- Build upon relationships with sites of care contacts including scheduling and procurement specialists
- Ensure site of care assignments align with Payer coverage
- Ensure patient scheduling aligns with site of care ordering for enrolled patients.
- Weekly & Monthly review site of care assignments for enrolled patients to ensure accuracy.
- Maintain a current, proficient understanding of commercial insurers, Medicare FFS, Medicare Part D, specialty pharmacy, and insurance changes each year
- Collaborate with case coordinators, patients and payers to troubleshoot and resolve complex reimbursement-related issues with FAS/NCM/CC/FRM, Market Access, Distribution, SP and insurance companies.
- Partner with FAS team and SPs to identify and escalate patient trends with SP partners. Provide feedback to Market Access and Distribution.
- Partner with sites of care to ensure all needs are met and appropriate support is being given on an individualized basis
- Communicate and partner directly with internal cross-functional communities including: Market Access, FRMs, Medical and Patient Advocacy in order to prioritize tasks, organize, and manage multiple projects related to access barriers
- Provide regular updates to PSP teams and Market Access regarding any outstanding access issues and update with specific patient payer issues
- Provide regular updates to Distribution on any shipment/ordering related issues at sites of care.
- Track potential site of care shipment Issues (including delays, returns, and damaged product) . Communicate proactively and resolve as needed.
- Comply with all relevant industry laws and argenx policies
- Experience working with clinical sites of care and third-party logistic partners
- 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
- Demonstrated knowledge of third-party payers (Medicare, Medicaid, commercial) and case management process (prior authorization and appeals) required
- 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 communities 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 10-20% travel (may flex at times)
- At least 3-5 years of Market Access and Distribution experience working with channel partners including 3PLs, SPs, SDs, Infusion Sites and/or Payers
- 5+ years experience in pharmaceutical/ biotech industry, with case management experience is a plus
- Bachelors degree required
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Associate Director, Site of Care Specialist East - Dallas, United States - argenx
Description
The Associate Director, Site of Care Specialist (SOCS) is based on the east coast and/or central US area and supports a cross functional team in ensuring patients have access to treatment. The SOCS interfaces with nurse case managers (NCMs), case coordinators (CCs), field reimbursement managers (FRMs), market access, and their support teams on complex access and reimbursement cases. The SOCS will interact with sites of care, and our 3PL as well as with healthcare professionals including their ancillary staff as needed to support the patient journey.
The primary responsibility of the role is to support the site of care component of the reimbursement access journey (including National & Regional Pharmacies, Infusion Sites and Hospitals) for patients who were prescribed VYVGART from treatment initiation through maintenance on therapy. This is a remote east coast based role with the ability to travel for field visits or meetings as needed and reports to the Head of Distribution & Channel Strategy.
Key Accountabilities/Responsibilities:
The ideal candidate will possess extensive knowledge of channel partners including 3PLs, Specialty Pharmacies and Infusion sites . Additionally the role will be responsible for addressing and coordinating complex escalated access issues across PSP, FRM and Market Access teams. Role will also provide insights on purchasing, returns and access related trends and associated recommendations to argenx Market Access leadership.
Desired Skills and Experience:
Qualifications:
#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 Only inquiries related to an accommodation request will receive a response.
PDN-9bd560da-55c3-44e2-8a0a-eedced0a00cb
Associate Director, Site of Care Specialist East professionals in Dallas
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Aliya Zafar
Onboarding Specialist