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Mallinckrodt Pharmaceuticals · 11 hours ago

Access and Reimbursement Manager, Orlando

Orlando, FL

Full-time

Onsite

Senior Level

$160K/yr - $202K/yr

5+ years exp

Mallinckrodt Pharmaceuticals is seeking an Access and Reimbursement Manager to help create and maintain treatment access for patients. The role involves leading the 'pull-through' process, identifying payer trends, and collaborating with various stakeholders to expedite patient treatment.

Biotechnology

Responsibilities

Help create and maintain treatment access for patients through the duration of the course of therapy

Lead the 'pull-through' process on open cases by taking compliant actions that improve access and expedite a patient's start to treatment

Facilitate this process by working directly with prescribing offices, contracted Specialty Pharmacies, the Patient Service Center, and sales colleagues

Identify payer trends, alert business partners, and take initiative around developing, coordinating and executing tactical plans in order to create and maintain treatment access for patients

Demonstrate uncompromised ethics and integrity while helping others understand legal and regulatory parameters related to anti-kickback statutes, fraud and abuse, off-label promotion, and OIG guidance related to patient assistance programs

Work in a fast-paced environment and prioritize business needs

Solve complex problems, develop strong customer relationships, and motivate others to take appropriate action to move cases forward

Adapt to evolving and changing business needs

Qualification

Access & ReimbursementPayer account managementSpecialty Pharmacy distributionInsuranceBenefit designCase ManagementAuthorization processesAnalytical skillsProblem solvingRelationship-buildingCommunication skillsOrganizational skillsLeadership skills

Required

Minimum of 5 years' experience working with specialty pharmaceutical products, or minimum of 2 years' access-related position outside of pharma

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, Case Management

Successful navigation of complex authorization processes for specialty medications

Working with a Patient Service Center/Hub in order to design case-specific strategies based on payer mix, benefit design, and authorization requirements

Coordinating case pull-through with the Patient Service Center, Case Managers, Sales, and Specialty Pharmacies

Field responsibilities that include supporting and educating HCP offices on best practices that streamline the authorization process and expedite treatment access for patients

Communicating with SPs to improve processing time and help facilitate shipment scheduling

Demonstrated analytical, problem solving, and relationship-building skills

Excellent communication, organizational and leadership skills

Customer interaction and field travel up to 60% - overnights dependent on geography

Bachelor's or higher degree required