Associate Director, Patient Access Lead

Kiniksa Pharmaceuticals - Lexington, MA

Full-time - Senior

Lexington, MA

Professional, Scientific, and Technical Services

About the position

The Associate Director, Patient Access Lead at Kiniksa Pharmaceuticals is responsible for overseeing the execution and success of the Patient Support Program. This role focuses on enhancing the patient experience by ensuring timely access to critical treatments and fostering relationships with patients and healthcare providers. The position requires a strong commitment to compliance and ethical standards while collaborating with various internal and external stakeholders to address patient needs and reimbursement challenges.

Responsibilities

• Be the main point of contact for patients and providers in the assigned geography.
• Ensure timely enrollment and documentation of patients into the Patient Support Program.
• Conduct Benefit Verifications and follow up on Prior Authorizations as needed.
• Perform patient financial assessments based on program guidelines.
• Respond to general inquiry calls based on program materials.
• Coordinate with specialty and free goods pharmacies to ensure patient access to treatment.
• Work with injection training partners to ensure timely patient training.
• Monitor patient files for timely reimbursement and financial assistance renewals.
• Receive, record, and report Adverse Events and Product Complaints as required.
• Perform data entry, manage inbound and outbound calls, and handle communications via email, fax, chat, and SMS.
• Communicate patient service offerings, policies, and procedures to office staff.
• Visit customers in the field to educate and resolve reimbursement challenges.
• Stay updated on compliance and OIG guidance regarding Patient Services and provider support programs.
• Analyze regional program data to identify opportunities for enhancing patient services.
• Achieve brand-specific patient access objectives and maintain service levels based on Key Performance Indicators.
• Support coverage discussions internally and externally with key customers.
• Collaborate with internal cross-functional partners and develop relationships with external stakeholders.

Requirements

• Bachelor's degree or 8+ years equivalent experience in Patient Support Services required.
• Product launch experience in the US is required.
• Experience in rare diseases is highly desirable.
• Experience in direct interactions with top US specialty pharmacies and payers.
• Experience working with various internal stakeholders, including field sales, marketing, trade & distribution, and market access.
• Strong interpersonal skills are essential.
• Experience navigating CRMs to support patients from enrollment through initial dispense and ongoing access.
• Demonstrated strategic thinking, initiative, and creativity related to Patient Support Program processes.
• In-depth understanding of US legal, compliance, and regulatory requirements is required.
• Strong commitment to compliance and ethical standards.
• Proficient with Microsoft Office suite (Word, PowerPoint, Excel, Outlook, SharePoint, etc.).