Prior Authorization Specialist

The Patient Engagement Specialist (includes prior authorizations) is a key field-based member of the Market Access Patient Services team responsible for contacting designated accounts and providing support to both the patients, families and healthcare providers (HCPs). This position requires expertise and knowledge of complex pharmaceutical related patient access, HUB and reimbursement processes.Our client is an exciting, innovative biopharmaceutical company focused on providing advanced therapeutic options to patients suffering from rare genetic disordersPrimary ResponsibilitiesServes as the primary point of contact for all patient & caregiver interactions for insurance support, problem resolution, access support, office staff, educationWork with a 3rd party insurance support partner and specialty pharmaciesWork collaboratively with all appropriate field roles, HUB case mangers, sales, national accounts, reimbursement specialistsMust be able to travel up to 25%Qualifications/ExperienceBSN/MSN preferred; BA/BS in a relevant discipline requiredPACs certification is preferredCase management, patient services, or pharmaceutical market access experienceAt least 3+ years working for a biopharmaceutical manufacturer in a similar/relevant roleStrong understanding of pharmacy benefit designs, prior authorization processes, and specialty pharmacy treatment pathwaysCompensation$195,000- $210,000LTIP (long term incentive program)

Created: 2025-02-09