Associate Director, Patient Services and Distribution Case Management
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Job Description
Patient services case manager supporting BeOne’s oncology therapy access and specialty pharmacy distribution network. Resolving reimbursement barriers and coordinating patient cases across the Great Lakes/Northeast territory.
Responsibilities:
- Support the myBeOne Patient Support Program and specialty pharmacy distribution network
- Educate and update internal and external stakeholders on the myBeOne Patient Support Program and Specialty Pharmacy/Distribution Network
- Interpret stakeholder needs and provide well-informed answers
- Work with myBeOne Oncology Nurse Advocates and Specialty Pharmacies to manage steps required for patients to gain access to therapy
- Assist with maintaining relationships with patients and physicians to ensure ongoing therapy compliance and obtain missing information
- Conduct in-person and virtual myBeOne/Distribution presentations to healthcare provider offices
- Communicate with patients, caregivers, and HCPs throughout the patient journey to reduce or remove barriers to therapy access
- Review active patient cases and internal database statuses
- Facilitate calls with myBeOne, Corporate Account Directors, Field Account Managers, and Specialty Pharmacy Partners
- Triage, troubleshoot, and resolve reimbursement issues including step-edits, prior authorizations, denials, appeals, and re-authorizations
- Liaise between healthcare provider offices/internal customers and myBeOne Support Program/Specialty Pharmacies regarding delays, status updates, and escalations
- Partner with Commercial Operations and Data Analytics to identify data issues and assess trends
- Present patient support program offerings and distribution model overviews to HCP stakeholders
- Ensure missing patient information does not obstruct therapy initiation
- Serve as primary contact for Oncology Nurse Advocates regarding unsuccessful information retrieval or therapy delays
- Report to the Director of Patient Services and Distribution Case Management
- Support the Great Lakes/Northeast territory
Requirements:
- Bachelor’s degree required
- BS Degree with 5+ years’ experience in the pharmaceutical industry (Patient Services, Vendor Management, Specialty Pharmacy Operations)
- Experience supporting oral oncolytic via multiple distribution channels
- Prior reimbursement experience with the ability to research, resolve, and communicate complex case/reimbursement scenarios
- Experience understanding benefits, access, and coverage from health insurance carriers
- Proficiency in payer coverage policy interpretation (commercial and government)
- Ability to multitask, prioritize, problem solve and manage communication across multiple geographies and time zones
- Cross functional collaboration to foster case resolution and case pull through
- Strong verbal and written communication skills
- Ability to handle sensitive PHI information
- Strong attention to detail, analytical, investigation and critical thinking skills
- Ability to navigate missing information with HCP’s, Patients, myBeiGene, and Specialty Pharmacies
- Ability to work various shifts from 8-8 EST based on business need
- Strong data entry skills
- Knowledge of medical terminology
- Computer proficiency
- Willingness to travel 25%
Benefits:
- Annual bonus plan for non-commercial roles
- Incentive compensation plan for commercial roles
- Discretionary equity awards
- Employee Stock Purchase Plan
- Medical insurance
- Dental insurance
- Vision insurance
- 401(k)
- FSA/HSA
- Life Insurance
- Paid Time Off
- Wellness
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