Manager jobs in United States
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Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient access processes, reimbursement issues, and compliance within the healthcare sector. Capable of building relationships with healthcare professionals and collaborating across teams to enhance patient support and access to therapies.
Highest-signal resume keywords
Patient Support ExperienceKnowledge Of Health Insurance StructuresExpertise In Pharmaceutical ComplianceBenefit Verification And Prior AuthorizationAbility To Collaborate With Stakeholders
About the role
Key responsibilities & impact- Serve as subject-matter expert on access-related issues for healthcare professionals and healthcare organizations
- Work cross-functionally with patient support, market access, and field sales to support timely patient access to therapy
- Provide information on access processes, reimbursement issues, and patient assistance programs while ensuring regulatory compliance
- Provide approved education to defined accounts within an assigned geography on access and coverage
- Analyze access issues and act as the local access resource for HCPs, field force personnel, and regional management
- Coordinate with the access hub on individual patient cases, patient access and coverage assistance, hub enrollment, and overall coordination
- Collaborate with Field Sales, Marketing, Market Access, Public Affairs, State and Government Affairs, Trade, and Specialty Pharmacy Accounts
- Educate HCP accounts on benefit verification, prior authorization, appeals, and patient support programs in live and virtual formats
- Analyze access trends and monitor payer trends to address access barriers
- Identify and address barriers to patient access and support patient satisfaction
- Build collaborative relationships with internal stakeholders
- Provide access information and education to HCP offices and field teams
- Escalate and coordinate access issues with third parties, including the hub vendor
- Provide education and support on Specialty Pharmacy issues
- Explain product coverage under Commercial, Medicare, and Medicaid benefit designs
- Answer payer-specific coverage and access questions
- Maintain knowledge of regional and national market dynamics and payer coverage policies
- Act as subject-matter expert on access and affordability challenges across payer types
- Educate and update HCPs on private and public payer coverage changes
- Support product access through compliant payer coverage expertise
- Educate HCP offices about the product hub program, patient support offerings, financial assistance, and hub resources
- Communicate information about access resources and payer processes and policies
- Attend national and regional meetings
Requirements
What you’ll need- Bachelor’s Degree
- Minimum of 7 years’ experience in patient support, pharmaceutical/healthcare sales or operations, or reimbursement support
- Strong knowledge of health insurance structures, including Medicare Part B, Medicaid, and commercial plans
- Knowledge of benefit verification, prior authorization, and appeal processes
- Expertise in pharmaceutical compliance and HIPAA regulations regarding patient confidentiality
- Understanding of hub and patient support activities
- Ability to manage multiple priorities in a remote environment
- Must travel 20–25% / travel requirement listed as 25%
- Must reside in the Ohio Valley assigned territory
- Ability to collaborate with sales representatives, sales leadership, and internal colleagues
- Must be at least 21 years old
- Valid driver’s license and clean driving record
- Excellent interpersonal and communication skills
- Ability to engage and influence multiple stakeholders across teams and disciplines
- Pharmaceutical industry experience highly preferred
- Understanding of HCP office workflows, prescription flow, and clinic operations preferred
- Pulmonology experience preferred
- US and Puerto Rico residents only
- No visa sponsorship
Benefits
Comp & perks- Annual bonus and long-term incentive, if applicable
- Medical, dental, and vision healthcare
- Other insurance benefits for employee and family
- Retirement benefits, including 401(k)
- Paid holidays
- Vacation
- Compassionate days
- Sick days
- Remote work arrangement
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Access ProcessesReimbursement IssuesPatient Assistance ProgramsBenefit VerificationPrior AuthorizationAppeal ProcessesPharmaceutical ComplianceHIPAA RegulationsAccess Trend AnalysisPatient Coverage Expertise
Soft Skills
Excellent Interpersonal SkillsStrong Communication SkillsAbility To Engage And Influence
Tools & Technologies
Access Hub CoordinationPatient Support OfferingsHub Enrollment
Industry Keywords
Healthcare ProfessionalsPharmaceutical SalesMedicareMedicaidCommercial PlansPulmonologyPatient SatisfactionStakeholder CollaborationOhio Valley TerritoryRemote Environment Management
