Job Description

Job Description

Job Description

Territory: DC/MD/VA/NC/SC/GA/FL/PR

US Patient Services is focused on maintaining excellence in patient services and delivering an exquisite patient and healthcare professional (HCP) experience. The Field Access Manager, Systemic is an integral part of the team responsible for supporting patient access to prescribed treatment for patients battling serious and rare diseases. The Field Access Manager will use their reimbursement and access expertise to compliantly address challenges impacting patients' access to Apellis products prescribed by their HCP.

Your responsibilities will include, but are not limited to:

Key Responsibilities Include:

• Establish collaborative relationships within Patient Services, Field Sales, Value Access and Policy (VAP) and other relevant teams to support patient access.
• Provide proactive education to key facility/practice staff regarding Apellis Patient Services Programming and reimbursement specific to Apellis products. Apellis Patient Services include but are not limited to case management, reimbursement, patient assistance, care educator support & affordability programming and product dispensing.
• Provide coverage and reimbursement information, including payer-specific prior authorization requirements, to key staff members to support patient access to Apellis products.
• Ensure compliant use of Personal Health Information (PHI) with appropriate patient consent.
• Track reimbursement journey, focusing on aging patient cases, to ensure thoughtful support and effective intervention when appropriate.
• Maintain a current repository of plan-specific reimbursement criteria, forms, and submission procedures.
• Identify coverage issue patterns to resolve payer issues quickly.
• Review patient status trackers daily to ensure quality service by network pharmacy(ies).
• Communicate cross-functionally to ensure current and accurate communication on the status of Start Forms.

• Proactively prioritize and address patient access bottlenecks. Trends identified should be internally escalated, as appropriate.

• Works as an integral part of the Patient Services team – functioning as the key point person for field escalations to ensure quick resolution of stakeholder challenges.
• Gains and maintains Apellis Patient Services operations expertise and is a trusted resource cross-functionally.

Education, Registration & Certification:

• BA/BS required

Experience

• 5+ years of commercial experience in the pharmaceutical or biotech industry
• 5+ years of experience in healthcare coverage, coding and/or reimbursement experience
• Experience with specialty pharmacy products
• Hematology/Oncology and/or Nephrology experience preferred
• Rare disease experience preferred

Skills, Knowledge & Abilities:

• Embodies Apellis values
• Knowledge of pharmacy data and patient support case management processes
• Has a results orientation with attention to detail and ability to meet deadlines
• Strong operational competencies
• Excellent written and verbal communication skills, able to communicate effectively with different levels of management as well as with peers
• Demonstrate initiative and proactivity with ambiguity
• Highly motivated with the ability to be flexible, creative and learn quickly in a fast-paced environment
• Excellent attention to detail

Physical Demands and Work Environment:

This job operates in a professional office environment and routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Travel Requirements:

• Travel up to 80% inclusive of Company meetings and conferences.

Benefits and Perks:

Apellis offers a comprehensive benefits package, including a 401(k) plan with company match, inclusive family building benefits, flexible time off, summer and winter shutdowns, paid family leave, disability and life insurance, and more! Visit to learn more.

Company Background:

Apellis Pharmaceuticals, Inc. is a global biopharmaceutical company that combines courageous science and compassion to develop life-changing therapies for some of the most challenging diseases patients face. We ushered in the first new class of complement medicine in 15 years and now have two approved medicines targeting C3. These include the first and only therapy for geographic atrophy, a leading cause of blindness around the world. With nearly a dozen clinical and pre-clinical programs underway, we believe we have only begun to unlock the potential of targeting C3 across many serious diseases.

For more information, please visit or follow us on Twitter and LinkedIn

EEO Statement:

Apellis is an equal opportunity employer and complies with all applicable federal, state and local fair employment practices laws. Apellis strictly prohibits and does not tolerate discrimination against employees, applicants or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including pregnancy), gender (including gender nonconformity and status as a transgender or transsexual individual), age, physical or mental disability, citizenship, past, current or prospective service in the uniformed services, genetic information, marital status, AIDS/HIV status, smoker/nonsmoker, and occupational pneumoconiosis or any other characteristic protected under applicable federal, state or local law.

For San Francisco postings: Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

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