Field Access Manager - Tryngolza

Responsibilities

• Interact within assigned accounts to support patient access, providing proactive face-to-face (or virtual if appropriate) education on programs to providers and staff to support integration of those programs into office processes and workflows.
• Leverage data and analytical tools to address customer questions for issues related to payer policies and access requirements.
• Work with key members of customer accounts (e.g., providers, administrators, billing and coding staff, etc.) to appropriately support patient access.
• Address customer questions related to payer policies (e.g., utilization management, denial, and appeals) and patient reimbursement.
• Collaborate with aligned cross-functional partners (identified above) to share insights on customer needs and barriers related to access and reimbursement.
• Maintain a deep understanding of Ionis policies and requirements and perform all responsibilities with integrity and in a manner consistent with company guidance and prescribed Values and Behaviors.
• Handle Patient Identifiable Information (PII) appropriately (understand and ensure compliance with HIPAA and other privacy laws and regulations and internal Company compliance policies/guidelines).
• Responsible for identifying and reporting adverse events via the established Ionis systems as per applicable processes.

Qualifications

• Minimum 8 years in the healthcare/pharmaceutical industry.
• Prior reimbursement or case management experience required (prior field access/reimbursement experience preferred).
• Experience with pharmacy benefit reimbursement/access and specialty pharmacy required.
• CPC or similar coding certification preferred.
• Experience working in the cardiometabolic area preferred.
• Knowledge of key Medicare policies such as Part D design and IRA.
• Proven teamwork and collaboration skills with a demonstrated track record of working in highly matrixed and cross-functional work teams.
• Ability to travel to meetings/trainings/programs as necessary - additional travel will be required within the assigned geography (~50% travel required depending on territory).
• Must live within assigned territory.
• Valid driver’s license required as driving is fundamental to the purpose of this job and cannot be eliminated.