Patient Access Liaison

Horizon Therapeutics
United States, Texas, Houston
Nov 06, 2024
At Horizon Therapeutics, we define success by the number of lives touched, lives changed, and lives saved. Our global biotechnology company is made up of agile, out-of-the-box thinkers with a focus on delivering breakthrough medicines to those living with rare, autoimmune, and severe inflammatory diseases. This is the heart of our global mission. Start a career that enables you to live up to your potential and help others live up to theirs. Join us. The exceptional support we provide patients and communities equally extends to our employees. We offer industry-leading and award-winning benefits, compensation and rewards programs that positively impact all areas of our employees' personal and professional lives. Position Summary The Patient Access Liaison (PAL) is a field-based position that will provide logistical, non-medical educational assistance to patients and caregivers as well as office and site of care staff, including physicians, nurses, office managers and executives. The PAL works in a highly visible, strong team environment to provide exceptional customer service on all levels. Specifically, listen to patients, interpreting their specific needs and providing friendly, professional and well-informed answers to their non-medical, logistical questions. The PAL will work with the patient to educate on next steps required to gain access to therapy. The PAL will also work to maintain relationships with patients and families, and by extension physicians and their staff and cross-functional partners to support ongoing compliance with therapy. Strong knowledge and demonstrated history of access and reimbursement for buy and bill/infused pharmaceutical products is required. The PAL will work with numerous internal teams, including Market Access, Medical Affairs, Advocacy, Marketing, and Site of Care to facilitate and improve patient access to insurance, medications, financial support, resources and more. Responsibilities Secure written or electronic HIPAA consent to Horizon By Your Side for patients in the assigned geography Develop relationships with patients and caregivers by engaging via phone, text, email, virtual or in person connections Assess individual needs of the patient and develop an appropriate education and resource plan of action, considering the patient's family and team of healthcare providers to empower the patient to become their own advocate Educate the patient on KRYSTEXXA coverage based on their benefits and the steps needed to gain prior authorization to ensure understanding of the process for medication access Provide information on co-pay assistance programs, national foundations, and free drug programs by sharing information to patients as appropriate and needed Provide proactive education to prescribers and sites of care upon patient enrollment on coverage for Horizon rare disease therapies, common prior authorization requirements, and coding and billings requirements Provide access and reimbursement education based on the enrolled patient's KRYSTEXXA benefits to physician offices and sites of care Educate the physician office and/or SOC on KRYSTEXXA coverage based on the patient's benefits and the steps needed to gain prior authorization to ensure understanding of the process for medication access Investigate access challenges pre and post-infusion Partner with Safety and PV and report AE's and product complaints through medical information. Work closely with the Horizon cross functional team including Case Managers, the Site of Care team, market access, matrix partners and external vendors Adhere to professional standards compliance guidance, policies and procedures, federal, state, and local requirements Qualifications and Skills Required Bachelor's Degree required. 5+ years of field-based experience in patient services, reimbursement, medical affairs, or account management required. Scientific background and ability to learn product and disease information. Nursing or other clinical background preferred. Orphan or Rare disease experience. Familiarity with HIPAA guidelines and FDA requirements. Familiarity with and Adherence to internal and OIG Compliance guidelines a must Ability to handle difficult patient cases and resolve hurdles. Ability to work in team environment and manage communication with case Liaisons and sales reps. Ability to respond immediately when necessary (within 24 hours) to prevent lapses in treatment. Strong analytical skills and ability to report on meaningful activity in the region. Proficient in Microsoft Office. Professional, proactive demeanor. Strong interpersonal skills. Excellent written and verbal communication skills. P otential for up to 50% travel, including some overnight and weekend commitments Travel Requirements: Ability and willingness to conduct field travel, as well as to travel to company meetings, client sites, etc. including overnight travel (~50%) Our Values Transparency: We value collaboration. Trusting teach other and tackling tough challenges can make a powerful difference. Accountability: We do what's right for our patient communities through quality decisions and owning our successes and failures. Growth: We fiercely innovate and evolve to better ourselves, our communities and our patients. These three values come to life through our five Leadership Expectations that apply to all Horizon employees Enterprise Mindset: Look beyond one's team, brand or function to see the broader company and external perspective Exhibit Intellectual Curiosity: Seek to understand what you do not know; ask the right questions of the right people and sources Ensure Accountability and Courage: Step up to address difficult issues and hold self and others accountable to commitments Embrace Diverse Perspectives: Welcome others with a respectful attitude; integrate diverse perspectives into ways of working Develop Talent: Provide feedback, coaching and mentorship to help others be more effective in their role #LI-Remote At Horizon, we know that disease does not discriminate. We embrace the bold ideas of one another, foster a sense of belonging, and value inclusion. We attract and develop diverse talent because we believe that when people from different backgrounds and life experiences come together, we make lives better. Horizon intends that all qualified applications are given equal opportunity, and that selection decisions be based on job-related factors. We do not discriminate based on race, color, religion, gender, sexual orientation, national origin, age, disability, veteran status, or any other characteristics protected by law.