Job Description

About This Role

Biogen is searching for a dynamic and seasoned Access Navigator to join our US Neuropsychiatry Franchise. This role is pivotal for ensuring patient access to our products and a positive customer experience through education on effective script fulfillment processes.

In this field-based, regional scope position, the NAN is the subject matter expert for reimbursement, prior authorizations, coding, pharmacy distribution models, and patient access issues related to administration of therapy by practices treating postpartum depression (i.e., women’s health, perinatal-focused psychiatrists, and PCP offices).

Collaborating closely with the Neuropsychiatry Account Managers (NAMs) and other customer-facing teams as necessary and appropriate, the NAN will strategically educate and support appropriate account stakeholders – i.e., healthcare providers and office staff involved in fulfillment processes – on access and reimbursement and script pull through processes, distribution pathways, specific payer policy requirements, and clinical information when appropriate.

Additionally, the NAN will work with key accounts to provide disease state education around PPD screening, diagnosis, and treatment.

What You’ll Do

• Engage and work strategically with account decision-makers, relevant HCPs, and support personnel to deliver educational information that facilitates patient access and reimbursement for PPD therapy.
• Educate stakeholders in key accounts who are involved in the script fulfillment process, with a focus on successful script submission, getting the script to the proper pharmacy, navigating the prior authorization process, and setting fulfillment process expectations with PPD patients.
• Work closely with the account stakeholders to identify potential opportunities to improve fulfillment processes.
• Act as the subject matter expert on all aspects of reimbursement, distribution options, and public and private payer policy coverage determination criteria relevant to specific customer’s practices.
• Provide disease state education around PPD screening, diagnosis, and treatment.
• Collaborate closely with Neuropsychiatry Account Managers (NAMs), Trade, Payer, and Patient Services teams on script fulfillment issues (e.g., Specialty Pharmacy, account access and reimbursement management, etc.) to support pull-through and ensure that issues are resolved in a timely manner.
• Organize and lead virtual as well as in-person access and reimbursement presentations to key account stakeholders, leveraging expert-level acumen on national and local payer payment trends, public and private payer dynamics, and pharmacy benefit reimbursement practices.
• Serve as the regional reimbursement resource for key customer accounts providing both technical and practical advice to avert or resolve reimbursement issues and support patient access across the journey.
• Promote a culture of compliance to ensure that all activities are fully compliant with Company policies and procedures, applicable laws, regulations, and industry standards.

Who You Are

You are a strategic thinker and authority in access and reimbursement, with a demonstrated track record of high performance. You have robust expertise in public and private payer policies, prior authorization policies and procedures, specialty pharmacy distribution models, and access pertaining to controlled substances. You are a collaborative, resourceful, and tenacious individual who thrives in fast-paced environments and approaches challenges with creativity and determination. You have a unique ability to distill complex payer information in a streamlined and digestible manner for your stakeholders. You put the needs of patients and those who care for them above all else and have a passion for serving them.

The successful candidate must reside within the boundaries of the territory and the preferred location for the successful candidate would be San Francisco CA, Oakland CA or Portland OR.

Qualifications

• BA/BS required, preferably in one of the following areas: Business Administration, Communications, Healthcare Management, and Marketing.
• 7+ years of access and reimbursement experience, with a successful track record across field reimbursement, clinical education or pharmaceutical account management of products that required significant payer and reimbursement support, specific emphasis on limited distribution network and controlled substances.
• Comprehensive understanding of all aspects of reimbursement models (coding, coverage, and payment), including complete understanding of Commercial and Medicaid benefit designs and ability to locate applicable coverage policies
• Demonstrated advanced level of expertise with e-Prescribing and Prior Authorization processes
• Specialty Pharmacy, HUB and/or Patient service model experience, including experience with financial assistance programs.
• Proactive and resourceful problem-solver with excellent interpersonal skills, exemplary and collaborative work ethic, and an ability to manage multiple and often-evolving strategic priorities.
• Excellent written and verbal communication and presentation skills, tailored to various levels of internal and external audiences up to and including executive audiences.
• Hybrid role with travel required – customer engagement will be virtual as well as in-person
• Driving is an essential duty of the job; candidates must have a valid driver’s license to be considered

Additional Information

All your information will be kept confidential according to EEO guidelines.

The base compensation range for this role is $164,000 to $246,000. Base salary is determined by a combination of factors including, but not limited to, job related years of relevant experience, internal equity, and location of the job. Additionally, this role is eligible for participation in Biogen’s LTI grants and other incentive programs. Biogen offers a full range of benefits that include medical, dental, life, long and short-term disability insurances, vacation, end-of-year shutdown, and 401K participation and matching contributions.

Why Biogen?

We are a global team with a commitment to excellence, and a pioneering spirit. As a mid-sized biotechnology company, we provide the stability and resources of a well-established business while fostering an environment where individual contributions make a significant impact. Our team encompasses some of the most talented and passionate achievers who have unparalleled opportunities for learning, growth, and expanding their skills. Above all, we work together to deliver life-changing medicines, with every role playing a vital part in our mission. Caring Deeply. Achieving Excellence. Changing Lives.

At Biogen, we are committed to building on our culture of inclusion and belonging that reflects the communities where we operate and the patients we serve. We know that diverse backgrounds, cultures, and perspectives make us a stronger and more innovative company, and we are focused on building teams where every employee feels empowered and inspired. Read on to learn more about our DE&I efforts.

All qualified applicants will receive consideration for employment without regard to sex, gender identity or expression, sexual orientation, marital status, race, color, national origin, ancestry, ethnicity, religion, age, veteran status, disability, genetic information or any other basis protected by federal, state or local law. Biogen is an E-Verify Employer in the United States.