Support patients/families to work through the steps required to gain access to therapy (disease and product education, site of care coordination, understanding of payer policy and procedure, and other support services)
Play the role of patient advocate in cross functional meetings with internal partners (Case Manager, Account Executive, Market Access & Reimbursement to build and maintain accurate case plans for patients (e.g., case histories, insurance, ongoing coverage needs, treatment plan changes, etc.)
Works cross functionally to identify and support the resolution of patient access barriers including insurance coverage, reimbursement, financial limitations, site of care, procurement/distribution issues
Works with Market Access & Reimbursement team members to ensure appropriate reimbursement, engage with payers, specialty pharmacies, and specialty distributors to ensure access
Must be able to provide strong emotional support for individuals living with rare diseases and their loved ones/caregivers and collaborate with them in a way that allows forward progress
Be knowledgeable of any changes in the patient access environment to proactively identify issues that may impact access and communicate information appropriately to patients/caregivers
Complete a comprehensive assessment of the individual needs of the patient considering the patient’s family and team of healthcare providers. This assessment will include understanding the individual’s payer policies, plan designs, including Medicaid coverage if applicable, as well as the healthcare system local to the patient.
Develop and offer solutions to the family, when necessary, that may also include communication of alternative insurance options and how families can best connect to available resources
Educates patients, families, and caregivers on product and all Biogen Patient services
Develop activities with the goal of achieving greater openness and understanding of rare disease
Build your own rare disease network/relationships through local advocacy groups, rare disease related events, and attending national conferences
Become an expert on the Rare Disease portfolio and Biogen resources to provide the highest level of patient/caregiver support with the goal of positively impacting the patient journey
Requirements
5+ years’ business experience in the healthcare or biotech industry with at least 3 years field-based experience in account management, sales, and/or field reimbursement. Rare disease experience is preferred.
A successful record in field reimbursement, clinical education or in pharmaceutical sales/management of products that required significant payer and reimbursement involvement
Experience with physician-administered drugs (PADs)/biologics and various outpatient sites of service
Seasoned, mature pharmaceutical professional with a comprehensive understanding of field / patient reimbursement, charitable funding, non-profit organizations
Experience leading cross-functionally and influencing without authority
Case management or experience supporting patients/caregivers directly a plus
Must be familiar with relevant legal and regulatory environment in biotech industry
Strong EQ, communication, listening skills and empathy skills required- Bilingual is a plus
Effective at managing complex individualized cases
Must be comfortable spending 60% of their time traveling
Driving is an essential duty of the job; candidates must have a valid driver’s license and an acceptable driving record according to Biogen policy to be considered
Benefits
Medical, Dental, Vision, & Life insurances
Fitness & Wellness programs including a fitness reimbursement
Short- and Long-Term Disability insurance
A minimum of 15 days of paid vacation and an additional end-of-year shutdown time off (Dec 26-Dec 31)
Up to 12 company paid holidays + 3 paid days off for Personal Significance
80 hours of sick time per calendar year
Paid Maternity and Parental Leave benefit
401(k) program participation with company matched contributions
Employee stock purchase plan
Tuition reimbursement of up to $10,000 per calendar year
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