Job Information
Grifols Shared Services North America, Inc Patient Access Liaison in Greenville, North Carolina
Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the lives of millions of people? Grifols is a global healthcare company that since 1909 has been working to improve the health and well-being of people around the world. We are leaders in plasma-derived medicines and transfusion medicine and develop, produce and market innovative medicines, solutions and services in more than 110 countries and regions.
The role of the Patient Access Liaison (PAL) is to minimize Prolastin®-C Liquid access and reimbursement barriers for Alpha-1 patients and health care providers . They will accomplish this by executing the market access reimbursement plan in the assigned geographic area with physicians, office staff and institutional customers. The PAL will work closely with internal and external partners including HCPs and their staff, Market Access, the US Pulmonary National Sales Director and Regional Sales Directors and SP/Hub partners in the field, supporting accounts in resolving reimbursement issues and concerns. The PAL is expected to have a deep working knowledge of both public and private payer policies within their market, as it relates to Prolastin-C coverage and access. This position will serve as subject matter expert on payer/reimbursement matters, patient services and pharmacy processes and requirements.
RESPONSIBILITIES:
Proactively educate prescriber office personnel to facilitate patient access via in person and virtual interactions.
Serve as subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans (i.e., Medicare, Medicaid Managed Care, Commercial)
Champion and manage the appropriate utilization of patient support services and reimbursement programs to ensure compliance with legal and regulatory requirements.
Collaborate closely with the Grifols payor team to understand payer policies and facilitate patient access.
Ensure providers understand prior authorization requirements, appeals processes and clinical criteria, including technology options for electronic submission of PA, Letter of Medical Necessity, appeals, step edits, formulary exception requests and provides support for other related coverage issues and documentation requirements.
Enhance awareness and understanding of patient support offerings and specialty pharmacy (SP) processes. Ensure these solutions are optimized to support the patient's journey and deliver excellent patient and provider experience.
Reactively address patient specific issues and provide timely issue resolution across geography.
Closely collaborate with Hub/SP account management team to directly solve any customer-related issues.
Builds productive, professional relationships with customers in targeted accounts to address Prolastin-C market access issues.
Compliance
QUALIFICATIONS:
BA/BS Degree, BSN, Advanced degree or PharmD preferred and at least 2 years of rare disease, specialty pharmacy, pharma and/or biopharmaceutical experience.
Minimum of 3-5 years of experience calling on field-based customers, with proven ability to build strong relationships with healthcare professionals.
Extensive knowledge of medication access channels.
Strong functional knowledge of specialty pharmacy and health insurance and benefits with a demonstrated expert understanding of insurance eligibility benefit verification, prior authorization processes, reimbursement coverage, appealing insurance denials, application of financial assistance, co-pay support and free product programs
Proven ability to thrive in both an independent setting and within a collaborative cross functional environment
Ability to travel and cover large multistate geography territories; > 50% travel required, must reside within assigned territory and near a major airport
The estimated pay scale for this role that is based Remotely is $110,000 per year. Additionally, the position is eligible to participate in the company bonus pool. We offer a wide variety of benefits including, but not limited to: Medical, Dental, Vision, PTO, up to 5% 401(K) match and tuition reimbursement. Final compensation packages will ultimately depend on education, experience, skillset, knowledge, where the role is performed, internal equity and market data. We are committed to offering our employees opportunities for professional growth and career progression. Grifols is a global healthcare organization with employees in 30 countries focused on patient health and providing impactful results. Since our humble beginnings in 1909, Grifols has been a family company that prides itself on its family-like culture. Our company has more than tripled over the last 10 years, and you can grow with us!
Third Party Agency and Recruiter Notice:
Agencies that present a candidate to Grifols must have an active, nonexpired, Grifols Agency Master Services Agreement with the Grifols Talent Acquisition Department. Additionally, agencies may only submit candidates to positions that they have been engaged to work on by a Grifols Recruiter. All resumes must be sent to a Grifols Recruiter under these terms or they will be considered a Grifols candidate.
Grifols provides equal employment opportunities to applicants and employees without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability or any other characteristic or status protected by law. We will consider for employment all qualified Applicants in a manner consistent with the requirements of applicable state and local laws.
Learn more about Grifols (https://www.grifols.com/en/what-we-do)
Req ID: 524501
Type: Regular Full-Time
Job Category: Marketing