Reimbursement Support Specialist

Kyowa Kirin is a fast growing global specialty pharmaceutical company that applies state-of-the-art biotechnologies to discover and deliver novel medicines in four areas of unmet need: oncology, nephrology, immunology and CNS/movement disorders. The North America organization includes three offices (in New Jersey and California) that focus on drug discovery, product development, and commercialization. Together, we work as a close-knit team to understand clinical needs and advance innovations that can have a profound impact on patient lives.

Summary of Job:

The Reimbursement Support Specialist will be an integral role in the Patient Support Program. The role will primarily focus on the investigation of patients’ benefits, intake of Program forms, and support the team with daily administrative tasks. The Reimbursement Support Specialist will work closely with Case Managers to facilitate the patient onboarding process.  

Essential Functions:

• Contact payers to understand patient insurance benefits – medical and pharmacy benefits – for Kyowa Kirin products
• Acts as Subject Matter Expert on payer requirements for Kyowa Kirin Products
• Complete the data entry process of all documents received into the Support Program
• Triage documents to appropriate parties based on defined business rules and requirements
• Support the Case Manager team with daily administrative tasks
• Works closely with Case Managers to assist with complex reimbursement cases
• Communicates with pharmacies and distribution partners to track cases, and shipments, and troubleshoot issues
• Successfully deliver upon program goals, including pre-defined KPIs
• Identifies trends regarding reimbursement delays, patient concerns, etc., and reports to Management
• Participates in regularly scheduled team meetings; recognizes opportunities for improvement, brings solutions to any barriers

Job Requirements:

Education:

• Bachelor’s degree or equivalent experience required

Experience:

• Reimbursement experience required; detailed understanding of medical and pharmacy benefits across all payer types
• 2+ years of industry experience in pharmaceutical or biotech Patient Services
• Proven success in a fast-paced environment
• Patient-focused

 Technical Skills

• Proficient in MS Office Suite
• Benefits investigations and payer relations
• Superior data entry skills; ensuring quality and accuracy

Non-Technical Skills

Demonstrated ability to organize, prioritize, meet deadlines, make decisions, and change the course of action quickly. Strong interpersonal and communication skills. A strong work ethic is required. Detail-oriented and excellent follow-through. Has the ability to flex and deal with ambiguity in a dynamic, fast-paced, high-growth environment. Has a passion for personal learning and development to be able to grow with the company. Cultural sensitivity and ability to develop consensus within a multinational organization.  

Follows all requirements associated with compliance with program guidelines and relevant regulations, including HIPAA and patient privacy  

KKNA and all of its employees have an obligation to act in accordance with the law and with integrity in all our operations and interactions

It is the policy of Kyowa Kirin North America, Inc. to provide equal employment opportunity to all qualified persons without regard to race, religion, creed, color, pregnancy, sex, age, national origin, disability, genetic trait or predisposition, veteran status, marital status, sexual orientation or affection preference or citizenship status or any other category protected by law.

When you apply to a job on this site, the personal data contained in your application will be collected and stored by Kyowa Kirin, Inc. (“Controller”), which is located at 135 Route 202/206, Suite 6, Bedminster, NJ 07921 USA and can be contacted by emailing [email protected]. Controller’s data protection officer can be contacted at [email protected]. Your personal data will be processed for the purposes of managing Controller’s recruitment related activities, which include setting up and conducting interviews and tests for applicants, evaluating and assessing the results thereto, and as is otherwise needed in the recruitment and hiring processes. Such processing is legally permissible under Art. 6(1)(f) of General Data Protection Regulation (EU) 2016/679 (“GDPR”) as necessary for the purposes of the legitimate interests pursued by the Controller, which are the solicitation, evaluation, and selection of applicants for employment. 

Your personal data will be shared with Greenhouse Software, Inc., a cloud services provider located in the United States of America and engaged by Controller to help manage its recruitment and hiring process on Controller’s behalf. Accordingly, if you are located outside of the United States, your personal data will be transferred to the United States once you submit it through this site. The transfer will be made using appropriate additional safeguards under the standard contractual clauses approved by regulators for transfers of personal data outside the European Union.

Your personal data will be retained by Controller as long as Controller determines it is necessary to evaluate your application for employment.  Under the GDPR, if you are located in the European Union, you have the right to request access to your personal data, to request that your personal data be rectified or erased, and to request that processing of your personal data be restricted. You also have the right to data portability, and to lodge a complaint with an EU supervisory authority. If you have any questions about our use of your data, you may contact us by email at [email protected].

Kyowa Kirin does not accept agency resumes unless contacted directly by internal Kyowa Kirin Talent Acquisition. Please do not forward resumes to Kyowa Kirin employees or any other company location; Kyowa Kirin is not responsible for any fees related to unsolicited resumes.

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