We are currently developing voclosporin, an investigational therapy, for the treatment of lupus nephritis (LN) and other proteinuric diseases. We are also advancing voclosporin ophthalmic solution (VOS), a topical formulation, for the treatment of dry eye syndrome (DES). And we are actively hunting for other innovative drugs which have the potential to change the lives of people with rare autoimmune and inflammatory diseases.

 The Director of Patient Case Management Support is an integral and highly visible managerial position that will support the functional implementation and operational effectiveness of Patient Case Management and the Commercial Call Center. The day to day operational activities include evaluation of patient access support including HUB related data analysis through aggregated data reports, design and implementation of reports and the development of all HUB and Call Center processes, performance management and customer engagement feedback assessments.

The role will assist the Sr, Director of Patient Services by implementing strategies, and business plans to deliver the optimal effectiveness of all Patient Case Management services. In addition, this role will serve as a reimbursement expert to the HUB and oversee HUB engagement with the specialty pharmacies. It’s expected that this position collaborates with several commercial cross functional teams including the Director of Field Access Navigation.

Responsibilities

• Execute the HUB and Patient Access Strategy for Aurinia therapy while ensuring coordination with the specialty pharmacy network.
• Assist the Sr. Director of Patient Services in the execution and management of HUB performance and reporting
• Support patient engagement requirements and develop a management performance tracking system/tool
• Liaise between the Specialty Pharmacies and Field Navigation, Market Access and Sales Leadership on HUB and Call Center performance and manage ad-hoc and planned team meetings
• Perform HUB and service data reporting analysis in conjunction with the Commercial Ops team to further inform commercial assessment of the HUB and Call Center performance
• Lead any business reviews, design metric management, for optimal HUB performance
• Work closely with Specialty Pharmacies and other cross-functional Aurinia teams to educate on reimbursement policies and ensure that Aurinia’s business is carried out in a compliant manner
• Track and trend opportunities to improve patient customer experiences
• Facilitate collaboration by assisting the HUB triage training (including issue resolution)
• Act as a conduit for the day-to-day operation between HUB, and Specialty Pharmacies to ensure optimum operations between them
• Monitor, in conjunction with Director Field Access Navigators, payer and policy updates and the impact on reimbursement for approved Aurinia products
• Maintain critical business relationships and contract compliance ensuring consistent patient experience
• Manage Service level agreements and processes for HUB and Call Center services
• Analyze HUB contract performance for trend identification and opportunities of improvement
• Lead HUB and Call Center training to include Commercial Co-pay and PAP program 

The preferred candidate comes with a successful history of leading a Patient Case Management program either internally or through a 3rd party Vendor. Recent HUB management experience a plus. Must have knowledge on reimbursement (coding, coverage and payment policy) expertise on manufacturer products in all places of service under Pharmacy benefit required. The candidate will also have strategic and operational experience and familiarity with office practice policies and procedures. Must have a strong cross-functional communication mindset, is solutions-oriented and has strong verbal and written communication skills. Produces results, able to adapt to the changing priorities intrinsic to a growing company and needs minimal supervision.

Preferred Experience

• Bachelor’s degree required in Healthcare related field, preferably RN, with advanced degree preferred
• Minimum of 8 years Patient Services or HUB related services with 5 years in a managerial role
• Experience working with multidisciplinary functions which will include a Field Reimbursement team, Sales, Market Access, and Marketing
• Critical thinking skills and ability to act independently yet work in a collaboratively to complete role responsibilities
• Previous Vendor Management experience
• In depth knowledge of performance vendor metrics management, and data and analytics
• Strong ability to present to management and strong customer management skills
• Recent in-depth experience with Market Access Operations, Field Reimbursement Management, Management of HUB services, Hub performance and service analytics
• Specialty Pharmacy and drug launch
• Pharmacy benefits
• Experience in start-up biopharmaceutical company
• Frequent travel is required in order to manage the assigned vendor, sometimes without much notice

All candidate information will be kept confidential according to EEO guidelines.