Job Details

Access Specialist II

Company: Cycle Vita

Location: Texas, Oklahoma or Kansas. This is a remote position, and work is performed during the hours of 8am-8pm Eastern time zone.

Overview of the role

Are you ready to become the trusted expert that patients and healthcare providers turn to for guidance on access, affordability, and solutions? Cycle Pharmaceuticals is recruiting for an Access Specialist II to join our growing Cycle Vita team (our patient support hub) and support our patients and healthcare professionals every step of the way.

As an Access Specialist II, you'll be at the forefront of delivering timely, accurate, and compassionate support to both patients and healthcare providers. You'll be responsible for communicating directly with patients and healthcare professionals to provide benefit summaries, verify insurance coverage, obtain prior authorizations, and support appeals processes. As part of your role, you'll make sure patients are referred to the right resources like educational tools and nursing support to help them feel confident with their care journey.

Our company

At Cycle, we believe that Every Single Patient Matters. This is at the heart of why we work and were looking for people to join our team who 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.

Our core focus areas include rare metabolic, immunological, and neurological genetic conditions, where we improve existing drugs, repurpose them for new uses, and bring generics back to market. Using cutting-edge drug delivery technologies, we enhance the efficiency of treatments, offering patients greater freedom and choice.

If you want to know more about what we do then, why not check out our website below and take a look at some of our patient stories.

Patient Stories - Cycle Pharma

What you'll be doing in this role

• Obtain insurance verification and benefits from insurance companies and leveraging additional sources such as insurance carrier websites.
• Ensure that all documents and information are up to date and correct in the system.
• Prepare benefit summaries and deliver this information to Health Care Professionals and Patients via phone, fax, email, and letters.
• Educate Health Care Providers and Staff regarding prior authorization and appeals process & documentation including highly specific, payer-based requirements.
• Supply 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.
• Support patient's needs for alternate funding scenarios including free drug and copay and enrolling appropriate patients.
• Triage orders to Specialty Pharmacies including follow-up calls/emails to gain knowledge of the status of those orders.
• Assist with answering any incoming telephone calls or emails within the shared inbox.
• Build strong, collaborative relationships with patients, caregivers, insurers, and colleagues to promote service excellence and teamwork at Cycle Pharma.
• Work closely with the Clinical Education Managers and support with any other duties as required.

The following skills and experience will be important in helping to set you up to succeed in this role:

• Prior experience within the field of health sciences.
• Proven experience in Benefit Investigations and Prior Authorization processes, with a strong understanding of industry documentation standards.
• Strong knowledge within Copay and Free Drug Assistance Programs within the Healthcare or Pharmaceutical industry.
• Proficient in using CRM systems (Customer relationship management) such as SalesForce, Veeva or Microsoft Dynamics.
• Familiar with operating in highly regulated environments, ensuring full compliance with industry policies and procedures.
• Prior reimbursement experience with ability to communicate complex reimbursement scenarios to patients and medical professionals.
• Strong background in case management and coordinating with patient support services.
• Excellent organizational skills with the ability to plan, prioritize, and meet deadlines effectively.
• Positive, relationship-focused mindset, with strong interpersonal and communication skills.
• Willing and able to travel up to 50%, including visits to healthcare providers, specialty pharmacies, and company headquarters in the UK for training and business reviews.

Desirable skills but by no means essential:

• Experienced in working in biotech/pharmaceutical industry for a drug manufacturer or Hub Services provider
• Rare disease experience

What can we offer

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

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:

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

Applications

Cycle Pharmaceuticals embrace 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.