1. Choose your Affinity Group

* Equal Opportunity / Affirmative Action

We serve Equal Opportunity Employers and are an Equal Opportunity Employer. The Professional Diversity Network has separate professional networking sites for different affinities, and in selecting the groups you identify with, you will be joined with those networks.

Note: Providing this information is strictly voluntary - you will not be penalized or subjected to adverse treatment. If you choose not to provide this information, simply select "Choose not to identify."

2. Choose Method
X
Sign in with LinkedIn
Sign in with Facebook
OR

Tell us about yourself

Sr. Specialist/Manager, CF Patient Services, Access Operations
at Vertex Pharmaceuticals
Boston, MA

Sr. Specialist/Manager, CF Patient Services, Access Operations
at Vertex Pharmaceuticals
Boston, MA

Save or bookmark jobs as you go and access them anytime later with your account.

Contacts

Description

Job Description:

Vertex is looking to hire an Access Sr. Specialist / Manager to join our Patient Services team. The Patient Services team (Guidance & Patient Support or "GPS") is a group of compassionate and determined individuals who provide personalized reimbursement, educational, and ongoing product support for patients who have been prescribed our medicines. GPS is comprised of three integrated teams: (1) Patient Support, (2) Operations, and (3) Communications, Adherence & Insights.

As the Access Manager, you will be a part of our Operations team, where you will play a meaningful role within GPS and contribute to the success of the program. You will lead all aspects of Access Operations in GPS. As a subject matter expert, you will be responsible for playing a crucial role in cross-functional access resolution to support patients in the best way. You will report to the Senior Manager of Access and Reimbursement Operations Management.

Key Responsibilities:
  • Monitor Patient Support Team access escalations related to reimbursement/payer challenges (escalations)
  • Act as an SME on payers and plans across patients on Vertex medicines
  • Identify trends in reimbursement and payer challenges, work cross-functionally to find the root cause of escalations
  • Represent Patient Services at the cross-functional access meetings
  • Work closely with District Leaders and Director of Case Management to react quickly to escalated situations
  • Create detailed plans of action for a resolution to access escalations
  • Work with partner IT team on escalations process, continuous improvement for internal and external reporting, trend monitoring
  • Seasonal and launch planning, training, and execution
  • Ensure alignment on any process changes, WI updates
  • Data steward for Mosaic payer spine, escalations/payer challenges
  • Co-lead the Patient Services Reimbursement REP team
  • Act in complete and total compliance with all laws, regulations and Vertex policies.

Qualification:

  • Bachelor's Degree and 3+ years of experience in the healthcare/pharmaceutical industry
  • Basic understanding of payer structure, landscape, and impact to patient support, including commercial, Medicare, Medicaid and other payer types
  • Intellectually curious with a continuous improvement mindset; high customer service aptitude, seeks to understand and self-educate on current trends in the healthcare and payer market
  • Understands how systems and databases are structured, has the ability to consolidate multiple data sources, and synthesize large datasets into key findings and recommendations.

Preferred Qualifications
  • Experience in patient-focused programs within associated HIPAA regulations and other legal parameters and patient privacy policies Patient-centric and customer service minded
  • Product Launch experience of drugs with complex service models
  • Experience in pharmaceutical access and reimbursement, commercial systems, and analytics
  • Highly organized with the ability to work independently, facilitate appropriate discernment in decision-making as well as be a great teammate
  • Willingness to work in a fast pace environment, and have the ability to multi-task and self-prioritize workload
  • Attention to detail and committed follow-through in communication to internal and external partners
  • Excellent written communication skills, presentation delivery as well as strong interpersonal skills

#LI-SL1

Similar Jobs

See All »

Other Jobs at Vertex Pharmaceuticals

See All »