Astellas Pharma
Partner, US Field Access & Reimbursement - New England
Astellas Pharma, Boston, Massachusetts, United States, 02108
Job Opportunity At Astellas Pharma Inc.
Do you want to be part of an inclusive team that works to develop innovative therapies for patients? Every day, we are driven to develop and deliver innovative and effective new medicines to patients and physicians. If you want to be part of this exciting work, you belong at Astellas! Astellas Pharma Inc. is a pharmaceutical company conducting business in more than 70 countries around the world. We are committed to turning innovative science into medical solutions that bring value and hope to patients and their families. Keeping our focus on addressing unmet medical needs and conducting our business with ethics and integrity enables us to improve the health of people throughout the world. This position is based in the New England territory in proximity to an airport. Hybrid work from certain states may be permitted in accordance with Astellas' Responsible Flexibility Guidelines. Candidates interested in hybrid work are encouraged to apply. Purpose & Scope:
This individual contributor role will engage with healthcare professionals (HCPs) and their relevant staff members, serving as the account team subject matter expert for compliant access and reimbursement topics. With expertise in payer coverage, healthcare payment models, and utilization management criteria (i.e. Prior Authorization, Step Edits, other forms of precertification), this individual is a critical member of the Astellas matrix team serving patient and customer needs. The role requires establishing and maintaining collaborative relationships with internal matrix teams and external customers to ensure Astellas Pharma Support Solutions' range of programs and offerings are appropriately utilized to support patients prescribed/administered Astellas products. Responsibilities:
Proactively identify accounts in need of access and reimbursement support and educate HCP/office staff about Astellas programs that support patient access and affordability, and provider reimbursement. Effectively communicate support (utilizing MAP-approved messages, services, programs, and offerings) to address challenges/opportunities. Provide education on billing/coding and reimbursement (for buy-and-bill products) Assist offices with patient specific access challenges and liaise with the Patient Support Program (PSP) administrators and reimbursement HUB in a HIPAA-compliant manner. Maintains awareness of the evolving legal, regulatory and compliance environment to ensure ability to conduct business in accordance with Astellas Legal/Compliance guidance and policies. Develop relationships with key office staff within priority accounts to improve patient access and affordability and achieve defined customer engagement metrics. Establish cross-functional partnership with internal matrix teams (including Sales, Key Account Management, and Payer Account Management) to create and regularly update Account Business Plans and service the needs of customers: Operate as a pivotal member of the internal matrix team to advance strategic customer relationships towards true partnership at key accounts Appropriately exchange insights regarding real time market access dynamics, and patient access needs Proactively identify training needs related to patient access, reimbursement and affordability for internal partners and assist in delivery of appropriate education. Raise awareness of customer access and affordability issues and imperatives to leadership.
Do you want to be part of an inclusive team that works to develop innovative therapies for patients? Every day, we are driven to develop and deliver innovative and effective new medicines to patients and physicians. If you want to be part of this exciting work, you belong at Astellas! Astellas Pharma Inc. is a pharmaceutical company conducting business in more than 70 countries around the world. We are committed to turning innovative science into medical solutions that bring value and hope to patients and their families. Keeping our focus on addressing unmet medical needs and conducting our business with ethics and integrity enables us to improve the health of people throughout the world. This position is based in the New England territory in proximity to an airport. Hybrid work from certain states may be permitted in accordance with Astellas' Responsible Flexibility Guidelines. Candidates interested in hybrid work are encouraged to apply. Purpose & Scope:
This individual contributor role will engage with healthcare professionals (HCPs) and their relevant staff members, serving as the account team subject matter expert for compliant access and reimbursement topics. With expertise in payer coverage, healthcare payment models, and utilization management criteria (i.e. Prior Authorization, Step Edits, other forms of precertification), this individual is a critical member of the Astellas matrix team serving patient and customer needs. The role requires establishing and maintaining collaborative relationships with internal matrix teams and external customers to ensure Astellas Pharma Support Solutions' range of programs and offerings are appropriately utilized to support patients prescribed/administered Astellas products. Responsibilities:
Proactively identify accounts in need of access and reimbursement support and educate HCP/office staff about Astellas programs that support patient access and affordability, and provider reimbursement. Effectively communicate support (utilizing MAP-approved messages, services, programs, and offerings) to address challenges/opportunities. Provide education on billing/coding and reimbursement (for buy-and-bill products) Assist offices with patient specific access challenges and liaise with the Patient Support Program (PSP) administrators and reimbursement HUB in a HIPAA-compliant manner. Maintains awareness of the evolving legal, regulatory and compliance environment to ensure ability to conduct business in accordance with Astellas Legal/Compliance guidance and policies. Develop relationships with key office staff within priority accounts to improve patient access and affordability and achieve defined customer engagement metrics. Establish cross-functional partnership with internal matrix teams (including Sales, Key Account Management, and Payer Account Management) to create and regularly update Account Business Plans and service the needs of customers: Operate as a pivotal member of the internal matrix team to advance strategic customer relationships towards true partnership at key accounts Appropriately exchange insights regarding real time market access dynamics, and patient access needs Proactively identify training needs related to patient access, reimbursement and affordability for internal partners and assist in delivery of appropriate education. Raise awareness of customer access and affordability issues and imperatives to leadership.