Patient Experience Liaison - Michigan
Remote, United States
The Patient Experience Liaison (PEL) reports to Patient Experience and collaborates with Ecosystem Leads, Health Science Advisors (HSAs) and Clinical Science Liaisons (CSLs) to understand and address patient support need within their assigned Ecosystem. The PEL works with patients, care partners, HCPs, and staff to support patients as they start prescribed treatment and follow their treatment plan. The PEL supports patients by addressing treatment access and affordability obstacles, offering care coordination, raising awareness about local community resources/solutions, and improving the patient experience within the local healthcare landscape.
The PEL makes contributions in treatment access and patient experience within their assigned ecosystem.
The PEL will report to the Regional Patient Lead (RPL).
Job Description
- Work with sites of care to support appropriate patient access to prescribed Otsuka products. Address emergent medication access issues through consultative support.
- Collaborate with Otsuka Matrix Team members to understand patient support needs, address treatment access obstacles, and follow up on case progress and resolution.
- Educate providers and staff on local access, coverage, approval processes, potential cost concerns, availability expectations, and transition of care options.
- Educate sites of care about medication access topics, such as medication coverage and access, local payer requirements, Prior Authorization requirements, Transition of Care options, and Otsuka Patient Support resources.
- Create/replicate treatment access solutions that have an impact on an ecosystem level.
- Collaborate with ecosystem team on non-promotional business planning activities.
- Ensure all field patient education activities are compliant with all applicable laws, regulations, and guidance within ODH policy and procedures.
- Act as a role model for Otsuka and the Patient Experience and Support division.
Competencies
Demonstrated experience and ability in the following areas:
- Ensures Accountability while Managing Complexity and Ambiguity
- Territory Management & Planning
- Strategic mindset
- Orientation toward action
- Resourcefulness
- Planning and alignment
- Instilling trust
- Situational adaptability
- Customer focus
- Foundational understanding of industry legal, regulatory, and compliance landscape.
- Strong collaboration and communication skills, both written and verbal.
Experience
- 1+ years of experience in the Pharmaceutical/Biotech or healthcare field
- Previous experience with SPs, copay card programs, insurance plans, and the treatment access process (PA, appeal, peer-to-peer)
- Knowledge of patient support programs, billing, pharmacy/medical claims processes, and personnel in several healthcare settings including community health centers, hospitals, physician offices and infusion centers.
- Demonstrated capacity to communicate about insurance coverage, benefit verification, prior authorization, and the process of treatment access across sites of care.
- Demonstrated capacity to understand and communicate about medication access issues from a patient and provider perspective, with an ability to effectively interact and navigate within various sites of care (physician office, hospital, pharmacy, etc.).
Education
Bachelor's/ Master's degree.
Competencies
Accountability for Results - Stay focused on key strategic objectives, be accountable for high standards of performance, and take an active role in leading change.
Strategic Thinking & Problem Solving - Make decisions considering the long-term impact to customers, patients, employees, and the business.
Patient & Customer Centricity - Maintain an ongoing focus on the needs of our customers and/or key stakeholders.
Impactful Communication - Communicate with logic, clarity, and respect. Influence at all levels to achieve the best results for Otsuka.
Respectful Collaboration - Seek and value others’ perspectives and strive for diverse partnerships to enhance work toward common goals.
Empowered Development - Play an active role in professional development as a business imperative.
Company benefits: Comprehensive medical, dental, vision, prescription drug coverage, company provided basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k) match, flexible time off, paid holidays, and paid leave programs as well as other company provided benefits.
Come discover more about Otsuka and our benefit offerings; https://www.otsuka-us.com/careers-join-otsuka.
Disclaimer:This job description is intended to describe the general nature and level of the work being performed by the people assigned to this position. It is not intended to include every job duty and responsibility specific to the position. Otsuka reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.
Otsuka is an equal opportunity employer. All qualified applicants are encouraged to apply and will be given consideration for employment without regard to race, color, sex, gender identity or gender expression, sexual orientation, age, disability, religion, national origin, veteran status, marital status, or any other legally protected characteristic.
If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation, if you are unable or limited in your ability to apply to this job opening as a result of your disability. You can request reasonable accommodations by contacting Accommodation Request.
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ApplyJob Profile
Dental Disability Insurance Incentive opportunity Medical Paid holidays Paid leave Prescription Prescription drug coverage Professional development Tuition reimbursement Vision
Tasks- Address medication access issues
- Business Planning
- Collaborate with ecosystem team
- Educate providers and staff
- Ensure compliance
- Support patient access
Benefit verification Billing BioTech Business Planning Care Coordination Collaboration Communication Community Resources Compliance Coverage Customer Centricity Customer focus Digital Health Healthcare Healthcare Environment Healthcare Landscape Health Science Impactful Communication Insurance coverage Medical Medical claims Organizational Patient Access Patient care Patient Education Patient experience Patient Support Pharmaceutical Pharmaceutical Development Pharmacy Claims Planning Policy Prior authorization Regulatory Compliance Reimbursement Security Strategic Mindset Strategic Thinking Territory Management Treatment access
Experience1 years
EducationBachelor's DO Master's Pharmacy
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9