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Patient Access Specialist - Gaithersburg, MD

AstraZeneca
Gaithersburg, United Statesfull_timeVerifiedPosted 3 Sept 2024

About the role

At AstraZeneca, we turn ideas into life changing medicines. Working here means being entrepreneurial, thinking big and working together to make the impossible a reality. We're focused on the potential of science to address the unmet needs of patients around the world. As a Patient Access Specialist, you'll play a pivotal role in helping patients access our life changing medicines.

The Patient Access Specialist (PAS) is an essential member of the AstraZeneca Patient Support Operations team supporting patients and healthcare providers across the US. This position will be responsible for helping patients understand their access to medication through reimbursement and affordability programs. This role will focus on identification of access pathways by providing information and resources to address access barriers while maintaining internal and external communications.

Essential Job Functions:  

  • Manage day to day activities of patient and health care provider support requests and deliverables across multiple communication channels in a Contact Center i.e. Phone, Fax, Chat, eMail, etc.
  • Ensure all support requested is captured within the Case Management system
  • Ensure timely processing and resolution of cases meeting productivity and quality requirements
  • Escalate complex cases, when appropriate
  • Coordinate all appropriate aspects of patient case management through to completion, using effective interpersonal skills to manage interactions
  • Educate Health Care Providers and patients on available on Patient Support programs and referral process to ensure timely case processing
  • Communicate effectively with payers, pharmacies, third party administrators and other departments
  • Perform in-depth research into patient's medication coverage (may include benefit investigation/prior authorization/appeals and available support programs)
  • Pass certification at the completion of on-boarding training

Education, Qualifications, Skills and Experience Requirements:

  • High School Diploma Required
  • Ability to handle high volume of customer inquiries via computer often in a seated position
  • Ability to drive projects and cases to completion, be self-directed, have excellent verbal and written communication skills with excellent customer service
  • Analytical thinking, problem solving and decision making with effective organizational management
  • Proficient competency using Word, Excel and PowerPoint
  • Ability to multitask and manage multiple parallel projects
  • Business acumen; knowledgeable in current and possible future policies, practices, trends, technology and information affecting Patient Support programs
  • Bilingual proficiency in English/Spanish
  • Must be able to support all hours of operations (Monday- Friday, core shifts from 8 am-6 pm ET) and follow published daily schedule
  • Hybrid work location with a minimum 25% designated on-site team collaboration days with at least 1 day/week on-site

Desirable:

  • Associates or Bachelor’s Degree strongly preferred, or 2 years of healthcare/healthcare reimbursement experience; high level of proficiency in all aspects of patient access, i.e., benefit investigations, specialty pharmacy distribution, private and public payer reimbursement policies and procedures, regulatory and administrative rules
  • Expert knowledge of specialty products, reimbursement for medical and pharmacy benefits, patient access processes and patient assistance programs: operational policies and processes
  • Proven track record for consistently meeting or exceeding qualitative, as well as any relevant quantitative, targets and goals
  • Experience with HIPAA policy, patient access data and analytics

Date Posted

03-Sep-2024

Closing Date

Our mission is to build an inclusive and equitable environment. We want people to feel they belong at AstraZeneca and Alexion, starting with our recruitment process. We welcome and consider applications from all qualified candidates, regardless of characteristics. We offer reasonable adjustments/accommodations to help all candidates to perform at their best. If you have a need for any adjustments/accommodations, please complete the section in the application form.

AstraZeneca requires all US employees to be fully vaccinated for COVID-19 but will consider requests for reasonable accommodations as required by applicable law.

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Company

AstraZeneca

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