Access Specialist

Access Specialist (Midwest)

The Opportunity

Cycle Pharmaceuticals is looking for a positive team player to join its fast-growing Cycle Vita Hub as an Access Specialist.

The ideal candidate will have the opportunity to make a significant input into the growth of a dynamic, collaborative and patient focused team, within a successful small biotechnology Company showing year on year revenue growth. Our employees value relationships as well as results. Everyone is encouraged to share ideas and bring fresh perspectives and solutions to discussions that will contribute to the overriding desire for ongoing improvement. As someone who is self-motivated and a self-starter, you will take personal accountability for delivering your individual workload.

You will be responsible for timely, accurate and complete insurance verification and prior authorization, including appeals support. This role is customer facing to both Health Care Professionals (HCP) and Patients, responsible for the creation and delivery of benefits summaries via written and verbal means.

Using the benefits summary and program guidelines, you will appropriately and compliantly offer the correct financial assistance programs including free drug offerings and the Cycle Copay Program. You will also refer appropriate Patients to additional service offerings including Patient Education & Support and Nursing Services.

The role requires intense phone and screen time calling on a multitude of stakeholders, logging calls and documenting outcomes in Cycle’s CRM and end to end case management system.

Our Company

We believe that Every Single Patient Matters, this is at the heart of why we work, and we’d love for you to share our vision. We know that life-changing treatments need life-improving product support to match, because when you put the two together, great things can happen.

We are a pioneering company, reimagining how drugs and services can benefit patients with rare disease to make their lives easier and improve their quality of life. Cycle, as a company, works closely with patient groups and healthcare professionals to understand the unmet needs of patients and their carers. By collaborating with academic communities and using the latest cutting-edge pharmaceutical technologies, we translate innovations into medicinal products that patients and caregivers actually desire. We deliver the required medicine with the minimum impact on daily routines and, just as importantly, provide individualized support services to patients, families, carers and the healthcare professionals community.

Cycle has three core areas of development and work across rare metabolic, immunological and neurological genetic conditions: improving drugs – optimizing an existing drug; repurposing drugs – creating a new indication for an existing drug; and generics – reinstating generic drugs, previously available in the market. These three areas of focus are underpinned by formulation technology – using new drug delivery technologies to improve the efficacy and effectiveness of drugs, allowing us to give patients greater freedom and choice.

Job Title: Access Specialist

Cycle Company: Cycle Pharmaceuticals Inc

Location: Ideally located within the Mid-West region / area (MI, OH, IL, IN, WI, IA, MO) and working remotely from home

Position Summary: This full-time position within the Cycle Vita department.

What you will be doing

• Obtains insurance verification and benefits via phone calls to insurance companies and leveraging additional sources such as insurance carrier websites. Accurately documents all information in the appropriate fields and or/account notes in the CRM.
• Prepares benefit summaries and delivers the information to Health Care Professionals and Patients via phone, fax, email, and letter.
• Obtains and supplies all necessary prior authorization requirements to Health Care Professionals based on the insurance company’s requirements, following Cycle Pharma’s Compliance SOPs and regulatory guidance.
• Responsible for managing inbound calls and directing queries from these accordingly.

What will enable you to thrive

The following skills and experience will be important in helping set you up to succeed and thrive.

Bachelor’s degree in Health Sciences field

• 4+ years conducting Benefit Investigations and Prior Authorizations, inc. documentation in the Healthcare Industry
• 4+ years working in a production environment using CRM and Telephony, such as SalesForce or Siebel
• 4+ years knowledge in Copay and Free Drug Assistance Programs in the Healthcare Industry
• High ethical standards and a track record of ethical behaviour.
• Experience complying with strict regulations, SOPs and policies.
• Experience creating materials to support patient access, hub services, specialty products, reimbursement, adherence programs and patient assistance programs with rare diseases.
• Ability to communicate complex reimbursement scenarios to patients and medical professionals
• Comfortable with change, and the ability to identify best options based on business need to support problem solving
• Strong communication and presentation skills for internal and external customers
• Ability to work independently to effectively plan, prioritize, execute on business deliverables.
• Ability to work with cross-functional partners (Sales, Market Access, Compliance etc)
• You must possess and portray strong emotional resilience, a positive attitude, exceptional listening skills, and strong verbal and written communication skills
• Ability to create, initiate and implement programs or activities to gain, maintain and improve access of Cycle products.

What makes this role special

• Seek to have a profound impact supporting patients and their families
• Work across a range of different disease states
• Opportunity for professional development and training
• Help shape the culture and future of an emerging pharmaceutical company with a grand vision
• Work with a growing team of experienced professionals
• Learn from a strong leadership team with a proven history of success.

What can we offer

The role will be homebased but some travel, up to 50% of the time, to attend meetings or support field reimbursement activities may be required. We have an agile work policy which allows employees the flexibility to set their schedule and plan their day to meet the business needs and deliverables.

In addition to being part of a great team and doing things that will make a real difference to patients’ lives, you will enjoy all the benefits that brings:

• Competitive salary based on experience
• A collaborative high performing work environment
• Performance based bonus
• Opportunity to join a fast growing and ambitious business
• 100% employer paid membership for Private Health Insurance
• Life Insurance
• 401k plan

Applications

Cycle Pharmaceuticals embraces diversity and equality of opportunity. We are committed to building an inclusive and diverse team representing all backgrounds, with as wide a range of perspectives as possible, and harnessing industry-leading skills. We believe that the more inclusive we are, the better our work will be. We welcome and consider applications to join our team from all qualified candidates, regardless of their characteristics. We comply with all applicable laws and regulations on non-discrimination in employment (and recruitment), as well as work authorization and employment eligibility verification requirements.

Please submit your application to careersUS@cyclepharma.com