Jobs · Healthcare

Patient Access Liasion - Remote

Grifols · Home, KS · 2 wk ago
Healthcare$110k–$130k/yrFull-time

Join an international team working to improve the future of healthcare and 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, developing, producing, and marketing innovative medicines, solutions, and services in more than 110 countries and regions.

About the role

The Patient Access Liaison (PAL) minimizes access and reimbursement barriers for patients and providers to Prolastin-C. This role executes the market access reimbursement plan in the assigned geographic area, working with physicians, office staff, and institutional customers. The PAL collaborates with internal and external partners, including healthcare professionals (HCPs), Market Access, Sales, and SP/Hub partners, to resolve reimbursement issues and concerns. This position requires deep knowledge of public and private payer policies related to Prolastin-C coverage and access, serving as a subject matter expert on payer/reimbursement matters, patient services, and pharmacy processes.

This remote role covers multiple East Coast regions, including the Northeast, Mid-Atlantic, and part of the South Atlantic. To qualify for remote work, you must be located near a major airport in one of the following states:

  • Northeast: ME, NH, VT, MA, RI, CT
  • Mid-Atlantic: NJ, NY, PA, DE, MD
  • South Atlantic: VA, WV, NC, SC, GA

Responsibilities

  • 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 of reimbursement and access across patient support offerings and serve as the subject matter expert in the geography.
  • Collaborate closely with the payer 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 prior authorization, Letter of Medical Necessity, appeals, step edits, formulary exception requests, and other related coverage issues and documentation requirements.
  • Enhance awareness and understanding of patient support offerings and specialty pharmacy (SP) processes to optimize the patient journey and deliver excellent patient and provider experiences.
  • Reactively address patient-specific issues and provide issue resolution across the geography.
  • Collaborate with the Hub/SP account management team to directly solve customer-related issues.
  • Build productive, professional relationships with customers in targeted accounts to address market access issues.

Requirements

  • Extensive knowledge of medication access channels.
  • Strong functional knowledge of specialty pharmacy, health insurance, and benefits, with demonstrated expertise in insurance eligibility verification, prior authorization processes, reimbursement coverage, appealing insurance denials, financial assistance, co-pay support, and free product programs.
  • Proven ability to thrive in both independent and collaborative cross-functional environments.
  • Ability to travel and cover large multistate territories; more than 50% travel required.

Qualifications

  • BA/BS Degree; Advanced degree or PharmD preferred.
  • 2 years of rare disease, specialty pharmacy, pharma, and/or biopharmaceutical experience.
  • 1–2 years of experience calling on field-based customers with a proven ability to build strong relationships with healthcare professionals.
  • Depending on the area of assignment, directly related experience or a combination of education and experience may be considered in place of stated requirements (e.g., an Associate’s degree with 6 years of experience or a Master’s degree with 2 years of experience may substitute for a Bachelor’s degree plus 4 years of experience).

Pay

The estimated pay scale for this remote role is $110,000 to $130,000 per year, with eligibility to participate in up to 8% of the company bonus pool. Final compensation packages depend on education, experience, skillset, knowledge, location, internal equity, and market data.

Benefits

  • Medical, dental, and vision insurance
  • Life insurance
  • Paid time off (PTO) and paid holidays
  • Up to 5% 401(K) match
  • Tuition reimbursement

Grifols is committed to offering employees opportunities for professional growth and career progression.

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