Patient Access Liasion
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Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the lives of millions of people? Grifols is a global healthcare company that since 1909 has been working to improve the health and well-being of people around the world. We are leaders in plasma-derived medicines and transfusion medicine and develop, produce and market innovative medicines, solutions and services in more than 110 countries and regions.
The role of the Patient Access Liaison (PAL) is to minimize access and reimbursement barriers for patients and providers to Prolastin-C. They will accomplish this by executing the market access reimbursement plan in the assigned geographic area with physicians, office staff and institutional customers. The PAL will work closely with internal and external partners including HCPs and their staff, Market Access, Sales and SP/Hub partners in the field, supporting accounts in resolving reimbursement issues and concerns. The PAL is expected to have a deep working knowledge of both public and private payer policies within their market, as it relates to Prolastin-C coverage and access. This position will serve as subject matter expert on payer/reimbursement matters, patient services and pharmacy processes and requirements.
Primary responsibilities for role:
Proactively educate prescriber office personnel on the Prolastin Direct program and processes to facilitate patient access via in person and virtual interactions
Champion and manage the appropriate utilization of patient support services and reimbursement programs to ensure compliance with legal and regulatory requirements
Demonstrate deep knowledge in reimbursement and access across patient support offerings and be the subject matter expert in the geography.
Collaborate closely with the payor team to understand payer policies and facilitate patient access.
Ensure providers understand prior authorization requirements, appeals processes and clinical criteria, including technology options for electronic submission of PA, Letter of Medical Necessity, appeals, step edits, formulary exception requests and provides support for other related coverage issues and documentation requirements.
Enhance awareness and understanding of patient support offerings and specialty pharmacy (SP) processes. Ensure these solutions are optimized to support the patient journey and deliver excellent patient and provider experience.
Reactively address patient specific issues and provide issue resolution across geography
Closely collaborate with Hub/SP account management team to directly solve any customer-related issues.
Builds productive, professional relationships with customers in targeted accounts to address market access issues.
Knowledge, Skills, and Abilities:
Extensive knowledge of medication access channels.
Strong functional knowledge of specialty pharmacy and health insurance and benefits with a demonstrated expert understanding of insurance eligibility benefit verification, prior authorization processes, reimbursement coverage, appealing insurance denials, application of financial assistance, co-pay support and free product programs
Proven ability to thrive in both an independent setting and within a collaborative cross functional environment
Ability to travel and cover large multistate geography territories; > 50% travel required
Education:
BA/BS Degree, Advanced degree or PharmD preferred
Experience:
2 years of rare disease, specialty pharmacy, pharma and/or biopharmaceutical experience.
1- 2 years of experience calling on field-based customers and proven ability to build strong relationships with healthcare professionals.
Depending on the area of assignment, directly related experience or a combination of directly related education and experience and/or competencies may be considered in place of the stated requirements. Example: If a job level requires a Bachelor’s degree plus 4 years of experience, an equivalency could include 8 years of experience, an Associate’s degree with 6 years of experience, or a Master’s degree with 2 years of experience.
#remote
#LI-TN1
Third Party Agency and Recruiter Notice:
Agencies that present a candidate to Grifols must have an active, nonexpired, Grifols Agency Master Services Agreement with the Grifols Talent Acquisition Department. Additionally, agencies may only submit candidates to positions that they have been engaged to work on by a Grifols Recruiter. All resumes must be sent to a Grifols Recruiter under these terms or they will be considered a Grifols candidate.
Grifols provides equal employment opportunities to applicants and employees without regard to race; color; sex; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; status as a protected veteran or spouse/family member of a protected veteran; or disability. We will consider for employment all qualified applicants in a manner consistent with the requirements of all applicable laws.
Location: NORTH AMERICA : USA : Home Office:USHOME - Home Address US
Learn more about Grifols
Apply To This Job
Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the lives of millions of people? Grifols is a global healthcare company that since 1909 has been working to improve the health and well-being of people around the world. We are leaders in plasma-derived medicines and transfusion medicine and develop, produce and market innovative medicines, solutions and services in more than 110 countries and regions.
The role of the Patient Access Liaison (PAL) is to minimize access and reimbursement barriers for patients and providers to Prolastin-C. They will accomplish this by executing the market access reimbursement plan in the assigned geographic area with physicians, office staff and institutional customers. The PAL will work closely with internal and external partners including HCPs and their staff, Market Access, Sales and SP/Hub partners in the field, supporting accounts in resolving reimbursement issues and concerns. The PAL is expected to have a deep working knowledge of both public and private payer policies within their market, as it relates to Prolastin-C coverage and access. This position will serve as subject matter expert on payer/reimbursement matters, patient services and pharmacy processes and requirements.
Primary responsibilities for role:
Proactively educate prescriber office personnel on the Prolastin Direct program and processes to facilitate patient access via in person and virtual interactions
Champion and manage the appropriate utilization of patient support services and reimbursement programs to ensure compliance with legal and regulatory requirements
Demonstrate deep knowledge in reimbursement and access across patient support offerings and be the subject matter expert in the geography.
Collaborate closely with the payor team to understand payer policies and facilitate patient access.
Ensure providers understand prior authorization requirements, appeals processes and clinical criteria, including technology options for electronic submission of PA, Letter of Medical Necessity, appeals, step edits, formulary exception requests and provides support for other related coverage issues and documentation requirements.
Enhance awareness and understanding of patient support offerings and specialty pharmacy (SP) processes. Ensure these solutions are optimized to support the patient journey and deliver excellent patient and provider experience.
Reactively address patient specific issues and provide issue resolution across geography
Closely collaborate with Hub/SP account management team to directly solve any customer-related issues.
Builds productive, professional relationships with customers in targeted accounts to address market access issues.
Knowledge, Skills, and Abilities:
Extensive knowledge of medication access channels.
Strong functional knowledge of specialty pharmacy and health insurance and benefits with a demonstrated expert understanding of insurance eligibility benefit verification, prior authorization processes, reimbursement coverage, appealing insurance denials, application of financial assistance, co-pay support and free product programs
Proven ability to thrive in both an independent setting and within a collaborative cross functional environment
Ability to travel and cover large multistate geography territories; > 50% travel required
Education:
BA/BS Degree, Advanced degree or PharmD preferred
Experience:
2 years of rare disease, specialty pharmacy, pharma and/or biopharmaceutical experience.
1- 2 years of experience calling on field-based customers and proven ability to build strong relationships with healthcare professionals.
Depending on the area of assignment, directly related experience or a combination of directly related education and experience and/or competencies may be considered in place of the stated requirements. Example: If a job level requires a Bachelor’s degree plus 4 years of experience, an equivalency could include 8 years of experience, an Associate’s degree with 6 years of experience, or a Master’s degree with 2 years of experience.
#remote
#LI-TN1
Third Party Agency and Recruiter Notice:
Agencies that present a candidate to Grifols must have an active, nonexpired, Grifols Agency Master Services Agreement with the Grifols Talent Acquisition Department. Additionally, agencies may only submit candidates to positions that they have been engaged to work on by a Grifols Recruiter. All resumes must be sent to a Grifols Recruiter under these terms or they will be considered a Grifols candidate.
Grifols provides equal employment opportunities to applicants and employees without regard to race; color; sex; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; status as a protected veteran or spouse/family member of a protected veteran; or disability. We will consider for employment all qualified applicants in a manner consistent with the requirements of all applicable laws.
Location: NORTH AMERICA : USA : Home Office:USHOME - Home Address US
Learn more about Grifols
Apply To This Job