Specialist, Virtual Access
About Our Client
The organization operates within the pharmaceutical and healthcare sector, focusing on developing innovative medicines and solutions to address serious health challenges. It is active in key therapeutic areas including immunology, oncology, neuroscience, and aesthetics. The company aims to impact patient lives by overcoming healthcare barriers and advancing treatment options globally.
About the Opportunity
The Specialist, Virtual Access serves as a remote non-clinical resource for healthcare providers, aiding them in navigating patient access and reimbursement for prescription-based psychiatry products. The role facilitates improved patient experiences by addressing coverage barriers, educating providers on payer policies, and supporting the effective use of approved access programs.
Responsibilities
- Educate healthcare providers on patient support programs and reimbursement processes using approved tools.
- Maintain expertise on local, regional, and national payer policies to guide providers accordingly.
- Build and sustain relationships with providers in the assigned territory.
- Communicate effectively across sales, market access, and patient service teams to update on prescription status and program eligibility.
- Utilize approved resources and data to support healthcare provider education and enhance patient experience.
- Identify and report payer trend information to patient services and market access teams.
- Lead process improvement initiatives to increase system efficiency and patient access.
Requirements
- Bachelor’s or Associate degree in biological sciences, pharmacy, business, or equivalent preferred.
- Three to five years of experience in account management, payer account management, or access and reimbursement.
- Strong knowledge of payer policies, including coverage, coding, prior authorization, and appeals.
- Understanding of regulations related to reimbursement support services.
- Knowledge of commercial and governmental payer dynamics.
- Strong communication skills with ability to navigate cross-functional environments.
- Critical thinking skills for prioritizing workloads and resource allocation.
Pay Range and Compensation Package
- USD $65,500 to $125,500 yearly base pay, dependent on experience and geographic location.
- Eligibility for short-term incentive programs.
- Comprehensive benefits package including paid time off, medical, dental, vision insurance, and 401(k).
Benefits & Perks
- Paid time off including vacation, holidays, and sick leave
- Medical insurance
- Dental insurance
- Vision insurance
- 401(k)