Reimbursement Specialist- Rare Disease - Healthcare Recruiters International : Job Details

Our client is an exciting, innovative commercial stage biopharmaceutical company focused on providing advanced therapeutic options to patients suffering from genetic disorders.

This position requires expertise and knowledge of patient access, HUB and reimbursement processes. The Patient Engagement Specialist is a key field-based member of the Market Access Patient Services team responsible for contacting designated accounts and providing support to Healthcare Professionals (HCPs).

We are seeking well-qualified, bilingual (English-Spanish) speaking candidates who live in Southern California- San Diego or Los Angeles areas.

Primary Responsibilities

• Serves as the primary HCP interface for the insurance support, problem resolution, access support, office staff, education
• Work with a 3rd party insurance support partner and specialty pharmacies as the primary point of contact
• Work collaboratively with all appropriate field roles, HUB case mangers, sales, national accounts, reimbursement specialists
• Must be able to travel up to 25%

Qualifications/Experience

• BSN/MSN preferred; BA/BS in a relevant discipline required
• Case management, patient services, or pharmaceutical market access experience
• At least 2+ years in a specialty pharmaceutical field-based role- preference for rare diseases
• Proven understanding of pharmacy benefit designs, prior authorization processes, and specialty pharmacy treatment pathways
• Deep understanding of local, regional, and national insurance authorization policies and barriers
• Knowledgeable in all applicable laws and regulations and maintain high ethical and compliance standards

Compensation

• $150K-$165K salary
• Performance based bonus
• LTI (long term incentive program)