Patient Operations Manager
Core
Manage patient and reimbursement support programs for a cell therapy company, ensuring access to treatment and resolving complex payer issues.
Role type
Senior Patient Operations Manager (Cell Therapy/Reimbursement)
Builds
Patient access infrastructure and reimbursement support workflows for AMTAGVI™ (lifileucel) and Proleukin®
Domain
Biotechnology / Oncology / Cell Therapy / Healthcare Payer Access
Deliverable
client delivery
Required skills
Patient services case management, inpatient reimbursement, payer landscape knowledge, SOP development, vendor management, HIPAA compliance, data analytics, stakeholder collaboration
Preferred skills
Oncology patient services, new-to-market therapy, complex IT systems, hospital claims processing (CPT/HCPCS/ICD-10)
Responsibilities
Oversee contracted patient support agents and performance metrics; Liaise with Case Management and Payer Access teams for complex reimbursement issues; Interface with GPO community accounts; Oversee training for patient services agents; Conduct routine audits of patient assistance applications; Manage vendor relationships and eligibility processes; Analyze patient services data and present findings.
Seniority
Senior, hands-on IC