[Pharmtech-job-announce] Fw: Long Term Assignment - Fantastic Company - San Rafael - Patient Access Service Appeals Specialist - Great Opportunity!

[Rangaves, Diana]

________________________________
From: Cathleen Pozas-Harter <cathleen.harter at insyncstaffing.com>
Sent: Thursday, February 4, 2016 11:28 AM
To: Rangaves, Diana
Subject: Long Term Assignment - Fantastic Company - San Rafael - Patient Access Service Appeals Specialist - Great Opportunity!



Thank you for taking time out of your busy day to consider this opportunity with inSync Staffing!
My name is Cathleen. I found your resume in our database and wanted to present this Patient Access Services Appeals Specialist opportunity to you. (inSync is a NO FEE Staffing Agency).

Here at inSync Staffing we are trying to make a difference in the staffing industry by disclosing as many of the details regarding our open positions. Our end clients hire hundreds of contractors and temporaries every year and I believe you could be a great fit for the following position:

Type of position: hourly/contract

Length of assignment

End Client: BioMarin Pharmaceutical Inc.   (you will be an employee of inSync Staffing working on a contract/temporary assignment)

Location: San Rafael, CA

Target Pay rate:  $20.00 -$25.00  (depending on fit to required and desired skills in your experience and on your resume)

Client Job Order#:  4510384

Other Qualifications: Upon offer you must be able to successfully pass a criminal and drug screen.

NO SUBCONTRACTORS PLEASE

Please review the following job description. If you would like to be submitted to this opportunity, forward me an updated MS Word copy of your resume immediately. Be sure that you have included the required and desired skills in your work experience if you have viable experience. Upon receipt of your resume we will contact you to confirm your availability and overall fit for this position.

Job Description:
BioMarin develops and commercializes innovative products for serious rare diseases and medical conditions. The Market Access and Patient Services group supports this corporate vision through operations that: Monitor and influence the reimbursement environment Secure broad payer coverage
Address financial barriers to therapy
Manage individual patient cases
Design/implement adherence strategies

The Appeals Specialist will work in the United States and Puerto Rico to support BioMarin's RareConnections team and functional partners with the following tasks:

  *   Case-level Appeals Activities- Research individual payer appeal processes, co-develop appeal strategy and create tactical action plan and adhere to timeline, secure alignment with key commercial stakeholders, facilitate the development of communications (draft appeal letters and/or provide MD evidence) by leveraging clinical evidence from Medical Affairs or Payer policy evidence, procedures and appeal process.
  *   RareConnections Interface--Monitor the incoming cases to identify and hopefully pre-empt downstream denials.
  *   MAPS Interface--Identify trends on payer denials, escalate to appropriate team members, e.g., (RareConnections, Managed Markets, Medical Affairs , Sales and Marketing as appropriate) Demonstrated operational, organizational, problem solving, communications, and project management skills are required. Strong results orientation and a sense of urgency to get things done are critical. The Specialist possesses ability to consider multiple facets of health care services delivery and systems in the United States. This professional is disciplined in an entrepreneurial and growing commercial organization. This individual must be creative, flexible and adaptable to new and changing situations, be goal-oriented, and work collaboratively with case management team as well as functional partners.

Develop and implement strategies and tactical programs addressing patient-level barriers to product access (e.g. coverage and reimbursement, Patient Assistance Program parameters ) Work closely with case management hub and call-center operations (BioMarin RareConnections) to develop and execute plans addressing patient-level barriers to product access Integrate seamlessly with BioMarin RareConnections operations, Managed Markets, Payer Policy and Field Account Teams Collaborate closely with other commercial groups including Marketing, Medical Affairs/Information and Compliance Participate as necessary on brand, field sales, and other commercial teams Manage and adhere to corporate policies and practices

Ability to travel between Corporate offices in San Rafael and patient hub (currently in San Bruno, CA) on a regular basis.

Skills:
3+ years experience of relevant pharmacy benefit and medical benefit healthcare reimbursement experience
Previous experience in healthcare in positions encompassing insurance, case management, interactions with health professionals, patients and family members Related experience in specialty drug health care operations, billing, public/private health/pharmacy reimbursement and customer service, infusion services
Full understanding of the insurance approval/denial/appeal process; previous direct experience in submitting appeals and advocating for appropriate clinical treatment of patients is highly desired
Experience with and full knowledge of insurance, workers compensation and managed care systems
Good analytical and organizational skills, the ability to interact and positively influence across multiple departments

Education:
Degree from an accredited college/university or equivalent experience


If you are ultimately looking for permanent/full time employment, you should consider contracting/temping. 1 out of 5 employees who started in a temp/contract position became full-time direct employees at our clients.

inSync Staffing is a US operation, employing all services and support staff in the USA!

Sincerely,
Cathleen Pozas-Harter
cathleen.harter at insyncstaffing.com
(408) 418-3869
25 Sundial Ave
Manchester, NH  03103
WEB SITE: www.inSyncstaffing.com<http://www.inSyncstaffing.com>

Note: Please allow me to reiterate that I chose to contact you either because your resume had been posted to one of the internet job sites to which we subscribe, or you had previously submitted your resume to inSync Staffing. I assumed that you are either looking for a new employment opportunity, or you are interested in investigating the current job market.
If you are not currently seeking employment, or if you would prefer I contact you at some later date, please indicate your date of availability so that I may honor your request. In any event, I respectfully recommend you continue to avail yourself to the employment options and job market information we provide with our e-mail notices.
Thanks again.
Cathleen


<http://jobs.insyncstaffing.jobs/employers/open_candidate.jsp?canid=364303252224689186203578125384745&teamid=0&docids=-1&enc=1&rfqid=8982128>
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