Patient Access Liaison TEPEZZA - Tallahassee FL

Job Description

ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps. Unless specifically stated otherwise, this role is "On-Site" at the location detailed in the job post.

Let's do this. Let's change the world. In this vital role you will provide logistical, non-medical educational assistance to patients and caregivers as well as office and site of care staff, including physicians, nurses, office managers and executives. Strong knowledge and demonstrated history of access and

reimbursement for buy and bill / infused pharmaceutical products is required. The PAL works in highly visible, strong team environment to provide exceptional customer service on all levels. The PAL will work with the patient, the physician and the Site of Care to educate on next steps required to gain

access to therapy. The PAL will also work to maintain relationships with patients and families, and by extension physicians and their staff and cross-functional partners to support ongoing compliance with therapy. The PAL will work with numerous internal teams, including Market Access, Medical Affairs,

Advocacy, Marketing, and Site of Care to facilitate and improve patient access to insurance, medications, financial support, resources and more.

Secure written or electronic patient HIPAA for patients in the assigned geography

Develop relationships with patients and caregivers by engaging via phone, text, email, virtual or in person connections

Assess individual needs of the patient and develop an appropriate education and resource plan of action, considering the patient's family and team of healthcare providers to empower the patient to become their own advocate

Educate the patient on TEPEZZA coverage based on their benefits and the steps needed to gain prior authorization to ensure understanding of the process for medication access

Provide information on co-pay assistance programs, national foundations, and free drug programs by sharing information to patients as appropriate and needed

Provide proactive education to prescribers and sites of care upon patient enrollment on coverage for Horizon rare disease therapies, common prior authorization requirements, and coding and billings requirements

Provide access and reimbursement education based on the enrolled patient's TEPEZZA benefits to physician offices and sites of care

Educate the physician office and / or SOC on TEPEZZA coverage based on the patient's benefits and the steps needed to gain prior authorization to ensure understanding of the process for medication access

Investigate access challenges pre and post-infusion to include support for denied claims and claim reviews

Partner with Safety and PV and report AE's and product complaints through medical information.

Work closely with the Horizon cross functional team including Case Managers, the Site of Care team, market access, matrix partners and external vendors

Adhere to professional standards compliance guidance, policies and procedures, federal, state, and local requirements

Additional Qualifications / Responsibilities

What we expect of you

We are all different, yet we all use our unique contributions to serve patients.

Basic Qualifications :

Doctorate degree and 2 years of patient services, and / or access and reimbursement, experience

Master's degree and 4 years of patient services, and / or access and reimbursement, experience

Bachelor's degree and 6 years of patient services, and / or access and reimbursement, experience

Preferred Qualifications :

Scientific background and ability to learn product and disease information.

Nursing or other clinical background a plus

Access and reimbursement for buy and bill products

Orphan or Rare disease experience.

Familiarity with HIPAA guidelines and FDA requirements.

Familiarity with and Adherence to internal and OIG Compliance guidelines a must

Ability to handle difficult patient cases and resolve hurdles.

Ability to work in team environment and manage communication with case Liaisons and sales reps.

Ability to respond immediately when necessary (within 24 hours) to prevent lapses in treatment.

Strong analytical skills and ability to report on meaningful activity in the region.

Proficient in Microsoft Office.

Professional, proactive demeanor.

Strong interpersonal skills and strategic mindset.

Excellent written and verbal communication skills.

Potential for up to 50% travel, including some overnight and weekend commitments.

Salary Range

170,200.00 USD - 195,126.00 USD

Salary : $170,200 - $195,126