Access Reimbursement Manager - Puerto Rico
Core
Field-based resource supporting healthcare practices to ensure optimal patient access and reimbursement for a specialty biopharmaceutical product (Rezdiffra) treating MASH.
Role type
Senior field Access and Reimbursement Manager
Builds
Patient access pathways and reimbursement solutions for specialty pharmacy products
Domain
Biopharmaceuticals / Specialty Pharmacy / Hepatology & Endocrinology
Deliverable
client delivery
Required skills
Access and reimbursement expertise, payer policy knowledge, specialty pharmacy network navigation, benefits investigation, prior authorization management, appeals processing, financial assistance coordination, stakeholder education, data analytics for access trends
Preferred skills
Endocrinology, Hepatology, or Gastroenterology clinical knowledge
Technologies
Data and analytics tools for access tracking
Responsibilities
Partner with HCP offices to resolve access barriers (benefits investigation, prior auth, appeals), educate providers on payer policies and reimbursement processes, collaborate with internal teams (trade, market access, patient support) on regional access trends, identify and escalate unresolved access issues, leverage data to prioritize efforts and report progress
Seniority
Senior, hands-on IC