Associate Director – Field Access Specialist
| Company | argenx |
|---|---|
| Location | Boston, MA, USA |
| Salary | $Not Provided – $Not Provided |
| Type | Full-Time |
| Degrees | Bachelor’s |
| Experience Level | Mid Level, Senior |
Requirements
- Demonstrated knowledge of third-party payers (Medicare, Medicaid, commercial) and case management process (prior authorization and appeals) required
- Experience with Specialty Pharmacy, Buy and Bill products, Medicare Part A, Part B, and Part D reimbursement systems
- Working knowledge of CPT, ICD-10, HCPCS coding; site of care reimbursement environment (infusion site, physician office, HOPD reimbursement)
- Customer support, provider or payer relation experience with proven ability to establish strong working relationships with customers
- Strong communication, organizational and interpersonal skills (both written and verbal)
- Clinical, technical and scientific knowledge and aptitude in complex disease state
- Effective time management, resources allocation and workload management
- Ability to work in close collaboration with multiple departments including training, market access, field reimbursement teams, patient advocacy and marketing in order to align on objectives and provide consistent feedback and communication
- Must be proficient with Microsoft office
- Ability to work independently and as a team member
Responsibilities
- Maintain a current, proficient understanding of commercial insurers, Medicare FFS, Medicare Part D, specialty pharmacy, and insurance changes each year
- Review enrolled patients’ benefits and facilitate access to financial or other alternative funding sources for eligible patients within regulatory guidelines
- Collaborate to troubleshoot and resolve complex reimbursement-related issues with SOCS/FRM, Market Access, Distribution, SP and insurance companies
- Partner with providers and billing teams to ensure all needs are met and appropriate support is being given on an individualized basis
- Communicate and partner directly with internal cross-functional departments including: Market Access, FRMs, Medical and Patient Advocacy in order to prioritize tasks, organize, and manage multiple projects related to access barriers
- Provide regular updates to PSP teams and Market Access regarding any outstanding access issues and update with specific patient payer issues
- Comply with all relevant industry laws and argenx policies
Preferred Qualifications
- At least 3-5 years of Access and Reimbursement experience
- 5+ years’ experience in pharmaceutical/ biotech industry, with case management experience is a plus
- Billing and Coding Certification
- Bachelor’s degree required