Patient Navigator – Central (Columbus Ohio)
PATIENT NAVIGATOR - Central - Columbus, OH
The Patient Navigator will work to support patients through their treatment journey on voxelotor.
The Patient Navigator will report to the Regional Patient Navigator Lead for the West. This role will be responsible for interfacing with patients prescribed voxelotor, their caregivers, and healthcare providers (HCPs), to facilitate seamless access to voxelotor. The Patient Navigator will work collaboratively with internal and external stakeholders to help address patient and access challenges surrounding voxelotor.
The Patient Navigator will help coordinate access to therapy and support appropriate adherence.
Essential Duties and Responsibilities:
- Build relationships with patients and caregivers in order to assist with gaining access to therapy and to provide ongoing treatment support
- Confirm Patient Hub Assessment of the individual needs of the patient as it relates to voxelotor therapy, taking into account the patient's family and team of healthcare providers. The initial assessment will include understanding the individual's payer policies, plan designs, including Medicaid coverage if applicable, as well as the healthcare system local to the patient
- Triage reimbursement issues to hub provider and SPs
- Educate patient/caregiver on reimbursement and financial assistance options for voxelotor therapy (Co-Pay, GBT Patient Assistance Program)
- Understands the community-based resources available in their specific region
- Educate medical offices on GBT's patient programs designed to assist with access challenges for their patients
- Maintain records, complete reports and communicate case status and direction in compliance with applicable laws and regulations
- Works with hub Case Manager, Field Sales, and Market Access & Reimbursement while maintaining appropriate levels of PHI as needed
- Travel to team meetings, patients, and medical offices as needed
- Educate local sickle cell organizations on voxelotor assistance offerings
- Maintains reimbursement and insurance coverage expertise through continuing education and attendance at relevant conferences and other educational opportunities
- Ensures compliance with all corporate and industry policies in collaboration with GBT Legal, Regulatory and Compliance
- Bachelor's Degree in Health Care/Social Work/Nursing (or equivalent)
- 3+ years recent patient support experience in the healthcare or pharmaceutical/biotech industry
- Ultra-rare disease experience a plus
- Experience in case management review, utilization review, social service support, insurance reimbursement, and patient advocacy a plus
- Knowledge of private payer, Medicare, and Medicaid structure, systems, and reimbursement process
- Experience and proficiency in working with a Customer Relationship Management System, such as Salesforce.com
- Possess strong written and verbal communication skills, exceptional listening, critical thinking, problem solving skills
- Ability to navigate difficult conversations and handle sensitive issues with opposing opinions
- Ability to work independently and manage competing priorities
- Experience working in cross-functional teams and effective in influencing without authority
- Desire to work in a fast-paced, energetic environment
- Self-starter who is highly passionate about sickle cell disease and GBT's core values: Commitment to People, Innovation, Discovery, Sense of Urgency, Open Culture, and Passion for Excellence
- Ability to travel up to 25%, including weekends
- Preference to live within 30 miles of position location
Fit with GBT culture:
- Ability to build strong relationships with co-workers of various backgrounds and expertise
- Ability to function at a high level in a team setting whether leading the group or acting as an individual contributor
- Values-based leadership consistent with GBT's Core Values
- Excitement about the vision and mission of GBT
NOTE: This position summary is not intended to be all-inclusive. Employee may perform other related duties as negotiated to meet the ongoing needs of the organization.
Global Blood Therapeutics is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status, or any other characteristic protected by law.