Patient Access Lead, Patient Services

Reporting to the Sr. Director, Patient Services, we are seeking a strong candidate to help support the initial execution and ongoing success of the Patient Support Program. This individual should be the ultimate patient champion, focusing on delivering the best possible patient experience with our patient support service offerings. Playing a key role within the Global Value & Access Team, you will be instrumental in nurturing relationships with patients and providers helping to ensure patients access critical treatment in a timely manner. Level will be commensurate with successful candidate’s background and experience.

Responsibilities (including, but not limited to):

• Analytics & KPIs:
• Be responsible for the timely enrollment and documentation of patients into the Patient Support Program
• Cross-functional Collaboration:
• Be main point of contact for patients and providers for assigned geography
• Conduct Benefit Verifications and Prior Authorization follow-up as needed
• Perform data-entry, answer inbound calls, make outbound calls, manage e-mail and fax, chat, SMS etc. as appropriate
• Work effectively & collaboratively with a host of internal cross-functional partners, and develop and cultivate relationships with key external stakeholders, including specialty pharmacies and vendor partners
• Proactively communicate specific patient service offerings, policies, procedures, and resources so that office staff is fluent in how to use program
• Provide responses to general inquiry calls based on information provided as part of the program materials
• Proactively monitor the patient’s file to ensure that reimbursement and financial assistance renewals are done in a timely manner
• Achieves brand specific patient access objectives and maintain service levels in case management based on Key Performance Indicators established at the Program level
• Visit customers in the field as needed to educate and/or work through reimbursement challenges
• Coordinate with injection training partner to ensure patients are trained in a timely manner
• Partner with internal and external stakeholders to identify, anticipate, and address patient and practice reimbursement issues
• Responsible for keeping abreast of compliance and OIG guidance and policies regarding Patient Services and other provider support programs. Proactively communicate any changes that have impact on existing or future programs to Patient Services leadership
• Conduct patient financial assessment eligibility based on program guidelines
• Receive, record, and report Adverse Events and Product Complaints required
• Access and Enrollment:
• Analyze regional program data & insights to identify opportunities for enhancing Kiniksa’s patient services offering
• Support appropriate coverage discussions internally to appropriate functions and externally to key customers within assigned accounts
• Coordinate with Specialty and free goods pharmacies to ensure that the patient has access to the required treatment

Qualifications:

• Experience working with a variety of internal stakeholders, including field sales, marketing, trade & distribution, and market access
• Experience in direct interactions with top US specialty pharmacies and payers
• Requires a Bachelor’s degree or 8-10 years equivalent experience in Patient Support Services
• Product launch experience in the US. Experience in rare diseases is highly desirable
• This position is field-based and requires domestic travel approximately 25% of the time
• In depth understanding of all relevant US legal, compliance, and regulatory requirements required
• Demonstrated strategic thinking, initiative, and creativity related to Patient Support Program processes
• Experience navigating CRMs to support patients from enrollment through initial dispense and ongoing access
• Strong interpersonal skills