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Patient Access Manager
Mallinckrodt Pharmaceuticals. Serve as a critical point person for reimbursement and acquisition logistics for biologic, orphan-disease, and testosterone products .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient access and reimbursement processes, with a strong focus on analyzing trends and developing strategic recommendations. Proficient in navigating complex reimbursement challenges and collaborating with cross-functional stakeholders to enhance patient support services.
Highest-signal resume keywords
Reimbursement ExperienceBiopharma Industry ExpertisePatient Access AnalysisStrategic PlanningCross-Functional Collaboration
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Business AnalyticsReimbursement PoliciesCoding KnowledgePatient Assistance ProgramsOperational Reimbursement ExperienceLegislative UnderstandingHealthcare Systems AnalysisPatient Engagement StrategiesBuy-and-Bill ProcessesSpecialty Pharmacy Knowledge
Soft Skills
Strong Communication SkillsInfluencing OutcomesProblem SolvingEducation and TrainingAdvocacy for Patients
Tools & Technologies
Digital Engagement ToolsPatient Support Platforms
Industry Keywords
Biologic ProductsOrphan DiseaseMedicare BillingLocal Coverage DeterminationsFDA RegulationsHIPAA CompliancePayer ChannelsAccess PathwaysPatient ExperienceAffordability Concerns
About the role
Key responsibilities & impact- Serve as a critical point person for reimbursement and acquisition logistics for biologic, orphan-disease, and testosterone products
- Manage patient assistance and reimbursement support services
- Educate patients on Buy/Bill processes, patient assistance, reimbursement support, and Specialty Pharmacy logistics
- Analyze acquisition challenges, account issues, reimbursement trends, affordability concerns, and patient access data
- Escalate cases appropriately and partner with FRMs on remediation plans
- Coordinate with patient support representatives, patients, caregivers, provider offices, specialty pharmacies, case managers, and internal stakeholders
- Troubleshoot Specialty Pharmacy issues and develop resolutions with internal and external customers
- Identify patient knowledge gaps and provide education to improve understanding of Specialty Pharmacy processes
- Collect, analyze, and synthesize field intelligence on patient access, reimbursement, affordability, healthcare systems, and patient experience
- Translate patient journey insights and reimbursement trends into strategic recommendations
- Identify root causes and systemic barriers affecting access and recommend operational improvements
- Serve as a recognized patient access and reimbursement subject matter expert
- Act as the voice of the patient and strategic advisor to Patient Access leadership
- Support continuous improvement, pilot programs, launch readiness, and strategic initiatives
- Present access trends, reimbursement challenges, and patient experience findings to internal stakeholders
- Evaluate and optimize patient support programs, service offerings, access pathways, and patient engagement strategies
- Advocate for patients, identify unmet needs, and recommend process improvements that reduce delays and improve outcomes
- Collaborate with leadership on emerging technologies, digital engagement tools, and service models
Requirements
What you’ll need- BS or equivalent is required; MBA or advanced degree ideal
- 8-10 years of relevant experience in the Biopharma industry required
- 5 years of reimbursement experience required
- Demonstrated expertise resolving highly complex reimbursement, affordability, and access challenges across multiple payer channels
- Proven ability to influence outcomes across cross-functional stakeholders without direct authority
- Experience identifying systemic access trends and translating observations into actionable business recommendations
- Systemic understanding of the global payer and distribution environment, particularly biologic In-Office Injectables (IOI) in the U.S.
- Understanding of coverage, coding, payment, and reimbursement requirements and policies
- Knowledge of Local Coverage Determinations (LCDs) for regional MACs and Keenova products
- Knowledge of Medicare billing/coding and appeals; ASP, WAC, sequestration, and Medicare EOBs
- Understanding of legislative, legal, and regulatory environments
- Understanding of buy-and-bill and Specialty Pharmacy channels
- Knowledge of HIPAA requirements and FDA regulations
- Ability to translate complex clinical, reimbursement, or program-related information into clear, simple, actionable language
- Proficiency in business analytics
- Strong written and verbal communication skills
- Ability to develop strategic plans for product access issues
- Ability to work cross-functionally
- Hands-on operational reimbursement experience; in-house and outsourced experience desirable
- Up to 30% travel may be required
Benefits
Comp & perks- Competitive pay and benefits
- Total Rewards package
- Bonus eligibility in accordance with the applicable program
- Up to 30% travel may be required