Patient Access Manager-Texas, Alabama, Louisiana and New Mexico

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Job Description

Join Takeda as a Patient Access Manager covering Texas, Alabama, Louisiana and New Mexico. The Patient Access Manger (PAM) provides logistical reimbursement and access assistance, education and support for rare diseases for those patients that have been prescribed a Takeda therapy. This individual will work closely with physicians, institutions, nurses, pharmacists and office staff, as well as patients, families, and patient organizations to prevent and address barriers to patient access. The PAM will utilize a regional team approach while working with numerous internal/external groups such as Case Managers, Managed Markets, Patient Support Managers, Policy and Govt Affairs, Regional Business Managers and Marketing teams to facilitate and optimize patient care. The objectives are dictated by the specific needs of each region and the percentage of time spent on each job may vary. The PAM will provide reimbursement and access education to accounts, including, but not limited to, infusion clinics, HCP practices, hemophilia treatment centers, academic institutions, hospitals and specialty pharmacies as appropriate based on Takeda’s expanding portfolio needs. They will also identify and resolve reimbursement issues.

How you will contribute:

Responsibilities for Patient Access (70%) includes:

• Navigate through reimbursement barriers for patients and providers, and therefore, optimize access to Takeda specialty products for the appropriate patients

• Resource for reimbursement, access and policy education to patients and families to ensure that they are well informed

• Be able to build professional relationships while navigating sensitive conversations related to access, cost and reimbursement in a manner that supports the vision of Takeda’s partnership and commitment to the specialty community

• Resource for alternative insurance options for patients and provide information on relevant reimbursement topics related to our products

• Ongoing support of the Takeda Patient Support (TPS) teams and when necessary, working as a liaison with our customers

• Develop relationships with patient access stakeholders including office management, institution administrators, billing and coding staff, nurses, and other individuals to deliver information that facilitates patient access to and appropriate reimbursement of Takeda products

• Reactively and appropriately respond to patient case issues at the account level and support the use of HUB services to resolve current and future problems.

• Be responsible for understanding and upholding Takeda Legal and Compliance guidance at a customer and field leadership level in terms of access, cost and reimbursement related issues.

Site Support and Other responsibility (30%) include:

• Resource to providers and hospitals regarding billing, reimbursement and procurement options

• Provide reimbursement education and support to sites of care/treatment centers if requested or necessary

• Reimbursement/Access conflict resolution

• Provide prior authorization and appeal support to HCP offices

• Investigate reimbursement related issues and general payer inquiries 

• Representing Takeda at Regional and National conferences or programs in line with legal and compliance guidelines

• Develop and implement special projects to address regional based objectives

Minimum Requirements/Qualifications:

• Bachelor’s Degree required

• 3+ years of prior relationship management expe