Job Title: Hub Access Manager (HAM)

Job Overview: The Hub Access Manager (HAM) plays a critical role in reducing barriers to Hub Support services and improving access to products for patients and healthcare providers (HCPs). Working within a cross-functional team, the HAM is responsible for educating HCPs and their office staff about available support services. They work closely with Field Reimbursement Managers (FRMs) to resolve issues related to prior authorizations, denials, and appeals, and manage challenging patient access situations effectively.

The HAM's primary responsibility is to collaborate with new HCPs and their office staff to ensure a clear understanding of the services offered by the Hub, while escalating any access issues that require higher-level attention. This includes direct interaction with office single points of contact (SPOCs) and Hub Support Services leadership. The HAM is also pivotal in resolving HCP challenges and ensuring smooth coordination with site SPOCs. Additionally, the HAM presents customer-focused Hub service offerings to new offices, anticipates potential challenges, and maintains strong communication with FRMs.

Key Responsibilities:

• Provide face-to-face, personalized solutions for patient access issues, acting as the subject matter expert in Patient Services.
• Manage case escalations to Corporate Account Directors when needed.
• Stay current with and become an expert on new Hub services.
• Serve as a liaison between FRMs and Hub SPOCs, fostering trust and building strong relationships.
• Proactively educate HCP office staff on reimbursement programs, policies, and resources to optimize access to specialty products.
• Anticipate, identify, and resolve patient access issues by working with relevant stakeholders.
• Provide field insights to support the development of Patient Services marketing materials.
• Ensure compliance with Anti-Bribery & Corruption (ABAC) regulations and other industry laws and policies.
• Monitor healthcare industry trends and communicate potential challenges that could affect future access to services.

Requirements:

• Bachelor's Degree required; RN or clinical background preferred.
• At least 2 years of experience in market access, insurance reimbursement, or reimbursement and billing in large healthcare practices, with expertise in Medicare/Medicaid programs and specialty drug products.
• Technical experience in navigating complex systems and troubleshooting user errors.
• Minimum of 2 years of proven experience in reimbursement support, directly interacting with HCP office staff.
• Demonstrated ability to resolve patient access barriers using reimbursement expertise.
• Experience in other pharmaceutical or biotech roles (e.g., product marketing, managed care, field sales, case management) is a plus.
• Strong track record of meeting or exceeding objectives.
• Knowledge of CMS policies and processes, particularly in Part D (Pharmacy Benefit design and coverage policy).
• Familiarity with Integrated Delivery Networks (IDNs) or Integrated Health Systems.
• Experience creating and executing business plans.
• Understanding of national reimbursement laws and regulations relevant to the HAM role.
• Strategic and operational knowledge of reimbursement, including office practice policies and procedures.
• Strong understanding of Hub services and related systems, with an emphasis on effective communication and solution-oriented approaches.
• Excellent verbal and written communication skills, with the ability to adapt to changing priorities and work independently in a fast-paced environment.
• Willingness to travel frequently, sometimes on short notice, with at least 30% travel time required.
• This role may be hybrid eligible.