Madrigalpharma
AD, Patient Access Operations, Access & Reimbursement Case Manager
Madrigalpharma, Waltham, Massachusetts, United States, 02254
This individual will report to the Head of Patient Access Operations and provide the operational leadership and oversight of the Access & Reimbursement Case Management (CM) team within Madrigal Patient Support (MPS). The AD/Director will be responsible for executing a refined case management program, oversight of day-to-day activity of the case managers, and program performance.Position Responsibilities:
Operate and oversee a Case Manager team that will conduct patient, HCP, payer, and SP outreach, and provide access, reimbursement, and affordability support to patients who have been prescribed a Madrigal drug and have enrolled in Madrigal Patient Support (MPS).Develop and implement KPIs and oversight mechanisms to ensure ongoing execution of program support and that operations meet Madrigal’s performance and quality expectations; Prepare and provide regular updates and business reviews for leadership and relevant cross-functional teams.Partner with MPS vendors to create program materials, call guides, work instructions, and resources to direct operations of access, reimbursement, and affordability support for patients.Develop and ensure alignment and compliance of Standard Operating Procedures across MPS offerings; Support preparation and execution of routine program audits.Establish strong relationships and effective communication with key internal stakeholders and outside vendors to support development of program support offerings/materials and enable continuous improvement of patient access and experience.Provide education/info to internal teams, HCPs, and patients, using materials and messaging approved for the audience, to create awareness of program offerings and support services.Qualifications and Skills Required:
Minimum of a bachelor's degree in related field or science, MBA or advanced degree preferred.7+ years pharma/biotech experience in Market Access, Patient Support/Services, or Distribution, with hepatology/gastroenterology experience preferred.Strong knowledge of health insurance; including managed care products, state and government provided benefits, and specialty medication distribution channels.Prior supervisory or management experience required, preferably in the patient services space.Experience with large specialty drug preferred, but not required.Demonstrated experience adapting to change, navigating ambiguity, and executing with autonomy in these situations.A self-starter, with a continuous improvement mindset, that drives progress, execution/delivery, and performance of initiatives/programs.Passion for helping patients to navigate their medication and/or healthcare access journey.Recognizes evolving shifts in market trends and respective effects on provider and patient.Outstanding customer relationship, interpersonal, communication, and presentation skills with the ability to effectively work with diverse audiences and influence cross functionally.Moderate level of travel required to vendor and home office sites.Role is based in Conshohocken, PA; Waltham, MA; or Overland Park, KS.Compensation:
Base salary is determined by several factors that include, but are not limited to, a successful candidate's qualifications, skills, education, experience, business needs, and market demands. The role may also be eligible for bonus, equity, and comprehensive benefits, which include flexible paid time off (PTO), medical, dental, vision, and life and disability insurance.Madrigal is an Equal Opportunity Employer. All employment is decided on the basis of qualifications, merit, and business need. Applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex gender identity, sexual orientation, national origin, age, disability, protected veteran or disabled status, or other characteristic protected by applicable federal, state, or local law.
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Operate and oversee a Case Manager team that will conduct patient, HCP, payer, and SP outreach, and provide access, reimbursement, and affordability support to patients who have been prescribed a Madrigal drug and have enrolled in Madrigal Patient Support (MPS).Develop and implement KPIs and oversight mechanisms to ensure ongoing execution of program support and that operations meet Madrigal’s performance and quality expectations; Prepare and provide regular updates and business reviews for leadership and relevant cross-functional teams.Partner with MPS vendors to create program materials, call guides, work instructions, and resources to direct operations of access, reimbursement, and affordability support for patients.Develop and ensure alignment and compliance of Standard Operating Procedures across MPS offerings; Support preparation and execution of routine program audits.Establish strong relationships and effective communication with key internal stakeholders and outside vendors to support development of program support offerings/materials and enable continuous improvement of patient access and experience.Provide education/info to internal teams, HCPs, and patients, using materials and messaging approved for the audience, to create awareness of program offerings and support services.Qualifications and Skills Required:
Minimum of a bachelor's degree in related field or science, MBA or advanced degree preferred.7+ years pharma/biotech experience in Market Access, Patient Support/Services, or Distribution, with hepatology/gastroenterology experience preferred.Strong knowledge of health insurance; including managed care products, state and government provided benefits, and specialty medication distribution channels.Prior supervisory or management experience required, preferably in the patient services space.Experience with large specialty drug preferred, but not required.Demonstrated experience adapting to change, navigating ambiguity, and executing with autonomy in these situations.A self-starter, with a continuous improvement mindset, that drives progress, execution/delivery, and performance of initiatives/programs.Passion for helping patients to navigate their medication and/or healthcare access journey.Recognizes evolving shifts in market trends and respective effects on provider and patient.Outstanding customer relationship, interpersonal, communication, and presentation skills with the ability to effectively work with diverse audiences and influence cross functionally.Moderate level of travel required to vendor and home office sites.Role is based in Conshohocken, PA; Waltham, MA; or Overland Park, KS.Compensation:
Base salary is determined by several factors that include, but are not limited to, a successful candidate's qualifications, skills, education, experience, business needs, and market demands. The role may also be eligible for bonus, equity, and comprehensive benefits, which include flexible paid time off (PTO), medical, dental, vision, and life and disability insurance.Madrigal is an Equal Opportunity Employer. All employment is decided on the basis of qualifications, merit, and business need. Applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex gender identity, sexual orientation, national origin, age, disability, protected veteran or disabled status, or other characteristic protected by applicable federal, state, or local law.
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