Manager, Patient Access

Management            ·          San Diego, CA, US            ·            Full time

San Diego candidates preferred. Exceptional remote candidates will be considered.

Mainstay Medical

Mainstay Medical is a medical device company focused on marketing an innovative implantable neurostimulation system, ReActiv8®, for people with disabling chronic mechanical Low Back Pain. The company is headquartered in Dublin, Ireland, with subsidiaries operating in Ireland, the United States, Australia, Germany, and the Netherlands.

The Role

Reporting to the Director, Market Development and Access, with the primary responsibility of managing and developing Mainstay Medical Patient Access Program and its associated teams.  The Patient Access Program team will consist of clinical  Case Managers that operate remotely to support patient awareness, education and reimbursement for ReActiv8 as well as a San Diego based staff that will support the prior authorization process including all appeals. 

Position Responsibilities:

• Develop, train, and lead all Mainstay Medical Patient Access Program team members which shall include Case Managers and Prior Authorization Specialists.
• Responsible for all aspects of Mainstay Medical’s Patient Access Program (RSVP) including team management, establishing program strategy and operations, and results. This includes designing appropriate operating model, setting appropriate targets, identifying capabilities needed to achieve short/long-term targets, making measurable progress towards/achieving those targets and establishing a cadence of communication to Executive Leadership.
• Responsible for managing, updating and constantly improving content submitted to payers in support of patients and physicans seeking ReActiv8 therapy coverage. 
• Develop and implement continuing education and necessary training of Mainstay Medical Patient Access Program team.
• Support team members as a Subject Matter Expert in prior authorization processes and appeals processes to secure pre-service review of ReActiv8.
• Directly partner with the field sales team to support program awareness, efficiency, uptake, and customer satisfaction.
• Utilize programmatic data, analytic capabilities, and relevant experience to drive employee productivity and functional stakeholder insights that improve overall program and individual team member performance.
• Assist with necessary updates to Sales Force platform to ensure proper workflow, visibility and territory alignment.
• Work closely with additional departments to ensure the overall process is running smoothly and efficiently and provide strategic insight to areas of improvement.
• Collaborate with field sales to ensure patient barriers are removed or addressed, and internal and external resources are aligned to facilitate the process.
• Manages multiple priorities and deadlines successfully and handles stressful situations accordingly. Accepting risk and uncertainty. 
• Ensure compliance with company compliance policy, in particular patient confidentiality (HIPAA) in all Mainstay Medical practices.
• Perform other duties as required.

Qualifications:

• Associate’s Degree (heath economics, life sciences or public health) required. Bachelor’s degree strongly preferred.
• Experience with a medical device company implementing patient access programs preferred.  
• Candidates with significant experience in a medical office or hospital setting managing teams for coding and prior authorization will also be considered.
• Typically has 7 or more years of experience with 2 or more years of management experience.
• Experience working as part of and managing a remote team preferred.
• Knowledge of health insurance industry practices/functions to include Medicare, Medicaid, and commercial and managed care organization’s coverage policies.
• Skilled at patient engagement and interaction; experience in patient education is a plus. 
• Problem solver and capable to find solutions to challenges or process impediments.
• Maintains a caring, empathetic, and patient-centric approach in all interactions.
• Demonstrate excellent organizational skills with attention to detail.
• Clear and professional written and verbal communication skills, both in-person and over the phone. Ability to communicate effectively with patients and health insurance partners.
• Knowledge and skillset with Salesforce platform, including system tools, integration components, reporting, etc. strongly preferred.
• Experience with digital tools to enhance process efficiency (i.e., DocuSign, web-based forms, etc.)
• Proficient in computer operations, including Microsoft Word, Outlook, Excel, PowerPoint, and basic database management. 

The salary range for this position is $99,000 to 150,000/year; however, base pay offered will take into account a range of factors, including job-related knowledge, skills, and experience. The total compensation package includes a range of medical, dental, vision, financial, and other benefits, as well as equity.

Mainstay Medical is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to gender, race, color, religious creed, national origin, age, sexual orientation, gender identity, physical or mental disability, and/or protected veteran status. Mainstay Medical participates in E-Verify.

Please click here to apply.