Exception Processing Associate Jobs in Richmond, VA

Overview
A global biopharmaceutical company on a mission to Solve On, Incyte follows science to find solutions for patients with unmet medical needs. Through the discovery, development, and commercialization of proprietary therapeutics, Incyte has established a portfolio of first-in-class medicines for patients and a strong pipeline of products in Hematology, Oncology and Inflammation and Autoimmunity
Headquartered in Wilmington, Delaware, Incyte has operations in North America, Europe, and Asia.
Job Summary
The Field Access Manager (FAM) is a customer facing role focused on providing coverage and access education. The FAM is responsible for minimizing payor and pharmacy barriers for patients and providers (HCP and HCP Staff) by providing appropriate and accurate managed care coverage, payor policy, & affordability information regarding Incyte products in an assigned geography. In this position, the FAM will achieve objectives by working closely with internal (Sales, Patient Access, Market Access and other key Incyte team members) and external (HCP, MAs and BCs) to help resolve access and affordability concerns.
Essential Functions of the Job (Key responsibilities)
Access Support:
• Educates HCPs and key stakeholders within HCP offices on prior authorization requirements, coverage status, payor appeals and medical exception requirements, alternate funding options for the uninsured and under insured, and all associated processes and timelines. Routinely provides live education to HCPs and office staff on access topics.
• Establishes, fosters, and maintains relationships with HCPs, key stakeholders within HCP offices, and health care systems assigned to their geography to support resolution of payor/UM criteria issues.
• Monitors in-process patient cases through a patient navigator portal with proper patient consent.
• Applies knowledge of specialty pharmacy core services and connectivity to assist customers navigating the complexity of specialty pharmacy distribution.
• Applies knowledge of retail Dermatology pharmacy core services and connectivity to assist customers navigating the complexity of retail Dermatology pharmacy distribution.
• Demonstrates extensive knowledge of payor geographic presence/influence, payor mix, product coverage and payor policies.
• Demonstrates deep knowledge of reimbursement and access across Incyte patient support programs and functions compliantly as the subject matter expert in their assigned geography.
• Ensures all activities are consistent with all regulations, laws, and company policies.
Business Support:
• Sets ambitious objectives in developing, explaining, and implementing innovative solutions for patient access.
• Develops business plans by performing strategic analyses of their local customers; identify issues and opportunities.
• Works collaboratively with other functional areas to identify and respond to local opportunities and customer needs. Does so by serving as a resource within one's area and leveraging the expertise of other Incyte business partners.
• Collaborates with Dermatology Business Director to develop a local access strategy plan that ensures achievement of all KPI goals and delivery on all objectives.
• Partners across the organization and with external vendors to continuously improve Incyte patient access deliverables, services, and the customer experience.
• Partners with compliance and legal to ensure programs are compliant and evolve based on new regulations and laws.
Qualifications (Minimal acceptable level of education, work experience, and competency)
• Bachelor's Degree or equivalent experience required in relevant field (e.g., healthcare, business, or life sciences).
• Minimum of 5 years pharmaceutical or healthcare experience (prior therapeutic area or biologics experience highly desirable); district management, patient access and/or managed markets experience preferred.
• Experience working with specialty pharmacies, retail Dermatology pharmacies, distribution hubs, and managed care.
• Must have keen sense of self-motivation/initiative, excellent decision-making judgment, strong teaming/collaboration skills (across functions) and the ability to learn and adapt to environment to overcome obstacles.
• Must be resilient and adaptable with ability to recover from setback and problems and learn from mistakes.
• Ability to lead without authority in complex, cross functional teams and build strategic long-term partnerships.
• Demonstrated success in translating vision and strategy into tactical plans to drive business; ability to develop and execute localized strategic plans.
• Experience interacting with KOLs or high influence customers in large group practices, hospitals, or managed care organizations.
• Effective communication, presentation, and decision-making skills (particularly in resource allocation). Exceptional ability to clearly communicate and articulate strategy and tactics in a way that motivates and energizes customer team.
• Strong business analytic skills and ability to effectively analyze metrics to assess progress against objectives.
• FAMs are expected to be in the field, calling on customers 3-4 days per week.
Disclaimer: The above statements are intended to describe the general nature and level of work performed by employees assigned to this job. They are not intended to be an exhaustive list of all duties, responsibilities, and qualifications. Management reserves the right to change or modify such duties as required.
Incyte Corporation is committed to creating a diverse environment and is proud to be an equal opportunity employer.
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Learn more at: http://www.incyte.com/privacy-policy
The Incyte hiring organization processes your personal data to manage your job application in order to enter into an employment relationship with you if you are the successful candidate.
During the process, you may be asked to respond to questions that will screen out your application if you do not meet certain objective criteria required by the job. You can learn more about this process here.
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Pay Range
USD $196,000.00 - USD $218,000.00 /Yr.