Patient Support Vendor and Program Operations Manager (Contract)

Vertex is seeking a Manager to join the Patient Support Operations & Vendor Management Team within the US Patient Support Center of Excellence. This team supports Vertex North America Commercial’s Patient Support organizations, which assist patients living with Cystic Fibrosis, Sickle Cell Disease, Beta-thalassemia, and Acute Pain.

The Patient Support Operations & Vendor Management Team oversees patient support vendors, including those managing financial assistance programs, benefits investigations, prior authorizations, and travel programs. The team also collaborates with Specialty Pharmacy partners to ensure a seamless patient experience.

This hybrid role requires 3 days per week on-site at the Boston Seaport office and reports to the Director, Patient Support Operations & Vendor Management.

Key Responsibilities:

Specialty Pharmacy Operations

• Lead weekly stand-up calls with in-network Specialty Pharmacy Program Teams and identify trends and insights to report back to Patient Support Team
• Oversee day-to-day activities interactions with our specialty pharmacies including providing technical expertise for pharmacy questions and escalations & managing our pharmacy outreach process
• Manage CRM SP profiles & internal reference guides, and trainings/roll out related to launch, new initiatives and pharmacy operations
• Partner with PSSs for 340B support for 340B pharmacies/centers reporting data
• Prepare for Quarterly Business Reviews (QBRs) and status meetings with in-network pharmacies, provide feedback on pharmacy service levels, and provide insights into pharmacy trends and issues that affect our team and patients
• Monitor data quality, create and maintain dashboard, & provide ad hoc reporting, including seasonal coordination support
• Identify and drive process improvements & innovative solutions/analytics to make the patient experience better, and our team more efficient
• Oversee and support patient transitions to new pharmacies due to insurance/PBM changes
• Partner with internal Managed Markets Specialty Pharmacy Engagement Team to ensure alignment on trends, insights and SP initiatives to support patients, HCPs and PSSs.

Pharmacy Escalation Management

• Oversee and manage daily/weekly escalations, and ensure timely resolution
• Collaborate with Access and Reimbursement team to address outstanding issues.
• Identify and implement system improvements to reduce redundant escalations.
• Monitor financial assistance issues and work with network pharmacies to resolve barriers to patient access.
• Monitor Patient Support Team (PST) Specialty Pharmacy escalations related to PSS/Patient/Caregiver/HCP challenges, identify and communicate trends and work closely with the team to find the root cause and create plans of action for resolutin

Analytics and Reporting

• Develop new and maintain existing data reporting for insight generation
• Work with Systems team on continuous improvement for internal and external reporting and trend monitoring
• Proactively monitor data quality, maintain dashboards and provide daily, weekly, quarterly and seasonal and ad hoc reporting to the Specialty Pharmacies

Other Responsibilities:

• Co-lead a “Rep” team of Patient Support Specialists to develop processes, share best practices and train teammates.
• Actively contributes to routine team meetings, business reviews and workshops.
• Proactively identifies challenges and offers up process improvements and solutions.
• Act in compliance with all laws, regulations and Vertex policies.
• Complete all Vertex-U requirements on time
• Other responsibilities as assigned

Minimum Qualifications:

• Bachelor’s Degree and 3+ years of experience in the healthcare/pharmaceutical industry.
• Strong understanding of payer structures (Commercial, Medicare, Medicaid, etc.) and their impact on patient support.
• Experience in pharmaceutical access, reimbursement, commercial systems, and analytics.
• Intellectually curious with a continuous improvement mindset and high customer service aptitude.
• Ability to work in a fast-paced environment, multitask, and prioritize workload.
• Strong attention to detail, communication, presentation, and interpersonal skills.
• Proficiency in Salesforce CRM and reporting tools.

$60/hr. - $65/hr. 

Monday - Friday 

This job posting is for a temporary role with a third-party agency partner on assignment at Vertex Pharmaceuticals (“Vertex”). The individual selected for this role will be offered the role as an employee of a third- party agency partner; compensation, medical benefits, fringe benefits and other terms and conditions of employment shall be presented by the third-party agency partner upon offer. The pay rate range provided is a reasonable estimate of the anticipated compensation range for this job at the time of posting. The actual pay rate will be based on a number of factors, including skills, competencies, experience, location and/or being pursued and other job-related factors permitted by law. In addition, this role will be eligible for overtime pay, in accordance with federal and state requirements

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No C2C or Third-Party Vendors