Field Access Specialist-Mountain/West Coast

Join us as we transform immunology and deliver medicines that help autoimmune patients get their lives back. argenx is preparing for multi-dimensional expansion to reach more patients through a rich pipeline of differentiated assets, led by VYVGART, our first-in-class neonatal Fc receptor blocker approved for the treatment of gMG, and with the potential to treat patients across dozens of severe autoimmune diseases.

We are building a new kind of biotech company, one that maintains its roots as a science-based start-up and pushes our commitment to innovate across all corners of our business. We strive to inspire and grow our company, our partnerships, our science, and our people, because when we do, we deliver more for patients. 

The Associate Director, Field Access Specialist (FAS) is regionally-based and supports a cross functional team in ensuring patients have access to treatment. The FAS interfaces with Specialty Pharmacy Program Mangers, field reimbursement managers (FRMs), market access, and their support teams on complex access and reimbursement cases.  The FAS may interact with healthcare professionals including their ancillary staff as needed to support the patient journey. 

The primary responsibility of the role is to support the entire reimbursement access journey for patients enrolled in PSP from treatment initiation through maintenance on therapy.  This is a remote based role with the ability to travel for field visits or meetings as needed and reports to the Head of US Field Reimbursement West.

Key Accountabilities/Responsibilities:

The ideal candidate will possess extensive knowledge of Specialty Pharmacy and  unique reimbursement scenarios. Additionally the role will be responsible for addressing and socializing complex access issues across PSP and FRM teams. Role will also provide insights on access related trends and associated recommendations to argenx  Market Access leadership.

• Maintain a current, proficient understanding of commercial insurers, Medicare FFS, Medicare Part D, specialty pharmacy, and insurance changes each year

• Review enrolled patients’ benefits and facilitate access to financial or other alternative funding sources for eligible patients within regulatory guidelines

• Collaborate to troubleshoot and resolve complex reimbursement-related issues with SOCS/FRM, Market Access, Distribution, SP and insurance companies

• Partner with providers and billing teams to ensure all needs are met and appropriate support is being given on an individualized basis

• Communicate and partner directly with internal cross-functional departments including: Market Access, FRMs, Medical and Patient Advocacy in order to prioritize tasks, organize, and manage multiple projects related to access barriers

• Provide regular updates to PSP teams and Market Access regarding any outstanding access issues and update with specific patient payer issues

• Comply with all relevant industry laws and argenx policies

Desired Skills and Experience:

• Demonstrated knowledge of third-party payers (Medicare, Medicaid, commercial) and case management process (prior authorization and appeals) required

• Experience with Specialty Pharmacy, Buy and Bill products, Medicare Part A, Part B, and Part D reimbursement systems 

• Working knowledge of CPT, ICD-10, HCPCS coding; site of care reimbursement environment (infusion site, physician office, HOPD reimbursement)

• Customer support, provider or payer relation experience with proven ability to establish strong working relationships with customers

• Strong communication, organizational and interpersonal skills (both written and verbal)

• Clinical, technical and scientific knowledge and aptitude in complex disease state

• Effective time management, resources allocation and workload management

• Ability to work in close collaboration with multiple departments including training, market access, field reimbursement teams, patient advocacy and marketing in order to align on objectives and provide consistent feedback and communication

• Must be proficient with Microsoft office

• Ability to work independently and as a team member

• Remote position with approximately 10-20% travel (may flex at times)

Qualifications:

• At least 3-5 years of Access and Reimbursement experience

• 5+ years’ experience in pharmaceutical/ biotech industry, with case management experience is a plus

• Billing and Coding Certification

• Bachelor’s degree required

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This job is eligible to participate in our short-term and lo