Senior Manager of Patient Support Operations

Deciphera is seeking a Senior Manager of Patient Support Operations. The ideal candidate has deep reimbursement knowledge experience with hands on case management in patient support programs as well as experience with management of outsourced hub and copay vendors. This is a rare opportunity to join a small collaborative team supporting two rare oncology products as well as potential future launches.

The Sr. Manager will be responsible for the operations of the Deciphera AccessPoint Patient Support Program which seeks to facilitate a positive patient experience by maximizing patient access and affordability for patients taking Decipheras products. The right candidate for this role is solution-oriented detailed creative organized flexible and adept at working in an unstructured environment. This will be a critical role interacting with many internal stakeholders within Deciphera as well as external vendor partners.

This position will report to the Director Patient Access and Reimbursement as part of the Market Access team and will work either remotely within the US or on-site at our Waltham MA office. Business travel may be required up to 10% of working hours including traveling to visit patient support vendors.

What Youll Do:

• Ensure ongoing operational excellence of hub and other support program partners.  Understand the nuances of individual cases and be able to offer guidance to hub staff as well as recognize trends and patterns that must be addressed to meet the overall needs of patients and the business.
• Work with patient support/hub vendors copay assistance vendors and specialty pharmacy partners to manage cases and troubleshoot issues by providing expertise in Decipheras products business rules and the reimbursement process.
• Maintain knowledge of Decipheras products including nuances between the different patient journeys demographics payer access and patient needs. Apply that knowledge so that patient support offerings continue to ensure services meet evolving patient needs.
• Manage specific patient cases by gaining an understanding of payer requirements for approval and communicating this info to hub staff. Manage coordination between Field Access SPs and Providers on accurate documentation specific to appropriate patients.
• Responsible for quality monitoring of program activities including reviewing cases via case notes documents and discussion conducting call monitoring and proactively reviewing data to identify discrepancies and potential process improvements. Share feedback with vendors and Decipheras leadership. Document and summarize findings to facilitate improvements.
• Work with vendors to ensure ongoing compliance with contract requirements business rules and pertinent legal and compliance regulations.
• Lead recurring calls with vendors specialty pharmacy partners and field access teams to review patient cases and troubleshoot issues.
• Provide support for field access teams to help respond to customer inquiries or complaints. Oversee manage and share responsibility for risk issue resolution and root cause analysis as it relates to customers.
• Handle escalations requiring direct contact with physicians or patients.
• Maintain understanding of patient support and access environment and regulations broadly and apply that understanding to current program operations and results.
• Analyze hub and copay data to validate accuracy and completeness prepare reports and present program results.
• Help to coordinate and lead quarterly business reviews with vendor partners.
• Work with the Director of Patient Access and Reimbursement to continually improve program operations through suggesting and implementing new projects initiatives and business processes.

Qualifications :

• Bachelors degree required.
• 5 years of direct Patient Support Program experience supporting pharmaceutical products with 2 years of hub vendor management. Rare disease and oncology experience preferred.
• Expertise in hub patient support adherence and financial assistance (copay cards & PAP) program operations and case management.
• Strong understanding of the access environment (including Medicare Part D) and the mechanics of payer reimbursement (prior authorizations appeals pharmacy claim adjudication etc) in the US broadly and specifically for oncology and rare disease medications.
• Knowledge of relevant legal compliance and regulatory requirements including HIPAA and recent legislation (e.g. the IRA).
• Must exhibit patient focus and empathy.
• Must have a compliance mindset and exercise discretion with personal patient information and other sensitive information.
• Ability to manage hub and copay support vendor relationships and take accountability for vendor performance.
• Ability to work with data from different sources to glean insights.
• Proficient with MS windows word excel and PowerPoint.
• Must be self-motivated and able to plan prioritize execute and deliver results in a fast-paced environment.
• Must be a true team player authentic humble able to build a positive team spirit and put the success of the team above own interests.

Additional Information :

Benefits:

• Competitive salary and annual bonus.
• Comprehensive benefits package including medical dental vision insurance 401(k) retirement plan with company match and more.
• Generous parental leave and family planning benefits.
• Outstanding culture and opportunities for personal and professional growth.

Apply Now: Join us in our mission to improve the lives of people with cancer. Apply today to become a part of our dynamic team!

EQUAL EMPLOYMENT OPPORTUNITY INFORMATION

Deciphera is committed to equal employment opportunity and values diversity. To ensure that we comply with reporting requirements we invite you complete the confidential survey at the end of this application. Providing this information is optional. It will not be accessible or used in the hiring process and has no effect on your opportunity for employment. This information will also be treated confidentially.  We are committed to make all hiring decisions and other employment decisions on a non-discriminatory basis.

Remote Work :

Yes

Employment Type :

Full-time