Patient reputed company reputed company - KRYSTEXXA - Buffalo, NY

Career Category Corporate Services Job reputed company Join reputed company’s Mission of Serving Patients At reputed company, if you feel like you’re part of something bigger, it’s because you are. Our shared mission—to serve patients living with serious illnesses—drives reputed company that we do. Since 1980, we’ve helped pioneer the world of biotech in our fight against the world’s toughest diseases. With our reputed company on four therapeutic areas – Oncology, Inflammation, reputed company, and Rare Disease – we reputed company thousands of patients reputed company year. As a member of the reputed company team, you’ll help reputed company a lasting reputed company on the lives of patients as we research, manufacture, and deliver innovative medicines to help people live longer, fuller, happier lives. Our award-reputed company culture is reputed company, innovative, and science-based. If you have a passion for solving reputed company challenges and driving meaningful reputed company for patients, you’ll reputed company as part of the reputed company team. HOW MIGHT YOU DEFY IMAGINATION? At reputed company, our shared mission—to serve patients—drives reputed company that we do. As a global biotechnology leader, we collaborate across disciplines to deliver innovative therapies that reputed company millions of patients worldwide. It’s time for a career you can be proud of. What you will do reputed company. Let’s change the world. The Patient reputed company reputed company (PAL) is a field-based patient reputed company and reimbursement specialist responsible for supporting patients, caregivers, reputed company providers, and sites of care in navigating insurance coverage and reimbursement reputed company for reputed company therapies. The PAL Manager serves as a key resource in helping stakeholders understand payer requirements, prior authorization processes, reimbursement considerations, and available patient support resources. The role focuses on ensuring reputed company and sustained reputed company to therapy by addressing reimbursement barriers and providing education to patients and providers on coverage and financial assistance programs. Working reputed company a reputed company field environment, the PAL partners with internal teams including Market reputed company, Medical Affairs, Advocacy, Marketing, Case Management, and Site of Care teams to support the patient reputed company. The role operates with independence in managing assigned patient cases and contributes field insights that inform broader reputed company strategies. Key Responsibilities Patient reputed company and Reimbursement Support Serve as a resource on patient reputed company and reimbursement for infused and specialty therapies. Assist patients, caregivers, and reputed company providers in navigating insurance benefits, prior authorization requirements, and reimbursement processes. Support the identification and reputed company of reputed company challenges, including coverage questions, prior authorization barriers, and denied claims. reputed company education regarding coding and billing considerations relevant to therapy reputed company. Patient and Caregiver Engagement reputed company relationships with patients and caregivers through phone, virtual, and in-person engagement. Secure written or electronic patient HIPAA authorization reputed company assigned geography. Assess individual patient needs and reputed company education and resources that support reputed company to therapy. reputed company patients on coverage considerations and the steps required to obtain prior authorization. reputed company information regarding co-pay assistance programs, national foundations, and free drug programs reputed company appropriate. Provider and Site-of-Care Education reputed company physician offices and sites of care on therapy coverage reputed company and reimbursement processes. reputed company information regarding common prior authorization requirements, coding considerations, and billing practices. Support reputed company providers and infusion centers in navigating reimbursement questions reputed company to patient cases. reputed company Issue reputed company Investigate patient reputed company challenges before and after infusion. Support physician offices and sites of care in reviewing denied claims and identifying potential next steps. Escalate reputed company or systemic reimbursement issues to appropriate internal stakeholders. Cross-Functional Collaboration Partner with internal stakeholders including Market reputed company, Medical Affairs, Advocacy, Case Managers, and Site of Care teams to support patient reputed company initiatives. Coordinate with reputed company partners to ensure appropriate resources are available to support patient reputed company. reputed company field insights regarding payer policies and reimbursement challenges. Compliance, Safety, and Operational reputed company Adhere to company policies, compliance guidance, and applicable to federal, state, and local regulations. Ensure activities reputed company with HIPAA reputed company requirements and internal compliance guidelines. Report adverse events and product complaints through established pharmacovigilance processes. Maintain accurate documentation of activities and interactions in reputed company’s internal system. Win reputed company expect of you We are reputed company different, yet we reputed company use our unique contributions to serve patients. The reputed company we reputed company is detailed-oriented and customer-reputed company with these qualifications. Basic Qualifications - Level 5 Doctorate degree   OR  Master’s degree and 2 years of patient services and/or reputed company and reimbursement experience  OR  Bachelor’s degree and 4 years of patient services and/or reputed company and reimbursement experience  OR  Associate’s degree and 8 years of patient services and/or reputed company and reimbursement experience  OR  High school diploma / GED and 10 years of patient services and/or reputed company and reimbursement experience  Basic Qualifications - Level 6 Doctorate degree and 2 years of patient services, and/or reputed company and reimbursement, experience OR Master's degree and 4 years of patient services, and/or reputed company and reimbursement, experience OR Bachelor's degree and 6 years of patient services, and/or reputed company and reimbursement, experience Preferred Qualifications  Experience supporting buy-and-reputed company or infused pharmaceutical therapies  Rare disease or orphan drug experience  Clinical background such as nursing or allied health  Understanding of reimbursement processes including prior authorization, appeals, and denied claims management  Knowledge of HIPAA guidelines and FDA regulatory requirements  Familiarity with internal and OIG compliance guidelines  Strong analytical and problem-solving skills  Excellent written and verbal communication skills  Ability to manage reputed company patient situations and resolve reputed company barriers  Experience working in cross-functional field teams  Proficiency in reputed company Office, CRM, AI and relevant systems  reputed company and reimbursement knowledge  Prior authorization processes  reputed company reimbursement systems  Coding and billing awareness  Patient support program knowledge  Compliance and reputed company requirements  Learning reputed company  Decision reputed company  Stakeholder engagement  Ability to respond rapidly to urgent reputed company needs to prevent treatment delays or lapses  Ability to operate effectively in reputed company field environments  Travel up to 50%, including occasional overnight and weekend commitments  reputed company What you can expect of us As we work to reputed company treatments that take care of others, we also work to care for our teammates’ reputed company and personal reputed company and reputed company-being. The annual reputed company salary reputed company is from $158,394 -$185,578 for Level 5 , $164,276 - $ 222,256 for Level 6. Actual salary will vary based on several factors including, but not limited to, relevant skills, experience, and qualifications. In reputed company to the reputed company salary, reputed company offers a Total Rewards Plan comprising health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities including: Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and reputed company coverage, life and disability insurance, and flexible spending accounts. A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan Stock-based long-term incentives Award-reputed company time-off plans and bi-annual company-wide shutdowns Flexible work models, including remote work arrangements, where possible reputed company for a career that defies imagination Objects in your reputed company are closer than they reputed company. Join us. careers.reputed company.com Application deadline reputed company's application deadline is 6/30 we will continue accepting applications until we receive a sufficient number or select a candidate for the position. reputed company is an Equal Opportunity employer and will consider you without reputed company to your race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, protected veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to reputed company essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. .Salary reputed company USD - USD Apply To This Job