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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient support services, reimbursement processes, and specialty pharmacy operations, with a strong ability to build relationships with healthcare professionals and navigate complex insurance requirements.
Highest-signal resume keywords
Patient Support Services ManagementReimbursement ExpertiseSpecialty Pharmacy KnowledgeHealthcare Relationship BuildingPrior Authorization Processes
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medication Access ChannelsInsurance Eligibility VerificationReimbursement CoverageAppealing Insurance DenialsFinancial Assistance ProgramsCo-Pay SupportFormulary Exception RequestsClinical Criteria KnowledgeElectronic PA SubmissionLetters of Medical Necessity
Soft Skills
CollaborationIssue ResolutionIndependent WorkCommunicationRelationship Management
Certifications & Qualifications
BA/BS DegreePharmD Preferred
Industry Keywords
Rare DiseaseSpecialty PharmacyPharmaceuticalBiopharmaceuticalHealthcare ProfessionalsPayer PoliciesMarket AccessCross-Functional CollaborationCustomer Relationship ManagementMultistate Territory Coverage
About the role
Key responsibilities & impact- Educate prescriber office personnel on the Prolastin Direct program and processes through in-person and virtual interactions
- Manage utilization of patient support services and reimbursement programs in compliance with legal and regulatory requirements
- Serve as subject matter expert on reimbursement, access, patient support offerings and pharmacy processes in the assigned geography
- Collaborate with the payor team to understand payer policies and facilitate patient access
- Educate providers on prior authorization requirements, appeals processes, clinical criteria, electronic PA submission, Letters of Medical Necessity, appeals, step edits, formulary exception requests and related documentation
- Increase awareness and understanding of patient support offerings and specialty pharmacy processes
- Address patient-specific issues and provide issue resolution across the geography
- Collaborate with Hub/SP account management to resolve customer-related issues
- Build productive professional relationships with customers in targeted accounts to address market access issues
Requirements
What you’ll need- BA/BS Degree required; advanced degree or PharmD preferred
- 2 years of rare disease, specialty pharmacy, pharma and/or biopharmaceutical experience
- 1–2 years of experience calling on field-based customers
- Proven ability to build strong relationships with healthcare professionals
- Extensive knowledge of medication access channels
- Strong functional knowledge of specialty pharmacy, health insurance and benefits
- Expert understanding of insurance eligibility benefit verification, prior authorization processes, reimbursement coverage, appealing insurance denials, financial assistance, co-pay support and free product programs
- Ability to work independently and within a collaborative cross-functional environment
- Ability to travel and cover large multistate territories; >50% travel required
- Depending on the area of assignment, directly related experience or a combination of directly related education and experience and/or competencies may be considered in place of the stated requirements
Benefits
Comp & perks- Up to 8% of the company bonus pool
- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- PTO
- Paid holidays
- Up to 5% 401(K) match
- Tuition reimbursement
- Opportunities for professional growth and career progression
