Proactively educate healthcare providers on navigating access, reimbursement, and coverage pathways for company products. - Serve as a subject matter expert in preventing and addressing access and reimbursement issues through education and problem-solving. - Build and maintain access-related relationships with healthcare provider accounts and office staff to ensure timely patient access.
Acadia Pharmaceuticals Inc. is a biopharmaceutical company focused on developing and commercializing innovative therapies for central nervous system disorders. The company fosters a collaborative and inclusive culture, offering competitive benefits and a commitment to diversity and equity.
Lead market access strategy across marketed and pipeline products, ensuring alignment with corporate objectives and optimal patient access.
Manage Gross-to-Net strategy, government pricing, and contracting activities while ensuring compliance with federal and state regulations.
Partner with Sales, Marketing, and Commercial Operations to advance brand objectives and drive coordinated commercial execution.
ARS Pharmaceuticals is a fast-growing, innovative company dedicated to transforming the treatment of severe allergic reactions with neffy, the first and only FDA-approved needle-free epinephrine product. They foster a collaborative, entrepreneurial, and inclusive culture.
Serve as a trusted subject matter expert on US market access, coding, coverage, reimbursement, and policy issues.
Lead qualitative and quantitative research to answer client business questions and deliver actionable insights.
Manage day-to-day client relationships across multiple engagements, serving as a trusted advisor.
We are a healthcare advisory firm united by one purpose: to reach every patient possible. We have a global team with major hubs in multiple cities, and we foster an inclusive culture with six Employee Network Groups.
Develop and execute Market Access and Patient Access Liaison Training strategy for COMP360 launch.
Design and deliver launch training programs, onboarding curricula, and ongoing reinforcement plans.
Collaborate with Market Access, Medical Affairs, and Marketing to ensure compliant, high-impact training.
Compass Pathways is a publicly traded biotechnology company developing psilocybin therapies for mental health conditions. Headquartered in London with a US office, it emphasizes employee wellbeing and diversity.
Lead strategic market access planning for autoimmune disease therapies, including indication expansion and global launches.
Partner with clinical development, HEOR, and commercial teams to align evidence and value strategies with payer needs.
Develop and inform global pricing strategies, value dossiers, and innovative access approaches for specialty pharmaceuticals.
This partner company is a global pharmaceutical organization focused on developing and commercializing innovative therapies for complex autoimmune diseases. It fosters a highly collaborative, science-driven culture with opportunities for professional growth and leadership development.
Lead and coach a team of Patient Access Case Managers to achieve departmental KPIs and service levels.
Oversee daily operations, coordinate with vendors and internal teams, and ensure compliance with reimbursement workflows.
Drive process improvements, develop training materials, and foster a patient-focused culture.
Noctrix Health develops clinically validated therapeutic wearables for chronic neurological disorders. Their team combines medical device specialists, neuroscientists, and engineers to deliver prescription-grade, drug-free therapy.
Lead, coach, and develop a team of coders, ensuring daily accuracy, productivity, and compliance.
Serve as the primary escalation point for complex coding issues, partnering with billing and clinical teams.
Monitor KPIs, manage audits, and drive revenue integrity through cross-functional collaboration.
Alteva RCM helps healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. They are a dedicated, collaborative team committed to excellence, always seeking passionate professionals to grow their careers and make a meaningful impact.
Lead projects from conception to completion, crafting outlines and manuscripts per strategic guidelines.
Present to clients and defend pieces at LMR meetings.
Manage multiple teams and workstreams efficiently, empowering junior creatives.
Avalere Health is a global healthcare advisory, medical, and marketing company united by the purpose of reaching every patient possible. It fosters an inclusive culture with employee network groups, flexible work, and professional development opportunities.
Lead execution of Medicaid contracts with PBMs, coordinating with Marketing, Finance, and Area Access teams.
Serve as subject matter expert for Medicaid legislation and develop strategies balancing patient access and business goals.
Proactively identify risks and opportunities, and build standardized dashboards to ensure contract compliance.
AbbVie discovers and delivers innovative medicines and solutions to address serious health issues across immunology, oncology, neuroscience, and aesthetics. As a large global biopharmaceutical company, they foster a collaborative culture focused on innovation and patient impact.
Analyze medical records to validate ICD-10-CM, ICD-10-PCS, CPT-4, HCPCS II coding and MS-DRG assignment on acute inpatient and outpatient claims.
Conduct in-depth claims analysis using coding principles and electronic health information systems to ensure assigned codes are supported by documentation.
Meet quality and production standards and ensure compliance with quality management systems and ISO requirements.
Empower AI provides AI for government, helping federal agencies transform their workforce. With three decades of experience in Health, Defense, and Civilian missions, it is headquartered in Reston, VA and recognized as a 2024 Military Friendly Employer.
Develop and execute the Market Access Payer strategic plan and vision for national and regional markets to support product launch.
Lead and inspire a team of national account directors to achieve Market Access objectives and establish payer formulary coverage.
Collaborate with commercial leadership and executive management to refine payer access strategy and provide input on pricing, contracting, and customer partnerships.
Olema Oncology is a clinical-stage biopharmaceutical company committed to transforming the standard of care for patients with breast cancer. They are a growing, nimble team of self-starters dedicated to developing better therapies and building a positive company culture.
Oversees CDI teams, ensuring optimal performance and compliance with regulatory requirements.
Develops strategic plans to achieve enterprise KPIs and analyzes data for monthly performance reports.
Acts as liaison between physicians, coding, and clinical quality to ensure accuracy of inpatient medical records.
CommonSpirit Health is a nonprofit Catholic healthcare organization delivering integrated health services. With over 157,000 employees, it is one of the nation's largest healthcare systems, focused on innovation and community care.
Maximize reimbursement by collecting outstanding balances from insurance companies through claim follow-up and appeals.
Resolve aged claims via payer portals and outbound calls, escalating for reconsideration and up to three levels of appeals.
Identify denial trends and collaborate cross-functionally to improve upstream processes and prevent future denials.
CareDx is a leading precision medicine diagnostics company advancing care in transplant, specialty oncology, and cell therapy. The company partners with healthcare providers and biopharma organizations to improve patient outcomes through molecular diagnostics and digital health solutions.
Act as a subject matter expert on medical payment policy, analyzing client data and presenting new policy opportunities to health plans.
Collaborate with Client Medical Directors and internal teams to develop and advocate for adoption of medical policies that maximize value.
Prepare presentations, coordinate reviews, and inspire trust as a trusted advisor for the Health Plan's medical payment strategy.
Cotiviti is a healthcare analytics company that partners with health plans to optimize payment accuracy and medical policy through data-driven solutions. The company employs a global workforce and fosters a collaborative, client-focused culture.