Local Payer Engagement Manager Job at Coloplast (Peterborough)

Patient Access Liaison

The Patient Access Liaison (PAL) is a field-based patient access and reimburseme...

Location

United States , Oklahoma City

Salary:

158394.00 - 222256.00 USD / Year

Amgen

Expiration Date

Until further notice

Requirements

Doctorate degree OR Master's degree and 2 years of patient services and/or access and reimbursement experience OR Bachelor's degree and 4 years of patient services and/or access and reimbursement experience OR Associate's degree and 8 years of patient services and/or access and reimbursement experience OR High school diploma / GED and 10 years of patient services and/or access and reimbursement experience
Doctorate degree and 2 years of patient services, and/or access and reimbursement, experience OR Master's degree and 4 years of patient services, and/or access and reimbursement, experience OR Bachelor's degree and 6 years of patient services, and/or access and reimbursement, experience

Job Responsibility

Serve as a resource on patient access and reimbursement for infused and specialty therapies
Assist patients, caregivers, and healthcare providers in navigating insurance benefits, prior authorization requirements, and reimbursement processes
Support the identification and resolution of access challenges, including coverage questions, prior authorization barriers, and denied claims
Provide education regarding coding and billing considerations relevant to therapy access
Develop relationships with patients and caregivers through phone, virtual, and in-person engagement
Secure written or electronic patient HIPAA authorization within assigned geography
Assess individual patient needs and provide education and resources that support access to therapy
Educate patients on coverage considerations and the steps required to obtain prior authorization
Provide information regarding co-pay assistance programs, national foundations, and free drug programs when appropriate
Educate physician offices and sites of care on therapy coverage pathways and reimbursement processes

What we offer

Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
Stock-based long-term incentives
Award-winning time-off plans and bi-annual company-wide shutdowns
Flexible work models, including remote work arrangements, where possible

Fulltime

Patient Access Liaison

The Patient Access Liaison (PAL) is a field-based patient access and reimburseme...

Location

United States , Charlotte

Salary:

158394.00 - 222256.00 USD / Year

Amgen

Expiration Date

Until further notice

Requirements

Doctorate degree
OR Master's degree and 2 years of patient services and/or access and reimbursement experience
OR Bachelor's degree and 4 years of patient services and/or access and reimbursement experience
OR Associate's degree and 8 years of patient services and/or access and reimbursement experience
OR High school diploma / GED and 10 years of patient services and/or access and reimbursement experience
For Level 6: Doctorate degree and 2 years of patient services, and/or access and reimbursement, experience
OR Master's degree and 4 years of patient services, and/or access and reimbursement, experience
OR Bachelor's degree and 6 years of patient services, and/or access and reimbursement, experience

Job Responsibility

Serve as a resource on patient access and reimbursement for infused and specialty therapies
Assist patients, caregivers, and healthcare providers in navigating insurance benefits, prior authorization requirements, and reimbursement processes
Support the identification and resolution of access challenges, including coverage questions, prior authorization barriers, and denied claims
Provide education regarding coding and billing considerations relevant to therapy access
Develop relationships with patients and caregivers through phone, virtual, and in-person engagement
Secure written or electronic patient HIPAA authorization within assigned geography
Assess individual patient needs and provide education and resources that support access to therapy
Educate patients on coverage considerations and the steps required to obtain prior authorization
Provide information regarding co-pay assistance programs, national foundations, and free drug programs when appropriate
Educate physician offices and sites of care on therapy coverage pathways and reimbursement processes

What we offer

Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
Stock-based long-term incentives
Award-winning time-off plans and bi-annual company-wide shutdowns
Flexible work models, including remote work arrangements, where possible

Fulltime

National Lead, Access & Public Affairs - West

The National Lead, Access and Public Affairs - West is responsible for activitie...

Location

Canada

Salary:

Not provided

The Muse

Expiration Date

Until further notice

Requirements

Bachelors degree in business, health policy, health economics, life sciences or healthcare discipline
MBA preferred
10+ years of pharmaceutical / biotech industry experience including experience in market access & stakeholders management
Demonstrated key payer relationships and accomplishments at the national and local level
Demonstrated excellence in portfolio management and project management
Successful experience in leading cross-functional teams
Have successfully demonstrated the ability to build strong relationships with high level leaders and external stakeholders
Consultative partnerships: ability to identify emerging stakeholder needs and to problem-solve in innovative ways (programs, contracts etc.) to help CSL meet those needs
In-depth knowledge of Canadian Public and Private reimbursement, HTA and formulary listings processes
Ability to work independently and take the lead role on assigned projects

Job Responsibility

Responsible for developing and implementing national strategic access plans that ensure funding of CSL's products across the country, (ii) shaping an environment that values innovative therapies and enable timely access to patients and partner with health-system stakeholders to facilitate the integration of new therapies, enhancing patient outcomes
Develop and ensure that the stakeholder engagement strategy, execution, and focus are aligned to support product market access goals, therapeutic leadership, and corporate reputation
Accountable for representing CSL Canada to collaborate with public drug programs, and other government organizations, private insurers, and key HCPs
Develop and implement strategies and plans that aim to strengthen relationships, raise disease awareness, negotiate strategic partnerships and collaborations, improve patient access that are aligned with CSL strategic objectives
Lead the development of professional relationships with key stakeholders at a product level (e.g. support input in the Health Technology Assessment process, discuss product files with drug plans, etc.), at a therapeutic leadership level (e.g. manage key national stakeholder partnership projects), and at a corporate reputation level (e.g. manage key sponsorships, key corporate communications)
Lead national and provincial negotiations and partnership agreements, ensuring mutual value creation and long-term collaboration
Identify emerging market access trend issues and lead the development of a strategic and organized approach for advocating for patient-focused solutions
Identify external challenges/opportunities and emerging issues that may impact CSL and work with team to recognize internal and external communications opportunities and solutions
Define and execute appropriate strategies to support them
Develop specific communication tools and vehicles for the appropriate dissemination of information to the patient community, drug plans, and other stakeholders

What we offer

Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Short-Term Disability
Long-Term Disability
FSA
HSA
Mental Health Benefits
Adoption Leave

Fulltime

Director of Government Affairs

Influence policy, build partnerships, and advance better healthcare for patients...

Location

Germany , Berlin

Salary:

Not provided

Proclinical

Expiration Date

Until further notice

Requirements

Strong understanding of healthcare policy developments, local regulatory and HTA processes, and an established network of government and policy stakeholders
University degree required
Fluency in German and English
Strategic thinking, problem-solving, and analytical skills
Ability to collaborate effectively across organizational structures and with external partners
Excellent writing and editing skills for policy and business documents
Strong project management and organizational abilities to handle multiple priorities
Confident presentation skills for internal and external audiences
Willingness to travel regularly, including approximately 50% travel activity, with frequent visits to Munich

Job Responsibility

Develop and implement a comprehensive government affairs strategy aligned with business objectives
Act as a strategic partner to the country leadership team and contribute to the extended German Leadership Team
Lead engagement efforts with government officials on legislation, regulation, pricing, reimbursement, and policy initiatives
Create and execute flagship initiatives to support a favorable healthcare environment and improve patient access
Monitor healthcare developments impacting innovative medicines and devise risk mitigation strategies
Manage local political consultants and coordinate related projects
Collaborate with internal teams, including market access, regulatory, legal, compliance, patient advocacy, commercial, and medical functions, to align plans and activities
Engage with policymakers, payers, trade associations, and other stakeholders to shape healthcare policies
Conduct briefings, meetings, and forums to provide updates on healthcare policy issues
Respond to public consultations and develop compelling policy arguments and materials

Admissions Coordinator

The primary purpose of your job position is to assist the Admissions Director in...

Location

United States , Daytona Beach

Salary:

Not provided

Solaris Healthcare

Expiration Date

Until further notice

Requirements

Must be able to read, write, speak, and understand the English language
Must possess the ability to make independent decisions when circumstances warrant such action
Must demonstrate the knowledge and skills necessary to provide care appropriate to the age related needs of the residents served
Must be a supportive team member, contribute to and be an example of team work and team concept
Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public
Must possess leadership ability and willingness to work harmoniously with and supervise other personnel
Must have patience, tact, cheerful disposition and enthusiasm, as well as be willing to handle residents based on whatever maturity level in which they are currently functioning
Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing activities
Must be able to relate information concerning a residents condition
Must not pose a direct threat to the health or safety of other individuals in the workplace

Job Responsibility

Completes all assigned tasks in a timely manner as instructed by supervisor
Adheres to work schedules in completing and performing assigned tasks
Cooperates with department personnel, as well as other facility personnel to ensure that services can be adequately maintained to meet the needs of residents
Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout Solaris HealthCare
Treats residents, residents family members, visitors and fellow employees with courtesy, respect and dignity
Meets with Supervisor on a regular basis to assist in identifying and correcting problem areas and/or improving services
Notifies facility when late arrival to or absence from work according to established center policy
Adheres to established employee policies
Adheres to established dress code
Meets acceptable center attendance requirements

What we offer

Affordable Health, Dental & Vision Insurance (family options included)
Advanced Pay -get paid when YOU want
401k with Company Match -plan for your future
Generous ETO, Holidays & Sick Time -we value work life balance
Tuition Reimbursement -invest in your growth
Life Insurance & Disability Coverage -peace of mind for you & your family
Uniforms Provided & Perks Programs -we've got your covered
Shift Differentials depending on location, position & shift

Parttime

Patient Access Liaison

The Patient Access Liaison (PAL) is a field-based patient access and reimburseme...

Location

United States , Fresno

Salary:

158394.00 - 222256.00 USD / Year

Amgen

Expiration Date

Until further notice

Requirements

Doctorate degree
OR Master's degree and 2 years of patient services and/or access and reimbursement experience
OR Bachelor's degree and 4 years of patient services and/or access and reimbursement experience
OR Associate's degree and 8 years of patient services and/or access and reimbursement experience
OR High school diploma / GED and 10 years of patient services and/or access and reimbursement experience
Doctorate degree and 2 years of patient services, and/or access and reimbursement, experience
OR Master's degree and 4 years of patient services, and/or access and reimbursement, experience
OR Bachelor's degree and 6 years of patient services, and/or access and reimbursement, experience

Job Responsibility

Serve as a resource on patient access and reimbursement for infused and specialty therapies
Assist patients, caregivers, and healthcare providers in navigating insurance benefits, prior authorization requirements, and reimbursement processes
Support the identification and resolution of access challenges, including coverage questions, prior authorization barriers, and denied claims
Provide education regarding coding and billing considerations relevant to therapy access
Develop relationships with patients and caregivers through phone, virtual, and in-person engagement
Secure written or electronic patient HIPAA authorization within assigned geography
Assess individual patient needs and provide education and resources that support access to therapy
Educate patients on coverage considerations and the steps required to obtain prior authorization
Provide information regarding co-pay assistance programs, national foundations, and free drug programs when appropriate
Educate physician offices and sites of care on therapy coverage pathways and reimbursement processes

What we offer

Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
Stock-based long-term incentives
Award-winning time-off plans and bi-annual company-wide shutdowns
Flexible work models, including remote work arrangements, where possible

Fulltime

Patient Access Liaison

The Patient Access Liaison (PAL) is a field-based patient access and reimburseme...

Location

United States of America , Detroit

Salary:

Not provided

Amgen

Expiration Date

Until further notice

Requirements

Doctorate degree
OR Master's degree and 2 years of patient services and/or access and reimbursement experience
OR Bachelor's degree and 4 years of patient services and/or access and reimbursement experience
OR Associate's degree and 8 years of patient services and/or access and reimbursement experience
OR High school diploma / GED and 10 years of patient services and/or access and reimbursement experience
Doctorate degree and 2 years of patient services, and/or access and reimbursement, experience
OR Master's degree and 4 years of patient services, and/or access and reimbursement, experience
OR Bachelor's degree and 6 years of patient services, and/or access and reimbursement, experience

Job Responsibility

Serve as a resource on patient access and reimbursement for infused and specialty therapies
Assist patients, caregivers, and healthcare providers in navigating insurance benefits, prior authorization requirements, and reimbursement processes
Support the identification and resolution of access challenges, including coverage questions, prior authorization barriers, and denied claims
Provide education regarding coding and billing considerations relevant to therapy access
Develop relationships with patients and caregivers through phone, virtual, and in-person engagement
Secure written or electronic patient HIPAA authorization within assigned geography
Assess individual patient needs and provide education and resources that support access to therapy
Educate patients on coverage considerations and the steps required to obtain prior authorization
Provide information regarding co-pay assistance programs, national foundations, and free drug programs when appropriate
Educate physician offices and sites of care on therapy coverage pathways and reimbursement processes

What we offer

Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
Stock-based long-term incentives
Award-winning time-off plans and bi-annual company-wide shutdowns
Flexible work models, including remote work arrangements, where possible

Fulltime

Patient Access Liaison - KRYSTEXXA

The Patient Access Liaison (PAL) is a field-based patient access and reimburseme...

Location

United States , Buffalo

Salary:

158394.00 - 222256.00 USD / Year

Amgen

Expiration Date

Until further notice

Requirements

Doctorate degree
OR Master's degree and 2 years of patient services and/or access and reimbursement experience
OR Bachelor's degree and 4 years of patient services and/or access and reimbursement experience
OR Associate's degree and 8 years of patient services and/or access and reimbursement experience
OR High school diploma / GED and 10 years of patient services and/or access and reimbursement experience
OR Doctorate degree and 2 years of patient services, and/or access and reimbursement, experience
OR Master's degree and 4 years of patient services, and/or access and reimbursement, experience
OR Bachelor's degree and 6 years of patient services, and/or access and reimbursement, experience

Job Responsibility

Serve as a resource on patient access and reimbursement for infused and specialty therapies
Assist patients, caregivers, and healthcare providers in navigating insurance benefits, prior authorization requirements, and reimbursement processes
Support the identification and resolution of access challenges, including coverage questions, prior authorization barriers, and denied claims
Provide education regarding coding and billing considerations relevant to therapy access
Develop relationships with patients and caregivers through phone, virtual, and in-person engagement
Secure written or electronic patient HIPAA authorization within assigned geography
Assess individual patient needs and provide education and resources that support access to therapy
Educate patients on coverage considerations and the steps required to obtain prior authorization
Provide information regarding co-pay assistance programs, national foundations, and free drug programs when appropriate
Educate physician offices and sites of care on therapy coverage pathways and reimbursement processes

What we offer

Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
Stock-based long-term incentives
Award-winning time-off plans and bi-annual company-wide shutdowns
Flexible work models, including remote work arrangements, where possible

Fulltime

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Local Payer Engagement Manager

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