NeuroPsych Regional Patient Access Manager, Blue Ridge

About the Role

The Regional Patient Access Manager (RPAM) is responsible for three main functions:

• Providing field access support services and education to Healthcare Professionals (HCPs), helping to maximize patient access to Company products and accelerate time to treatment.
• Communicating with all Specialty Pharmacies (SPs), Closed Door Pharmacies (CDPs)—including Genoa—and Patient-Physician Services (HUB partner) in support of Neurocrine Biosciences marketed products in the U.S.
• Building and upholding the integrity of Neurocrine Biosciences’ pharmacy distribution network by conducting all vetting activities within an assigned geography, including communication of approval, denial, or any subsequent removal from the network.

Additional responsibilities include:

• Providing support and education to all HCP entities on coverage issues for on-label prescriptions for Company products already in process; access support services, processes and forms; education on payer-specific coverage issues and Company patient financial support programs.
• Serving as a subject matter expert on regional and national payer coverage policies and processes.
• Working cross-functionally and collaboratively with field sales, network pharmacies, market access, commercial analytics and operations.
• Collaborating with Payer Marketing to create materials useful in building customers’ awareness of critical coverage requirements.
• Ensuring the distribution network operates at the highest levels of effectiveness by utilizing end-user feedback, continuously monitoring processes, proposing new strategies related to workflow, and sharing best practices with trade leadership on specialty distribution efficiency.

Your Contributions

• Builds and sustains relationships with pharmacies, physicians and their office staff, and other HCPs to help resolve coverage problems for written prescriptions already in process.
• Works cross-functionally with field sales leadership, specifically Regional Sales Managers (RSM), Account Specialists, National Account Directors (NAD), network pharmacies, and home office colleagues within market access and other related functional departments, such as commercial analytics and operations, to support patient access with specific payers.
• Provides training and education to HCPs on payer-specific coverage policies and documentation requirements, appeals processes for specific payers, and patient financial assistance support programs, including the Company copay assistance program and patient assistance program for relevant audiences, including internal and external customers.
• Introduces technology options (e.g., CoverMyMeds) for electronic Patient Access (PA) submission, explains payer criteria, forms, processes, PA, Letter of Medical Necessity, appeals, step edits, formulary exception requests, and provides support for other related coverage issues and documentation requirements.
• Problem-solves and conducts case resolution.
• Communicates effectively and compliantly with field sales, corporate office employees, HCPs, network pharmacies, and HUB employees to help identify and resolve coverage and patient access issues.
• Identifies and communicates payer issues with the National Account Directors (NAD) team.
• Interfaces with local closed-door pharmacies and long-term care pharmacies providing support services and education.
• Communicates regularly to management the opportunities and challenges related to patient access issues.
• Presents insight into payer coverage policies and processes at internal business reviews and national/regional sales meetings.
• Conducts Patient Access workshops during POA meetings and assists with new hire training, as needed.
• Works to ensure a diverse and inclusive environment free from all forms of discrimination and harassment.
• Builds and upholds the company’s pharmacy distribution network through the vetting process, maintaining its integrity and monitoring pharmacies to ensure their effective and efficient operations.
• Performs other duties as assigned.

Requirements

• BS/BA degree in a related field and 6+ years of pharma/biotech commercial experience, with 2+ years of experience with specialty pharmacy/market access. Specialty product experience, with CNS preferred. Previous experience in other functions in pharma/biotech desired.
• OR Master’s degree or MBA preferred and 4+ years of related experience.
• OR PharmD or PhD and 2+ years of related experience.
• Strong understanding of specialty pharmacies, managed care, pharmacy benefit managers, and government payers and their impact on product access.
• Excellent working knowledge of patient support programs, including reimbursement support, financial assistance, and adherence programs.
• Strong understanding of the prescription adjudication process.
• Ability to communicate payer coverage criteria and prior authorization processes.
• Previous experience in other functions in pharma/biotech desired (e.g., sales, management, marketing, managed markets).
• Possesses good understanding of current issues within the marketplace, pharmaceutical industry, and national health care system.
• Ability to travel overnight up to 60% (travel consists of working with field sales, attending business meetings, industry meetings, and working with key customers).
• Geographically dispersed roles across the U.S.
• Knowledge of best practices in the functional discipline and familiarity with the broader underlying concepts of related business disciplines.
• Works to improve tools and processes within the functional area.
• Develops reputation inside the company as it relates to area of expertise.
• Ability to work as part of and lead multiple teams.
• Exhibits leadership skills and ability, typically leading lower levels and/or indirect teams.
• Excellent computer skills.
• Excellent communications, problem-solving, analytical thinking skills.
• Sees broader picture and impact on multiple departments/divisions.
• Ability to meet multiple deadlines across a variety of projects/programs with a high degree of accuracy and efficiency.
• Excellent project management skills and ability to work in a cross-functional environment and handle multiple tasks.
• Excellent interpersonal skills and cross-functional team success.

Pay

The annual base salary is expected to be in the range of $151,000.00–$206,000.00. Individual pay decisions depend on various factors, such as primary work location, complexity and responsibility of role, job duties/requirements, and relevant experience and skills. In addition, this position offers an annual bonus with a target of 30% of the earned base salary and eligibility to participate in the company’s equity-based long-term incentive program.

Benefits

• Retirement savings plan with company match.
• Paid vacation, holiday, and personal days.
• Paid caregiver/parental and medical leave.
• Health benefits including medical, prescription drug, dental, and vision coverage in accordance with the terms and conditions of the applicable plans.