public reimbursement
• Payers/managed care organizations
• Specialty pharmacies
• Billing and coding
Demonstrate high character
Ability to travel (80%)
Complexity and Problem Solving
• Ability to independently identify access solutions and determine the appropriate plan for resolution. Lead and manage a cross-functional team in the resolution.
Internal and External Contacts
External: patients and/or their families and caregivers; public and private payers (local, regional, and national); specialty pharmacies and specialty distributors; physician offices, hospitals, infusion centers, and other sites of care; patient advocacy organizations; procurement/distribution
Internal: Case managers, market access, sales force
A little about us:
At Shire, we help people with rare diseases and specialized conditions live their lives to the fullest.