Patient Operations Manager

The role

The Patient Operations Manager ensures the management of IovanceCares Patient & Reimbursement Support for patients receiving AMTAGVI treatment. This role involves collaborating with patients, caregivers, and healthcare providers to overcome access barriers and manage reimbursement support.

What you will do

• Provide oversight to contracted patient support agents regarding performance metrics and customer engagement
• Develop and maintain Standard Operating Procedures and Work Instructions
• Liaise with Case Management and Payer Access teams regarding complex reimbursement issues
• Interface with community accounts affiliated with GPOs
• Oversee training requirements for contracted patient services agents
• Collaborate with inter-disciplinary health care teams at treatment centers
• Provide oversight and routine audits for patient assistance program applications
• Provide oversight to PSS reimbursement support services
• Develop action plans to troubleshoot reimbursement barriers
• Manage and track decisions in trackers

Required qualifications

• Minimum of 8 years of related experience with a bachelor’s degree, or 6 years and a master’s degree, or 3 years with a PhD, or 10 or more years equivalent experience with a high school diploma
• Prior experience with Patient Services case management and reimbursement support experience at a biotech or pharmaceutical company/Hospital
• Strong understanding of the healthcare industry, private and government payer landscape, patient and inpatient reimbursement access and support
• Ability to prioritize and organize large volumes of cases and complete projects on time
• Knowledge of regulations and laws governing the protection of patient identifying information (HIPPA, HITECH)
• Ability to thrive in a fast-paced environment
• Capable of working effectively within a complex organizational structure
• Exceptional communication skills, both oral and written
• Must be able to work with autonomy and in teams as necessary

Nice to have

• Experience in oncology Patient Services programming and new-to-market therapy
• Experience working with complex IT systems or portals
• Familiarity with working in a heavily regulated, quality-control driven environment
• Hospital Experience
• Familiar with CPT/HCPCS & ICD-10 Dx codes
• Familiar with Hospital Claims forms

About the company

Iovance Biotherapeutics, Inc. is the global leader in innovating, developing, and delivering tumor infiltrating lymphocyte (TIL) cell therapies for patients with solid tumors. The company operates as an end-to-end cell therapy company with centralized U.S.-based manufacturing.