Access and Reimbursement Manager (San Francisco/Sacramento) at Mallinckrodt Pharmaceuticals | CA, US | Rezi

Access and Reimbursement Manager (San Francisco/Sacramento) at Mallinckrodt Pharmaceuticals

Access and Reimbursement Manager (San Francisco/Sacramento)

Mallinckrodt Pharmaceuticals · CA, US

2 weeks ago

Access and Reimbursement Manager (San Francisco/Sacramento)

Mallinckrodt Pharmaceuticals · CA, US

20 days ago
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About the Role

The Access and Reimbursement Manager (ARM) helps create and maintain treatment access for patients throughout their course of therapy by leading the "pull-through" process on open cases. The ARM works with prescribing offices, specialty pharmacies, the Patient Service Center, and sales colleagues to improve access and expedite patient treatment starts. This role also involves identifying payer trends, alerting business partners, and executing tactical plans to ensure patient access. The ARM is a valuable resource, demonstrating strong ethics and integrity while navigating legal and regulatory parameters.

Responsibilities

  • Lead the "pull-through" process on open cases to improve access and expedite patient treatment starts.
  • Facilitate the process by working directly with prescribing offices, contracted Specialty Pharmacies, the Patient Service Center, and sales colleagues.
  • Identify payer trends, alert business partners, and develop, coordinate, and execute tactical plans to create and maintain treatment access for patients.
  • Support and educate HCP offices on best practices that streamline the authorization process and expedite treatment access for patients.
  • Communicate with Specialty Pharmacies (SPs) to improve processing time and facilitate shipment scheduling.

Requirements

  • Minimum of 5 years’ experience working with specialty pharmaceutical products, or minimum of 2 years’ experience in an access-related position outside of pharma.
  • Experience preferred in Ophthalmology, Nephrology, Rheumatology, Pulmonology, Neurology, or Dermatology.
  • Strong understanding of insurance and benefit design with both commercial and government payers.
  • Background in Access & Reimbursement, Payer account management, Specialty Pharmacy distribution, Patient Services, or Case Management.
  • Successful navigation of complex authorization processes for specialty medications.
  • Experience working with a Patient Service Center/Hub to design case-specific strategies based on payer mix, benefit design, and authorization requirements.
  • Experience coordinating case pull-through with the Patient Service Center, Case Managers, Sales, and Specialty Pharmacies.
  • Demonstrated analytical, problem-solving, and relationship-building skills.
  • Excellent communication, organizational, and leadership skills.
  • Customer interaction and field travel up to 60%, with overnights dependent on geography.

Skills

  • Analytical skills
  • Problem-solving skills
  • Relationship-building skills
  • Communication skills
  • Organizational skills
  • Leadership skills

Location

  • San Francisco, CA
  • Sacramento, CA

Work Type

  • Field-based
  • Travel required

Experience Level

  • Minimum 5 years experience with specialty pharmaceutical products
  • Minimum 2 years experience in an access-related position outside of pharma

Education Level

  • Bachelor's or higher degree required

Salary/Compensations

  • $132K - $211K

Benefits

  • Competitive pay
  • Total Rewards package
  • Eligible for bonus

About the Company

  • Keenova believes that no one should be alone in their pursuit of better health, pairing quality therapeutics with human support.
  • The company brings deep expertise and resolve to therapeutic areas including immunology, urology, men’s health, orthopedics, critical care, and pediatric endocrinology.
  • Keenova works with patients, care partners, and physicians to help them navigate healthcare system complexity and access therapies that make a meaningful difference.