Demo

Reimbursement Specialist

HealthCare Recruiters International
San Diego, CA Full Time
POSTED ON 3/3/2025
AVAILABLE BEFORE 6/3/2025

The Patient Access Specialist (includes prior authorizations) is a key field-based member of the Market Access Patient Services team responsible for contacting designated accounts and providing support to both the patients, families and healthcare providers (HCPs) . This position requires expertise and knowledge of complex pharmaceutical related patient access, HUB and reimbursement processes. Special consideration will be given to qualified applicants who are also bilingual (Spanish & English)!

Our client is an exciting, innovative biopharmaceutical company focused on providing advanced therapeutic options to patients suffering from rare genetic disorders .

Primary Responsibilities

  • Serves as the primary point of contact for all patient & caregiver interactions for insurance support, problem resolution, access support, office staff, education
  • Work with a 3rd party insurance support partner and specialty pharmacie s
  • Work collaboratively with all appropriate field roles, HUB case mangers, sales, national accounts, reimbursement specialists
  • Must be able to travel up to 25%

Qualifications / Experience

  • BSN / MSN preferred; BA / BS in a relevant discipline required
  • PACs certification is preferred
  • Case management, patient services, or pharmaceutical market access experience
  • At least 3 years working for a biopharmaceutical manufacturer in a similar / relevant role
  • Strong understanding of pharmacy benefit designs, prior authorization processes, and specialty pharmacy treatment pathways
  • Compensation

  • 195,000- $210,000
  • LTIP (long term incentive program)
  • Salary : $195,000 - $210,000

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