Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Brandon Silva

Providence,RI

Summary

Knowledgeable and industrious access and reimbursement professional offering exemplary customer service and a robust analytical skill set. Expertise in collaborating with cross-functional teams across multiple therapeutic areas to efficiently overcome market challenges and enhance business relationships with key stakeholders and customers through sound decision-making and strong interpersonal communication. Passionate about program improvement and committed to operational excellence, striving to implement effective strategies that drive efficiency and enhance outcomes. Patient-focused and dedicated to improving the lives of those with chronic and rare diseases by facilitating access to life-changing therapies.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Senior Manager, Patient Support

BioCryst Pharmaceuticals
07.2022 - Current
  • Coach, mentor, and lead a team of four Patient Support Managers in the Eastern Zone, in educating and supporting access for patients, physicians, and office staff, while attaining team goals and objectives compliantly.
  • Assist in drafting, reviewing, and revising comprehensive work instructions and Standard Operating Procedures (SOPs) to ensure clarity, accuracy, and compliance to program objectives.
  • Engage in continuous patient services improvement initiatives by soliciting feedback from Patient Support Team and identifying opportunities for operational enhancements.
  • Collaborate with cross functional partners including Sales, Market Access, and Specialty Pharmacy to execute comprehensive product access and ensure seamless patient experience.
  • Ensure compliance in the receipt, storage, and use of protected health information by Empower Patient Services via consent forms and through patient interactions


Key Achievement:

  • Completed Prior Authorization Certified Specialist Program Certification
  • Promoted to Senior Manager- Patient Support East from Patient Support Manager

HUB Access Specialist II

Cycle Pharmaceuticals
08.2021 - 07.2022
  • Assisted in the development and implementation of the Cycle Vita Patient Support Program by establishing key program initiatives and creating standardized business rules and operating procedures.
  • Managed pharmacy vendor relations including successfully executing a patient migration project to transition established patients to a new pharmacy provider.
  • Educated and promoted the patient support program offerings of the Cycle Vita Patient Support program, which include copay assistance and free drug support, clinical education, and prior authorization and appeal resolutions, to provider offices and their staff and patients diagnosed with Hereditary Angioedema (HAE) and Phenylketonuria (PKU).
  • Coordinated successful medication delivery to patients by resolving reimbursement challenges and identifying proper prescription access channels.
  • Collaborated cross functionally with Sales and Market Access teams to establish and maintain strong relationships with provider offices and drive business growth.
  • Collaborated with CRM developer, to develop and execute a comprehensive CRM platform that aligned with patient needs and program objectives.
  • Onboarded and trained a new Access Specialist and helped create a training program for future new hires.

Field Reimbursement Manager

Cencora (Formerly Xcenda, LLC)
03.2020 - 08.2021
  • Educated key Neurology provider accounts on local and regional payor coverage challenges and identified appropriate solutions to break through access issues.
  • Collaborated with internal and external stakeholders including Neurology Account Specialists and Pharmacy/HUB Care Coordinators to identify areas of educational opportunity for target accounts.
  • Utilized daily reports of patient data to assist with determining coverage and access options available for Parkinson's Disease medications.

Patient Access and Reimbursement Specialist

EMD Serono
08.2017 - 02.2020

Managed operational execution of the MS Lifelines Copay Program and Patient Assistance Free Goods Program for aroun by collaborating with external vendors to ensure all business rules were adhered to and that Key Performance Indicators (KPIs) were met or exceeded.

  • Coordinated the data entry of new patient enrollments, verification of insurance benefits, and completion of prior authorizations and appeals with insurance providers and physician offices for pharmacy and medical claims related to patients diagnosed with Multiple Sclerosis (MS).
  • Leveraged knowledge of specialty pharmacy operations to facilitate streamlined prescription processing and ensure successful patient adherence across both open network and limited distribution channels.
  • Identified and navigated payer reimbursement and access challenges for a new product launch by collaborating effectively with cross-functional teams, including Market Access and Trade, to drive issue resolution and prescription pull through.
  • Established and maintained strong relationships with neurology key accounts by educating them on HUB service offerings and providing high-level customer service.
  • Assisted in the integration of new or updated data enhancements into the CRM platform.


Key Achievements:

  • Maintained the highest KPIs across the 10-person patient access team, including the quickest turnaround time, highest prescription volume, and conversion rate of patients onto paid therapy.
  • Promoted to access team trainer and onboarded and trained multiple new hires.

Specialty Pharmacy Internal Account Manager

AllCare Plus Pharmacy
08.2016 - 08.2017
  • Managed the prescription workflow for all referrals from key accounts across multiple therapeutic areas, including Neurology, Dermatology, and Gastroenterology, ensuring strict adherence to business and compliance rules, policies, and pharmacy operational procedures.
  • Cultivated and maintained robust relationships with provider offices and their staff, as well as with pharmaceutical HUBs, through effective communication and problem-solving to facilitate seamless prescription processing for patients.
  • Collaborated with external sales teams to proactively identify and streamline access challenges, ensuring timely resolution of customer needs and optimizing overall service delivery.


Key Achievements:

  • Achieved promotion from Insurance Specialist to Account Manager within three months, alongside obtaining a Certified Pharmacy Technician license.

Education

Bachelor of Science - Healthcare Administration

Florida Southern College
Lakeland
05-2016

Skills

  • Rare Disease
  • Customer Relationship Management (CRM)
  • Specialty Pharmacy Operations
  • Case & Provider Relations Management
  • Copay Assistance and Patient Assistance Programs
  • New Product Launches
  • Medicare, Medicaid, and Commercial Payer Systems
  • J-Codes and ICD 10 Coding and Billing
  • Drug Utilization Review
  • Patient Education and Counseling

Certification

Prior Authorization Certified Specialist (PACS)

Timeline

Senior Manager, Patient Support

BioCryst Pharmaceuticals
07.2022 - Current

HUB Access Specialist II

Cycle Pharmaceuticals
08.2021 - 07.2022

Field Reimbursement Manager

Cencora (Formerly Xcenda, LLC)
03.2020 - 08.2021

Patient Access and Reimbursement Specialist

EMD Serono
08.2017 - 02.2020

Specialty Pharmacy Internal Account Manager

AllCare Plus Pharmacy
08.2016 - 08.2017

Bachelor of Science - Healthcare Administration

Florida Southern College
Brandon Silva