Feb 17, 2024

Field Access Specialist - East

  • Professional Diversity Network
  • Chicago, IL, USA
Full-Time Nurse

Job Description

argenx

The Associate Director, Field Access Specialist (FAS) is regionally-based and supports a cross functional team in ensuring patients have access to treatment. The FAS interfaces with nurse case managers (NCMs), HUB coordinators, field reimbursement managers (FRMs), market access, and their support teams on complex access and reimbursement cases. The FAS may interact with healthcare professionals including their ancillary staff as needed to support the patient journey.

The primary responsibility of the role is to support the entire reimbursement access journey for patients enrolled in PSP from treatment initiation through maintenance on therapy. This is a remote based role with the ability to travel for field visits or meetings as needed and reports to the Head of US Field Reimbursement West.

Roles and Responsibilities:

The ideal candidate will possess extensive knowledge of unique reimbursement scenarios. Additionally, the role will be responsible for addressing and socializing complex access issues across PSP and FRM teams. Role will also provide insights on access related trends and associated recommendations to argenx Market Access leadership.

  • Maintain a current, proficient understanding of commercial insurers, Medicare FFS, Medicare Part D, specialty pharmacy, and insurance changes each year
  • Review enrolled patients' benefits and facilitate access to financial or other alternative funding sources for eligible patients within regulatory guidelines
  • Collaborate to troubleshoot and resolve complex reimbursement-related issues with SOCS/NCM/CC/FRM, Market Access, Distribution, SP and insurance companies
  • Partner with providers and billing teams to ensure all needs are met and appropriate support is being given on an individualized basis
  • Communicate and partner directly with internal cross-functional departments including: Market Access, FRMs, Medical and Patient Advocacy in order to prioritize tasks, organize, and manage multiple projects related to access barriers
  • Engage with appropriate Payer contacts to resolve individual case challenges
  • Provide regular updates to PSP teams and Market Access regarding any outstanding access issues and update with specific patient payer issues
  • Comply with all relevant industry laws and argenx policies

Skills and Competencies:

  • Demonstrated knowledge of third-party payers (Medicare, Medicaid, commercial) and case management process (prior authorization and appeals) required
  • Experience with Buy and Bill products, Medicare Part B and Part D reimbursement systems
  • Working knowledge of CPT, ICD-10, HCPCS coding; site of care reimbursement environment (infusion site, physician office, HOPD reimbursement)
  • Customer support, provider or payer relation experience with proven ability to establish strong working relationships with customers
  • Strong communication, organizational and interpersonal skills (both written and verbal)
  • Clinical, technical and scientific knowledge and aptitude in complex disease state
  • Effective time management, resources allocation and workload management
  • Ability to work in close collaboration with multiple departments including training, market access, field reimbursement teams, patient advocacy and marketing in order to align on objectives and provide consistent feedback and communication
  • Must be proficient with Microsoft office
  • Ability to work independently and as a team member
  • Remote position with approximately 20% travel (may flex at times)

Education, Experience and Qualifications:

  • At least 3-5 years of Access and Reimbursement experience
  • 5+ years' experience in pharmaceutical/ biotech industry, with case management experience is a plus
  • Billing and Coding Certification
  • Bachelor's degree required

#LI-Remote

At argenx we strive to create a welcoming and inclusive environment. Here all applicants will receive equal consideration for employment without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other applicable legally protected characteristics. argenx is proud to be an equal opportunity employer.

If you require reasonable accommodation in completing your application, interviewing, or otherwise participating in the candidate selection process please contact us at [email protected]. Only inquiries related to an accommodation request will receive a response.

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