Patient Support Operations Manager

5 months ago
Employment Information
Job Description
JOB TITLE: Patient Support Operations Manager
LOCATION: Boston, Massachusetts
OPENINGS: 1
DUTIES: Position will monitor Patient Support Team access escalations related to reimbursement/payer challenges (escalations), identify trends and work cross-functionally to find root cause of escalations; represent Patient Services at the cross-functional access meetings, works closely with District Leaders to react quickly to escalated situations, creates detailed plans of action for resolution to access escalations; partner with IT team on escalations process, continuous improvement for internal and external reporting, and trend monitoring; participate in the seasonal and launch planning, training and execution; ensures alignment on any process changes, WI updates; provide training and support to other new/junior members of the Patient Services Reimbursement REP team; develop new and maintain existing documentation of processes, work instructions, SOPs, and contracts; develop and manage Mosaic access and spine strategy and data; work with GPS department on process improvements and enhancements to improve the GPS patient experience as it relates to access and reimbursement, including patient support, systems, specialty pharmacy, quality, and insights; develop new and maintains existing data reporting for insight generation; help to identify, develop and deliver engaging training for the Patient Support team; partner with GPS Ops Systems team and GIS on innovative system solutions within CRM; responsible for future access data strategy, tools and technologies (SP Access Data, and CMM partnership). Telecommuting permitted up to 40%.
REQUIREMENTS: Position requires a Bachelor’s degree (or foreign equivalent) in Health Care Science, Pharmaceutical Sciences, Life Sciences or a related field, plus four (4) years of experience in the job offered or in a related occupation. Experience must include the following:

  • Demonstrable experience with customer-relationship management (CRM) platform;
  • Demonstrable understanding of payer structure, landscape and impact to patient support, including commercial, Medicare, Medicaid and other payer types;
  • Demonstrable understanding of current trends in the healthcare and payer market;
  • Demonstrable understanding how systems and databases are structured, and ability to consolidate multiple data sources, and synthesize large datasets into key findings and recommendations; and,
  • Demonstrable pharmaceutical, healthcare or biotechnology patient support experience.
Telecommuting permitted up to 40%.
CONTACT: Send resume to Sarah Hadjian at
Sarah_Hadjian@vrtx.com
. Reference 12140.253.
#LI-DNI
Company Information
Vertex is a global biotechnology company that invests in scientific innovation.
Vertex is committed to equal employment opportunity and non-discrimination for all employees and qualified applicants without regard to a person's race, color, sex, gender identity or expression, age, religion, national origin, ancestry, ethnicity, disability, veteran status, genetic information, sexual orientation, marital status, or any characteristic protected under applicable law. Vertex is an E-Verify Employer in the United States. Vertex will make reasonable accommodations for qualified individuals with known disabilities, in accordance with applicable law.
Any applicant requiring an accommodation in connection with the hiring process and/or to perform the essential functions of the position for which the applicant has applied should make a request to the recruiter or hiring manager, or contact Talent Acquisition at ApplicationAssistance@vrtx.com.

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