Posted to MedZilla on 10/22/2019

Takeda Pharmaceuticals

US-MA, Manager, Patient Reimbursement and Assistance Services R0010111-MZ


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Job Description

The Manager of Patient Reimbursement and Assistance Services Operations will be a critical role within the organization. They will manage operational and analytical components of the non-distribution process for attaining commercial drug, free drug, and patient support. This person will interact with the Patient Value and Access (PVA) field and internal teams, sales, marketing, legal and other relevant groups. This critical role requires a seasoned professional with experience in managing patient reimbursement and assistance programs and associated vendors in the Bio/Pharma industry.

The Manager, Patient Reimbursement and Assistance Services Operations will manage components of the operations for Takeda Oncology s patient reimbursement and assistance programs. This role will support buy and bill as well as oral oncology products. This will include supervising at least 1 call center, separate copay program and PAP program vendor. Responsibilities include but are not limited to management of Takeda Oncology reimbursement and patient assistance support programs. The role will be knowledgeable in patient and provider access support services and collaborate cross functionally within the commercial organization to implement programs that support Takeda Oncology s patient access objectives. The role will manage all monitoring and reporting of patient support program activity data and analytics. The role will work closely with several cross-functional stakeholders including US PVA field and internal teams, Commercial Operations, Marketing, Patient Advocacy, Sales, Legal, Medical and Market Analytics along with relevant external customers and stakeholders. The Manager will also interact with senior Commercial leadership to accomplish overall business objectives.

Essential duties & responsibilities:

Oversee existing patient reimbursement access program day to day operations with a focus on operational excellence in support of patient and brand objectives and Takeda Oncology business requirements.

  • Manage external partner performance against contractual arrangements and to budget.
  • Maintain program SOPs, workflows, training and reports. Work with Takeda Oncology s Patient Services head, internal PVA, Commercial Operations, Legal and Medical teams for approval.
  • Manage program analytics to monitor trends and KPIs, as well as to inform brand and PVA field tactics.
  • Support PVA payer and provider reimbursement field team needs with strong communication and timely customer service to address customer needs.

Achieve Takeda Oncology s brand specific patient access objectives and KPI s and ensure that operations are in place to provide optimal reimbursement support.

  • Manage analytics and operational components of patient reimbursement hub services programs.
  • Update and maintain performance dashboards and interpret hub data for purposes of assessing market access trends, hub program utilization, and performance against defined KPIs.
  • Update and maintain SOPs and business rules related to Takeda Oncology patient support.

Demonstrate fiscal discipline and accountability to effectively and efficiently manage external partners and vendors performance through appropriate metrics.


  • Requires 5-8 years of experience within the biotech/specialty pharmaceutical/pharmaceutical/hub services industry.
  • Experience working with Patient Access call center hub operations
  • Excellent analytical (qualitative and quantitative), strategic thinking, creativity and problem-solving skills.
  • Self-directed, hands-on approach, comfortable with broad and varied job responsibilities.
  • Oncology/Specialty experience. Ideally with both oral and injectable products.
  • Track record of successfully managing vendor relationships from an operational perspective and achieving results.
  • Knowledge of pharmaceutical manufacturer compliance requirements, patient confidentiality (HIPAA regulations), product reimbursement and product access.
  • Knowledge of Medicare Parts A-D, Medicaid, and private payer policies, reimbursement process, health policy, areas of coverage, payment, coding, Specialty Pharmacy and buy and bill.
  • Customer First customer service orientation. Puts the customer at the center of all business activities.
  • Bachelor s degree required


  • Approximately 10% travel

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Boston, MA

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