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Patient Operations Manager
Iovance Biotherapeutics, Inc.. Report to the Executive Director, Patient Support Services .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Patient Services case management and reimbursement support, with a strong understanding of the healthcare industry and payer landscape. Capable of developing action plans to address reimbursement barriers while ensuring adherence to policies and procedures.
Highest-signal resume keywords
Patient Services Case ManagementReimbursement SupportHealthcare Industry KnowledgeHIPAA/HITECH ComplianceOncology Patient Services Programming
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Reimbursement ExpertiseStandard Operating Procedures DevelopmentPerformance Metrics OversightPatient Assistance Program ManagementComplex Problem SolvingData AnalysisCPT/HCPCS FamiliarityICD-10 Diagnosis Codes Familiarity
Soft Skills
Exceptional Communication SkillsOrganizational SkillsAdaptabilityTeam CollaborationAutonomous Work Ability
Tools & Technologies
Complex IT SystemsHealthcare Scheduling PortalsSupply Chain Management ToolsCall Center Systems
Industry Keywords
BiotechPharmaceuticalPatient ExperienceMarket AccessQuality Control
About the role
Key responsibilities & impact- Report to the Executive Director, Patient Support Services
- Collaborate with patients, caregivers, healthcare providers, and external patient services to ensure a best-in-class patient experience
- Provide oversight of contracted patient support agents, including performance metrics, accuracy, customer engagement, and training
- Develop and maintain Standard Operating Procedures and Work Instructions for IovanceCares Patient and Reimbursement Support programs
- Liaise with Case Management and Payer Access Cell Therapy teams to resolve complex reimbursement issues and provide training
- Interface with community accounts affiliated with GPOs to support case management and reimbursement pull-through
- Collaborate with interdisciplinary healthcare teams at treatment centers
- Oversee and audit patient assistance program applications
- Oversee PSS reimbursement support services
- Assess patient, caregiver, and provider needs; develop action plans to address reimbursement barriers and support treatment initiation and continuation
- Manage patient and provider program issues, vendors, eligibility processes, escalations, and program improvements
- Provide reimbursement expertise to internal stakeholders across sales, marketing, medical affairs, market access, national accounts, legal, and finance
- Maintain business acumen and knowledge of reimbursement and market access
- Identify improvements in the patient access journey
- Ensure adherence to patient services policies and procedures
- Provide input on materials increasing awareness of IovanceCares services
- Request and consolidate patient services analytics into presentation-ready formats
- Manage and track decisions in trackers
- Assist with vendor-related issues
- Perform miscellaneous duties as assigned
- Travel less than 10%
Requirements
What you’ll need- Minimum of 8 years of related experience with a bachelor’s degree, or 6 years and a master’s degree; 3 years of experience with a PhD; or 10 or more years equivalent experience with a high school diploma
- Prior experience with Patient Services case management and reimbursement support at a biotech or pharmaceutical company/Hospital
- Strong understanding of the healthcare industry, private and government payer landscape, patient and inpatient reimbursement access and support
- Ability to prioritize and organize large volumes of cases and complete projects on time
- Knowledge of HIPAA/HITECH regulations and laws protecting patient identifying information
- Ability to thrive in a fast-paced environment, adapt to change, and resolve complex problems promptly
- Ability to work effectively within a complex organizational structure
- Exceptional oral and written communication skills
- Ability to work autonomously and in teams
- Must adhere to Iovance Biotherapeutics’ core values, policies, procedures, and business ethics
- Preferred: oncology Patient Services programming and new-to-market therapy experience
- Preferred: experience with complex IT systems or portals supporting customer service, healthcare scheduling, supply chain management, and call centers
- Preferred: familiarity with heavily regulated, quality-control-driven environments
- Preferred: hospital experience
- Preferred: familiarity with CPT/HCPCS and ICD-10 diagnosis codes
- Preferred: familiarity with hospital claims forms
- Must remain stationary, standing or sitting for prolonged periods
- Must be able to move inside an office and exert up to 10 pounds of force occasionally
- Must have visual acuity to prepare and analyze data, view computer screens, and read extensively
- Requires repetitive wrist, hand, and/or finger motions
- Must be able to communicate with others to exchange information
- Requires clear conceptual thinking, judgment, troubleshooting, problem-solving, analysis, discretion, stress management, multitasking, and meeting deadlines
Benefits
Comp & perks- Remote office environment
- Reasonable accommodation available upon request
- Less than 10% travel