Field Access Manager - Northeast Region

Apellis Pharmaceuticals • Waltham, MA

320d

About The Position

Field Access Manager, Systemic US Patient Services is focused on maintaining excellence in patient services and delivering an exquisite patient and healthcare professional (HCP) experience. The Field Access Manager, Systemic is an integral part of the team responsible for supporting patient access to prescribed treatment for patients battling serious and rare diseases. The Field Access Manager will use their reimbursement and access expertise to compliantly address challenges impacting patients' access to Apellis products prescribed by their HCP.

Requirements

• BA/BS required
• 5+ years of commercial experience in the pharmaceutical or biotech industry
• 5+ years of experience in healthcare coverage, coding and/or reimbursement experience
• Experience with specialty pharmacy products

Nice To Haves

• Hematology/Oncology and/or Nephrology experience preferred
• Rare disease experience preferred

Responsibilities

• Establish collaborative relationships within Patient Services, Field Sales, Value Access and Policy (VAP) and other relevant teams to support patient access.
• Provide proactive education to key facility/practice staff regarding Apellis Patient Services Programming and reimbursement specific to Apellis products.
• Provide coverage and reimbursement information, including payer-specific prior authorization requirements, to key staff members to support patient access to Apellis products.
• Ensure compliant use of Personal Health Information (PHI) with appropriate patient consent.
• Track reimbursement journey, focusing on aging patient cases, to ensure thoughtful support and effective intervention when appropriate.
• Maintain a current repository of plan-specific reimbursement criteria, forms, and submission procedures.
• Identify coverage issue patterns to resolve payer issues quickly.
• Review patient status trackers daily to ensure quality service by network pharmacy(ies).
• Communicate cross-functionally to ensure current and accurate communication on the status of Start Forms.
• Proactively prioritize and address patient access bottlenecks.
• Work as an integral part of the Patient Services team - functioning as the key point person for field escalations to ensure quick resolution of stakeholder challenges.
• Gain and maintain Apellis Patient Services operations expertise and be a trusted resource cross-functionally.

Benefits

• Health insurance with full premium coverage
• 401(k) with company match
• Paid time off (PTO)
• Long-term disability insurance
• Life insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Professional, Scientific, and Technical Services
• Education Level: Bachelor's degree