patient access manager

Agios Pharmaceuticals

<div><div>Patient Support Manager, Market Access (Mid-Atlantic) 
Who we are:
At Agios, we are fueled by connections to transform rare diseases. We foster an inclusive, collaborative culture &ndash; one that sparks bold thinking and strengthens our connections with each other and with the rare disease communities we serve. We embrace diverse backgrounds with respect, active listening, and a commitment to inclusion &ndash; because our differences shape how we hire, collaborate, and innovate. Our team&rsquo;s proven track record of executional excellence, combined with our depth of expertise and dedication, enables us to develop innovative medicines that reflect the priorities of rare disease communities. Our commitment is more than scientific &ndash; it&rsquo;s deeply personal, grounded in the meaningful connections we have built. To learn more, visit www.agios.com and follow Agios on LinkedIn and X. 
The impact you will make:
Agios Pharmaceuticals is searching for a dynamic Patient Support Manager (PSM) to join our growing Market Access team. We want someone who cares about this important work, and who&rsquo;s driven to connect to our mission of helping Sickle Cell patients. The Sickle Cell Patient Support Manager is responsible for coordinating comprehensive care for patients living with sickle cell disease. This role focuses on improving patient outcomes through education, care coordination, access support, and collaboration with healthcare providers and community resources. The Patient Support Manager serves as a key advocate for patients, ensuring timely access to treatment, adherence to care plans, and a high-quality patient experience. The Patient Support Manager will report to the regional Senior Manager Patient Access and Reimbursement Services. 
What you will do:<ul><li>
Contribute to the success of a best-in-class patient services program to support Agios&rsquo; Commercial Vision Mission</li><li>
Maintain long-term relationships with patients, caregivers, families, and HCPs to proactively identify and address new and ongoing barriers to access an ultra-rare drug</li><li>
Fosters collaborative relationships with Agios field-based and home-office teams to ensure One Agios unified approach to supporting patient access and brand strategy</li><li>
Exceed in delivering positive patient experience by assessing patient needs and develop action plans that identify and troubleshoot future access barriers to support treatment initiation and ensure continuation of the patient&rsquo;s treatment journey</li><li>
Help patients make connections with other patients and serve as the &ldquo;face of Agios&rdquo; at patient meetings and industry conferences</li><li>
Effectively shares reimbursement and other knowledge with customers and internal team members through collaboration and consultation for complex patient case studies</li><li>
Maintains comprehensive understanding of the access process, navigation of health care systems, insurance plans, payer trends, and internal/external patient and financial assistance programs</li><li>
Apply program business rules and work instructions to deliver uniform, consistent and sustainable service experience for patients</li><li>
Maintain confidentiality of patient health information and act in compliance with all laws, regulations and Agios policies.</li><li>
Demonstrates and maintains a high level of business acumen, understanding of Agios&rsquo; business model, and the role of the patient support manager in commercializing the business and driving initiatives to meet company goals</li><li>
Consistently leverages CRM reporting tools and data analytics to make strategic decisions about their territory and prioritize patient and customer needs</li><li>
Is proficient in the use of Customer Relationship Management tool</li><li>
Approaches patient and caregiver interactions with empathy, cultural humility, and an understanding of the lived experience and historical challenges faced by individuals with a rare disease</li><li>
Applies a trauma‑informed approach to patient engagement, recognizing the impact of chronic pain, repeated healthcare interactions, and historical inequities on patient trust and decision‑making</li><li>
Exceed in delivering a positive, dignified patient experience by building trust, actively listening, and addressing patient needs with compassion and urgency</li></ul> 
What you bring:<ul><li>
Bachelor&rsquo;s degree required. Health Care/Social Work/Nursing (or related field) a plus.</li><li>
Minimum of five (5) years of experience directly related to patient service or market access (e.g., case management) in the healthcare or pharmaceutical/biotech industry. Ultra-rare disease experience a plus.</li><li>
Knowledge of private payer, Medicare Part D and Medicaid structure, systems, and reimbursement process</li><li>
Knowledge of benefit verification and prior authorization process for oral products</li><li>
Experience and proficiency in working with a Customer Relationship Management System, such as Salesforce.com</li><li>
Ability to proficiently use Microsoft Excel, Outlook, and Word</li><li>
Ability to work independently and manage competing priorities</li><li>
Experience working in cross-functional teams and effective in influencing without authority</li><li>
Possess strong written and verbal communication skills, exceptional listening, critical thinking, and problem solving</li><li>
This position may require ability to travel within the US up to 15%</li></ul> 
Preferred Qualifications<ul><li>
Rare, ultra rare, or genetic disease experience</li><li>
Located in the Central region</li></ul> 
Concerned that you don&rsquo;t check off every box in the requirements listed above? Please apply anyway! At Agios, we value each other&rsquo;s differences and recognize that teams thrive when everyone brings their unique experiences to the table. We are dedicated to building an inclusive, diverse, equitable, and accessible environment where all employees can bring their whole selves to work. If you&rsquo;re excited about this role but your previous experience doesn&rsquo;t align perfectly with the job description, we still encourage you to apply. You may be just the right candidate for this role or another opening! 
Work Location:
Location Agnostic: Work location for this role is based on employee's individual preference. This role has the ability to be either remote in the US or hybrid in our Cambridge Headquarters. Hybrid schedules vary but are generally less than 3 days per week onsite and hybrid employees are expected to live within commutable distance to our Cambridge Headquarters. Remote employees work entirely from home except for attending Company sponsored events/ meetings. For employees who choose to work remotely, travel may be required for certain company events commensurate to the above job description.. 
What we will give you:<ul><li>
Deliberate Development. Your professional growth as one of our top priorities.</li><li>
Flexibility. We&rsquo;re all about individual needs. We embrace different perspectives, work styles, health and wellness approaches, care of families and productivity. When you&rsquo;re at your best, we&rsquo;re at our best.</li><li>
Premium benefits package. We invest in the health, wellbeing, and security of our people with a premium benefits package that is well-rounded and flexible to help meet the varied personal and professional needs of every member of our team. For more detail on the benefits we offer at Agios, visit the Inside Agios section of our website.</li><li>
Competitive and equitable performance-based compensation. This includes base salary and both short- and long-term incentives that are connected to our business strategy and vary based on individual and company performance.<ul><li>
The current base salary range for this position is expected to be between $110,029 and $165,044 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators.</li></ul></li><li>
Psychological safety. We support an environment of fearlessness. We want you to share your ideas, speak candidly and take data-informed risks to help push the boundaries.</li><li>
Commitment to diversity. We strive to foster a welcoming workplace where everyone can thrive. We&rsquo;re continuously looking to improve the inclusivity of our workforce.</li><li>
Commitment to community. We&rsquo;re an active participant in the communities that surround us &ndash; the communities where we live, and the community of people and their loved ones in need of better treatment options for conditions that are often overlooked.</li></ul> 
Interested in learning more about what makes our culture unique? Visit the Inside Agios section of our website.</div></div>

Patient Support Manager, Market Access (Mid Atlantic)

<div><div>Patient Support Manager, Market Access (Texas) 
Who we are:
At Agios, we are fueled by connections to transform rare diseases. We foster an inclusive, collaborative culture &ndash; one that sparks bold thinking and strengthens our connections with each other and with the rare disease communities we serve. We embrace diverse backgrounds with respect, active listening, and a commitment to inclusion &ndash; because our differences shape how we hire, collaborate, and innovate. Our team&rsquo;s proven track record of executional excellence, combined with our depth of expertise and dedication, enables us to develop innovative medicines that reflect the priorities of rare disease communities. Our commitment is more than scientific &ndash; it&rsquo;s deeply personal, grounded in the meaningful connections we have built. To learn more, visit www.agios.com and follow Agios on LinkedIn and X. 
The impact you will make:
Agios Pharmaceuticals is searching for a dynamic Patient Support Manager (PSM) to join our growing Market Access team. We want someone who cares about this important work, and who&rsquo;s driven to connect to our mission of helping Sickle Cell patients. The Sickle Cell Patient Support Manager is responsible for coordinating comprehensive care for patients living with sickle cell disease. This role focuses on improving patient outcomes through education, care coordination, access support, and collaboration with healthcare providers and community resources. The Patient Support Manager serves as a key advocate for patients, ensuring timely access to treatment, adherence to care plans, and a high-quality patient experience. The Patient Support Manager will report to the regional Senior Manager Patient Access and Reimbursement Services. 
What you will do:<ul><li>
Contribute to the success of a best-in-class patient services program to support Agios&rsquo; Commercial Vision Mission</li><li>
Maintain long-term relationships with patients, caregivers, families, and HCPs to proactively identify and address new and ongoing barriers to access an ultra-rare drug</li><li>
Fosters collaborative relationships with Agios field-based and home-office teams to ensure One Agios unified approach to supporting patient access and brand strategy</li><li>
Exceed in delivering positive patient experience by assessing patient needs and develop action plans that identify and troubleshoot future access barriers to support treatment initiation and ensure continuation of the patient&rsquo;s treatment journey</li><li>
Help patients make connections with other patients and serve as the &ldquo;face of Agios&rdquo; at patient meetings and industry conferences</li><li>
Effectively shares reimbursement and other knowledge with customers and internal team members through collaboration and consultation for complex patient case studies</li><li>
Maintains comprehensive understanding of the access process, navigation of health care systems, insurance plans, payer trends, and internal/external patient and financial assistance programs</li><li>
Apply program business rules and work instructions to deliver uniform, consistent and sustainable service experience for patients</li><li>
Maintain confidentiality of patient health information and act in compliance with all laws, regulations and Agios policies.</li><li>
Demonstrates and maintains a high level of business acumen, understanding of Agios&rsquo; business model, and the role of the patient support manager in commercializing the business and driving initiatives to meet company goals</li><li>
Consistently leverages CRM reporting tools and data analytics to make strategic decisions about their territory and prioritize patient and customer needs</li><li>
Is proficient in the use of Customer Relationship Management tool</li><li>
Approaches patient and caregiver interactions with empathy, cultural humility, and an understanding of the lived experience and historical challenges faced by individuals with a rare disease</li><li>
Applies a trauma‑informed approach to patient engagement, recognizing the impact of chronic pain, repeated healthcare interactions, and historical inequities on patient trust and decision‑making</li><li>
Exceed in delivering a positive, dignified patient experience by building trust, actively listening, and addressing patient needs with compassion and urgency</li></ul> 
What you bring:<ul><li>
Bachelor&rsquo;s degree required. Health Care/Social Work/Nursing (or related field) a plus.</li><li>
Minimum of five (5) years of experience directly related to patient service or market access (e.g., case management) in the healthcare or pharmaceutical/biotech industry. Ultra-rare disease experience a plus.</li><li>
Knowledge of private payer, Medicare Part D and Medicaid structure, systems, and reimbursement process</li><li>
Knowledge of benefit verification and prior authorization process for oral products</li><li>
Experience and proficiency in working with a Customer Relationship Management System, such as Salesforce.com</li><li>
Ability to proficiently use Microsoft Excel, Outlook, and Word</li><li>
Ability to work independently and manage competing priorities</li><li>
Experience working in cross-functional teams and effective in influencing without authority</li><li>
Possess strong written and verbal communication skills, exceptional listening, critical thinking, and problem solving</li><li>
This position may require ability to travel within the US up to 15%</li></ul> 
Preferred Qualifications<ul><li>
Rare, ultra rare, or genetic disease experience</li><li>
Located in the West region</li></ul> 
Concerned that you don&rsquo;t check off every box in the requirements listed above? Please apply anyway! At Agios, we value each other&rsquo;s differences and recognize that teams thrive when everyone brings their unique experiences to the table. We are dedicated to building an inclusive, diverse, equitable, and accessible environment where all employees can bring their whole selves to work. If you&rsquo;re excited about this role but your previous experience doesn&rsquo;t align perfectly with the job description, we still encourage you to apply. You may be just the right candidate for this role or another opening! 
Work Location:
Location Agnostic: Work location for this role is based on employee's individual preference. This role has the ability to be either remote in the US or hybrid in our Cambridge Headquarters. Hybrid schedules vary but are generally less than 3 days per week onsite and hybrid employees are expected to live within commutable distance to our Cambridge Headquarters. Remote employees work entirely from home except for attending Company sponsored events/ meetings. For employees who choose to work remotely, travel may be required for certain company events commensurate to the above job description.. 
What we will give you:<ul><li>
Deliberate Development. Your professional growth as one of our top priorities.</li><li>
Flexibility. We&rsquo;re all about individual needs. We embrace different perspectives, work styles, health and wellness approaches, care of families and productivity. When you&rsquo;re at your best, we&rsquo;re at our best.</li><li>
Premium benefits package. We invest in the health, wellbeing, and security of our people with a premium benefits package that is well-rounded and flexible to help meet the varied personal and professional needs of every member of our team. For more detail on the benefits we offer at Agios, visit the Inside Agios section of our website.</li><li>
Competitive and equitable performance-based compensation. This includes base salary and both short- and long-term incentives that are connected to our business strategy and vary based on individual and company performance.<ul><li>
The current base salary range for this position is expected to be between $110,029 and $165,044 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators.</li></ul></li><li>
Psychological safety. We support an environment of fearlessness. We want you to share your ideas, speak candidly and take data-informed risks to help push the boundaries.</li><li>
Commitment to diversity. We strive to foster a welcoming workplace where everyone can thrive. We&rsquo;re continuously looking to improve the inclusivity of our workforce.</li><li>
Commitment to community. We&rsquo;re an active participant in the communities that surround us &ndash; the communities where we live, and the community of people and their loved ones in need of better treatment options for conditions that are often overlooked.</li></ul> 
Interested in learning more about what makes our culture unique? Visit the Inside Agios section of our website.</div></div>

Patient Support Manager, Market Access (Texas)

<div><div>Patient Support Manager, Market Access (Philadelphia/DMV) 
Who we are:
At Agios, we are fueled by connections to transform rare diseases. We foster an inclusive, collaborative culture &ndash; one that sparks bold thinking and strengthens our connections with each other and with the rare disease communities we serve. We embrace diverse backgrounds with respect, active listening, and a commitment to inclusion &ndash; because our differences shape how we hire, collaborate, and innovate. Our team&rsquo;s proven track record of executional excellence, combined with our depth of expertise and dedication, enables us to develop innovative medicines that reflect the priorities of rare disease communities. Our commitment is more than scientific &ndash; it&rsquo;s deeply personal, grounded in the meaningful connections we have built. To learn more, visit www.agios.com and follow Agios on LinkedIn and X. 
The impact you will make:
Agios Pharmaceuticals is searching for a dynamic Patient Support Manager (PSM) to join our growing Market Access team. We want someone who cares about this important work, and who&rsquo;s driven to connect to our mission of helping Sickle Cell patients. The Sickle Cell Patient Support Manager is responsible for coordinating comprehensive care for patients living with sickle cell disease. This role focuses on improving patient outcomes through education, care coordination, access support, and collaboration with healthcare providers and community resources. The Patient Support Manager serves as a key advocate for patients, ensuring timely access to treatment, adherence to care plans, and a high-quality patient experience. The Patient Support Manager will report to the regional Senior Manager Patient Access and Reimbursement Services. 
What you will do:<ul><li>
Contribute to the success of a best-in-class patient services program to support Agios&rsquo; Commercial Vision Mission</li><li>
Maintain long-term relationships with patients, caregivers, families, and HCPs to proactively identify and address new and ongoing barriers to access an ultra-rare drug</li><li>
Fosters collaborative relationships with Agios field-based and home-office teams to ensure One Agios unified approach to supporting patient access and brand strategy</li><li>
Exceed in delivering positive patient experience by assessing patient needs and develop action plans that identify and troubleshoot future access barriers to support treatment initiation and ensure continuation of the patient&rsquo;s treatment journey</li><li>
Help patients make connections with other patients and serve as the &ldquo;face of Agios&rdquo; at patient meetings and industry conferences</li><li>
Effectively shares reimbursement and other knowledge with customers and internal team members through collaboration and consultation for complex patient case studies</li><li>
Maintains comprehensive understanding of the access process, navigation of health care systems, insurance plans, payer trends, and internal/external patient and financial assistance programs</li><li>
Apply program business rules and work instructions to deliver uniform, consistent and sustainable service experience for patients</li><li>
Maintain confidentiality of patient health information and act in compliance with all laws, regulations and Agios policies.</li><li>
Demonstrates and maintains a high level of business acumen, understanding of Agios&rsquo; business model, and the role of the patient support manager in commercializing the business and driving initiatives to meet company goals</li><li>
Consistently leverages CRM reporting tools and data analytics to make strategic decisions about their territory and prioritize patient and customer needs</li><li>
Is proficient in the use of Customer Relationship Management tool</li><li>
Approaches patient and caregiver interactions with empathy, cultural humility, and an understanding of the lived experience and historical challenges faced by individuals with a rare disease</li><li>
Applies a trauma‑informed approach to patient engagement, recognizing the impact of chronic pain, repeated healthcare interactions, and historical inequities on patient trust and decision‑making</li><li>
Exceed in delivering a positive, dignified patient experience by building trust, actively listening, and addressing patient needs with compassion and urgency</li></ul> 
What you bring:<ul><li>
Bachelor&rsquo;s degree required. Health Care/Social Work/Nursing (or related field) a plus.</li><li>
Minimum of five (5) years of experience directly related to patient service or market access (e.g., case management) in the healthcare or pharmaceutical/biotech industry. Ultra-rare disease experience a plus.</li><li>
Knowledge of private payer, Medicare Part D and Medicaid structure, systems, and reimbursement process</li><li>
Knowledge of benefit verification and prior authorization process for oral products</li><li>
Experience and proficiency in working with a Customer Relationship Management System, such as Salesforce.com</li><li>
Ability to proficiently use Microsoft Excel, Outlook, and Word</li><li>
Ability to work independently and manage competing priorities</li><li>
Experience working in cross-functional teams and effective in influencing without authority</li><li>
Possess strong written and verbal communication skills, exceptional listening, critical thinking, and problem solving</li><li>
This position may require ability to travel within the US up to 15%</li></ul> 
Preferred Qualifications<ul><li>
Rare, ultra rare, or genetic disease experience</li><li>
Located in the Northeast region</li></ul> 
Concerned that you don&rsquo;t check off every box in the requirements listed above? Please apply anyway! At Agios, we value each other&rsquo;s differences and recognize that teams thrive when everyone brings their unique experiences to the table. We are dedicated to building an inclusive, diverse, equitable, and accessible environment where all employees can bring their whole selves to work. If you&rsquo;re excited about this role but your previous experience doesn&rsquo;t align perfectly with the job description, we still encourage you to apply. You may be just the right candidate for this role or another opening! 
Work Location:
Location Agnostic: Work location for this role is based on employee's individual preference. This role has the ability to be either remote in the US or hybrid in our Cambridge Headquarters. Hybrid schedules vary but are generally less than 3 days per week onsite and hybrid employees are expected to live within commutable distance to our Cambridge Headquarters. Remote employees work entirely from home except for attending Company sponsored events/ meetings. For employees who choose to work remotely, travel may be required for certain company events commensurate to the above job description.. 
What we will give you:<ul><li>
Deliberate Development. Your professional growth as one of our top priorities.</li><li>
Flexibility. We&rsquo;re all about individual needs. We embrace different perspectives, work styles, health and wellness approaches, care of families and productivity. When you&rsquo;re at your best, we&rsquo;re at our best.</li><li>
Premium benefits package. We invest in the health, wellbeing, and security of our people with a premium benefits package that is well-rounded and flexible to help meet the varied personal and professional needs of every member of our team. For more detail on the benefits we offer at Agios, visit the Inside Agios section of our website.</li><li>
Competitive and equitable performance-based compensation. This includes base salary and both short- and long-term incentives that are connected to our business strategy and vary based on individual and company performance.<ul><li>
The current base salary range for this position is expected to be between $110,029 and $165,044 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators.</li></ul></li><li>
Psychological safety. We support an environment of fearlessness. We want you to share your ideas, speak candidly and take data-informed risks to help push the boundaries.</li><li>
Commitment to diversity. We strive to foster a welcoming workplace where everyone can thrive. We&rsquo;re continuously looking to improve the inclusivity of our workforce.</li><li>
Commitment to community. We&rsquo;re an active participant in the communities that surround us &ndash; the communities where we live, and the community of people and their loved ones in need of better treatment options for conditions that are often overlooked.</li></ul> 
Interested in learning more about what makes our culture unique? Visit the Inside Agios section of our website.</div></div>

Patient Support Manager, Market Access (Philadelphia / DMV)

Boston Children's Hospital

84859BR Patient Services-Pharmacy Job Posting Description General Summary The Medication Access Manager oversees the pharmacy prior authorization and medication access program, ensuring timely and efficient access to medications for patients. This role manages daily operations of the prior authorization team while developing standardized workflows, performance metrics, and process improvements to optimize medication access. Key Responsibilities: Collaborates with pharmacists, prescribers, clinical teams, and payers to streamline authorization processes, reduce barriers to therapy, and support ambulatory and specialty pharmacy services. Analyzes program performance and implements solutions to improve operational efficiency and patient access. Provides leadership and operational oversight of the pharmacy prior authorization and medication access program, ensuring timely, accurate, and efficient processing of medication prior authorizations. Develops, implements, and continuously improves standardized workflows, policies, and procedures to optimize medication access and operational efficiency. Collects, analyzes, and reports program metrics including prior authorization turnaround times, approval and denial trends, and workflow productivity to evaluate program execution and inform operational improvements. Identifies opportunities to improve medication access processes, reduce payer-related barriers, and support prescription capture for ambulatory and specialty pharmacy services. Supervises, mentors, and develops medication access staff, including hiring, training, performance management, and professional development. Collaborates with pharmacists, prescribers, clinic staff, and revenue cycle teams to streamline medication access and coordinate patient care. Acts as a liaison with payers, pharmacies, and other stakeholders to resolve authorization issues and support patient access to therapy. Supports implementation and optimization of ePA platforms and medication access tools. Develops reports and analyses for pharmacy leadership to support program planning, operational improvements, and strategic initiatives. Maintains knowledge of payer policies, regulatory requirements, and professional best practices related to medication access and prior authorization. Minimum Requirements Education / License MA Pharmacy Technician License National CPhT certification or equivalent High School Diploma or General Education Degree Associate or bachelor&rsquo;s Degree Preferred Experience 5 years of relevant work experience in a hospital or ambulatory setting. Other relevant experiences include but are not limited to healthcare/business administration, health insurance, medical policy review and/or pharmacy. Status Full-Time Regular, Temporary, Per Diem Regular Standard Hours per Week 40 Pay Range $69888.00-$111831.20 Annual Office/Site Location Boston Job Posting Category Clinical Remote Eligibility Part Remote/Hybrid

Medication Access Manager

Insulet Corporation

<div>Are you ready to take your career to the next level by joining a global medical device market leader in diabetes care? At Insulet Corporation, we are transforming lives with innovative products that empower people living with diabetes to take control of their health. Over years of technological advances, we developed Omnipod&reg;, a line of tubeless, wearable, Pod-based insulin management systems.
 
 
As a Field Reimbursement Manager in Market Access, you&rsquo;ll be the reimbursement and access expert for our field team and customers&mdash;turning payer challenges into solutions. You will identify access barriers and develop tailored support strategies alongside the field team, contributing to patients&rsquo; smoother access to therapy.
 
 
We&rsquo;re looking for :
<ul><li>A solution-driven professional with strong payer knowledge and field navigation skills
</li><li>A successful relationship builder who thrives on creating partnerships with key decision-makers and colleagues
</li><li>A strategic thinker who can translate patient access information into clear, actionable solutions, tools or learnings
</li></ul>Responsibilities 
 
Demonstrate Your Expertise
<ul><li>Build and demonstrate deep expertise in diabetes patient access dynamics, remaining current on payer trends, coverage policies, competitive products and evolving reimbursement landscapes.
</li><li>Monitor and anticipate shifts in product coverage, payer behavior, and marketplace conditions to proactively guide account strategy and recommend forward-looking patient access solutions
</li></ul>Identify Access Barriers and Opportunities
<ul><li>Continuously seeking to uncover barriers in patient access and opportunities for process improvement
</li><li>Use available data analytics resources to inform strategies and solutions
</li><li>Lead and support key internal initiatives by partnering with Market Access leadership to align holistic strategy, prioritize opportunities, and ensure coordinated execution across teams.
</li></ul>Own Patient Access Solutions
<ul><li>Use a consultative, data insights-driven approach to proactively recommend tailored solutions to enhance patient access
</li><li>Develop, refine, and simplify compelling patient access narratives and educational content, ensuring their customization for targeted endocrinology and primary care clinics, health systems or other and care settings
</li><li>Deliver clear, concise training to field teams and provider offices on reimbursement processes, workflows, and best practices to strengthen their access capabilities
</li><li>Partner closely with the field and market access teams to recommend and support the implementation of patient access solutions, enabling more efficient workflows including assistance with PA processes, denial management, appeals, and enrollment in appropriate affordability programs to enhance customer experience.
</li></ul>Collaboration for Impact
<ul><li>Collaborate with the field teams, coordinating on account targeting, customer engagement plans, and follow-up actions
</li><li>Cultivate and strengthen relationships with the entire office (HCPs, administrative staff, etc.), positioning yourself as a trusted partner in navigating reimbursement and access challenges
</li><li>Partner with the field teams (Territory Managers, District Sales Managers, Clinical Services Managers, Payer Account Teams, Customer Care/Advocacy, ASPN and Inside Sales) to resolve patient access challenges
</li><li>Collaborate with internal cross-functional teams to continually improve processes, foster a culture of shared success, optimizing patient pull through strategies and supporting organizational priorities through effective teamwork
</li></ul>Required Skills and Competencies
<ul><li>Deep understanding of reimbursement, payer processes, coding/billing
</li><li>Excellent communication skills, both oral and written
</li><li>Strong influencing and collaboration skills with the ability to build and nurture relationships.
</li><li>Demonstrated skill educating in a professional setting (both colleagues and providers)
</li><li>Team-oriented with proven ability to work in a collaborative setting.
</li><li>Ability to solve complex problems and take appropriate action.
</li><li>Ability to execute market access strategy.
</li></ul>Education and Experience
Minimum Requirements
<ul><li>Bachelor&rsquo;s degree (Preferred field of study: business, economics, or health-related subject)
</li><li>3+ years of experience in healthcare reimbursement or patient access
</li><li>Valid driver&rsquo;s license
</li><li>Must reside within the geographic area of the assigned area. This position requires regular business travel within a set geographic region.
</li><li>Overnight travel and amount of air travel varies by territory size.
</li><li>Ability to lift, carry and transport 30 lbs, literature
</li></ul>Preferred
<ul><li>Advanced degree (e.g., MBA, PharmD, MPH)
</li><li>Knowledge of insulin pumps and continuous glucose monitors
</li><li>Prior FRM, reimbursement or patient access experience for diabetes.
</li></ul>If you&rsquo;re ready to be a part of a company that&rsquo;s changing the future of diabetes care, we want to hear from you. Join us at Insulet Corporation, where your talent will make a real difference in people&rsquo;s lives.
NOTE: This position requires field-based working arrangements (travel within assigned territory required). #LI-Remote
Additional Information:
&amp;#xa;&amp;#xa;Compensation &amp; Benefits:&amp;#xa;&amp;#xa;For U.S.-based positions only, the annual base salary range for this role is $76,399.00 - $161,204.50&amp;#xa;&amp;#xa;This position may also be eligible for incentive compensation.&amp;#xa;&amp;#xa;We offer a comprehensive benefits package, including:&amp;#xa;&bull; Medical, dental, and vision insurance&amp;#xa;&bull; 401(k) with company match&amp;#xa;&bull; Paid time off (PTO)&amp;#xa;&bull; And additional employee wellness programs&amp;#xa;&amp;#xa;Application Details:&amp;#xa;This job posting will remain open until the position is filled.&amp;#xa;To apply, please visit the Insulet Careers site and submit your application online.&amp;#xa;&amp;#xa;Actual pay depends on skills, experience, and education.
<div>Insulet Corporation (NASDAQ: PODD), headquartered in Massachusetts, is an innovative medical device company dedicated to simplifying life for people with diabetes and other conditions through its Omnipod product platform. The Omnipod Insulin Management System provides a unique alternative to traditional insulin delivery methods. With its simple, wearable design, the tubeless disposable Pod provides up to three days of non-stop insulin delivery, without the need to see or handle a needle. Insulet&rsquo;s flagship innovation, the Omnipod 5 Automated Insulin Delivery System, integrates with a continuous glucose monitor to manage blood sugar with no multiple daily injections, zero fingersticks, and can be controlled by a compatible personal smartphone in the U.S. or by the Omnipod 5 Controller. Insulet also leverages the unique design of its Pod by tailoring its Omnipod technology platform for the delivery of non-insulin subcutaneous drugs across other therapeutic areas. For more information, please visit insulet.com and omnipod.com.
 
 
We are looking for highly motivated, performance-driven individuals to be a part of our expanding team. We do this by hiring amazing people guided by shared values who exceed customer expectations. Our continued success depends on it!
At Insulet Corporation all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
<div><div><div><div><div><div><div>( Know Your Rights )</div></div></div></div></div></div></div></div></div>

Field Reimbursement Manager, Orlando, FL (Field Based)

Beth Israel Lahey Health

Chestnut Hill, MA &bull; Beth Israel Lahey Health &bull; Full-time &bull; Day
 <div>When you join the growing BILH team, you're not just taking a job, you&rsquo;re making a difference in people&rsquo;s lives.

This position is on-site primarily based in Chestnut Hill with occasional coverage to Dedham and Boston. The hours are 9:30am &ndash; 6:00pm, Monday-Thursday and 7:00am &ndash; 3:30pm on Friday.

Working in Patient Access and as a member of the Beth Israel Lahey Health (BILH) System Services team, you can have a career that allows you to grow and advance while making a difference in people&rsquo;s lives. We use a coordinated approach to delivering administrative and operational services across our entire healthcare system. By leveraging resources across the organization, we&rsquo;re able to provide high-quality, high-value care to the patients and the communities we proudly serve. The Patient Access Representative ensures that the patient experience in accessing healthcare at BILH is efficient and welcoming, and that patient confidentiality is respected and patient safety is preserved. Performs a variety of functions to support an accurate, safe, and customer-focused registration process, either electronically, telephonically or in person. The Patient Access Representative ensures that all proper patient financial and demographic information is obtained and processed so BILH is fully reimbursed for clinical services provided. The Patient Access Representative handles patient questions and requests accurately and efficiently, ideally with first-call resolution, or by making appropriate referrals to other departments, based on the original purpose of the question and any other questions or requests subsequently disclosed by the patient. Extensive training including Electronic Health Record (EHR) is provided. Our team works in a fast-paced, collaborative environment, helping our patients navigate their healthcare journey.

Job Description:

Essential Duties &amp; Responsibilities including but not limited to:

Registration:

1. Registers patients presenting for visits. Explains the registration process to patients and responds to patient questions.

2. Processes patient co-payments, co-insurance, deductibles, and balances due. Safeguards cash, checks and receipts and reconciles cash drawer at the end of each business day. Assists patients with Kiosk check-in as needed.

3. Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results.

4. Instructs patients and obtains signatures on consent forms, financial forms, and other documents required by the clinical department; distributes documents to patients; scans, processes, and records receipt of all documents collected during registration encounter.

5. Counsels patients regarding non-covered services, obtaining signatures on Advance Notice Beneficiaries (ABNs), consents and waivers.

6. Monitors patient waiting area for a smooth, efficient registration flow. Advises patients of potential delays and takes steps to ensure a pleasant patient experience.

7. Responds to patient concerns and potential patient safety issues accordingly. Recognizes health conditions that are a possible risk to others and adheres to appropriate established procedures to help contain risk.

8. Assures a neat, orderly registration desk and patient waiting area, securing all confidential patient information.

Scheduling:

9. Initiates patient scheduling activities by prioritizing and accessing a variety of sources, including patient phone calls and digital messaging, orders, scheduled order work queues.

10. Utilizes a variety of information sources to schedule, reschedule, and cancel patient appointments. Information sources include online questionnaires, offline materials, and subgroup searches.

11. Establishes working relationships with staff of assigned clinical departments. Understands and correctly applies unique clinical department scheduling protocols.

12. Remains current on scheduling protocols and applies judgment, or seeks management assistance, to ensure safe patient care when clinical department scheduling protocols do not meet patient needs.

13. Ensures all required key patient scheduling and registration information is captured and verified. Key information includes referring physician information, insurance coverage, demographics, and contact information.

14. Identifies and communicates to Patient Access management issues that may impact the timeliness and accuracy of patient appointments and subsequent patient care.

15. Strictly follows confidentiality and equipment security and safeguarding guidelines when working in a remote setting. Maintains productivity, quality, and accuracy levels and communicates regularly with the Supervisor and Manager. Pre-Registration:

16. Efficiently registers patients, capturing and verifying all required information in order to identify the patient, contact the patient, and receive proper reimbursement for services on initial claim submission.

17. Ascertains, creates, and assigns the guarantor for each patient, including personal/family relations, workers compensation insurance, third parties, behavioral health, or others as required.

18. Identifies records and verifies patient insurance coverage using real-time eligibility (RTE); reviews the insurer&rsquo;s response to each verification request and takes appropriate action based on this response.

19. Applies the appropriate guarantor and insurance to each patient visit.

20. Communicates financial clearance status to patients. Advises patients of contract status, self-pay status, and payment responsibility and schedules patients with Financial Counseling as needed.

Minimum Qualifications:

Education: High school degree or equivalent. Associate&rsquo;s degree preferred.

Licensure, Certification &amp; Registration: None

Experience: 1-3 years related work experience. Experience with computer systems required, including web-based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint, or Access.

Skills, Knowledge &amp; Abilities: Able to work successfully in a fast-paced, multi-task environment, where some independent decision-making is necessary. Able to process electronic information and data accurately and efficiently.

Preferred Qualifications &amp; Skills:

&middot; Call Center and/or telephone customer service experience &middot; Strong typing skills 40+wpm. Knowledge of medical terminology &middot; Bilingual written and verbal communication skills &middot; Familiar with EHR Software 


Pay Range:
$20.50 &ndash; $27.59

The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

<h2 class="jobSectionHeader">As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.</h2>

<h2 class="jobSectionHeader">More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.</h2>

<h2 class="jobSectionHeader">Equal Opportunity Employer/Veterans/Disabled</h2></div>
 <div><h3 class="jobSectionHeader">Job details</h3>
<ul><li><div>Employment: Full-time</div></li>
<li><div>Hours/Week: 40</div></li>
<li><div>Shift: Day</div></li>
<li><div>Category: Patient Access</div></li>
<li><div>Pay Range: $20.50 - $27.59</div></li>
<li><div>FLSA: Non-Exempt</div></li>
<li><div>Req ID: JR90093</div></li></ul></div>

Patient Access Rep, 9:30am-6:00pm, Chestnut Hill

Baptist Health System KY & IN

<div>Summary
Job Description:
Baptist Health is looking for a Patient Access Scheduler to join our team in Louisville, KY!
Patient Access Schedulers are responsible for scheduling patients for diagnostic tests and procedures as ordered by referring physicians (generally via Epic, fax or telephone). The Patient Access Scheduler will handle a large volume of
 
incoming calls or faxes and schedule multiple procedures within multiple departments. This person will be the first point of contact with patients or physician offices and must ensure their needs are met. This person will be working in a fast-paced environment where they will be expected to display expert customer service and communication skills to properly assist patients or office staff. They are responsible for informing patients and/or physician staff of the proper preparation and instructions for the tests ordered and identify any recertifications/authorizations/referrals they need to acquire. Must maintain effective communication with the patient, physician offices and ancillary departments within the hospital. Pre-registration, insurance verification and benefit evaluation prior to appointment is imperative. Responsible for obtaining orders for all scheduled appointments prior to service.
Requirements
<ul><li>High School diploma or equivalent
</li></ul><ul><li>Must type 45-50 wpm
</li></ul><ul><li>Registration or Scheduling Experience Preferred
</li></ul>Work Experience
Education
<h3 class="jobSectionHeader">If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!
</h3><h3 class="jobSectionHeader">Baptist Health is an Equal Employment Opportunity employer.</h3></div>

Patient Access Scheduler

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