Summary
Overview
Work History
Education
Skills
Timeline
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Joy Skern

Bath,PA

Summary

Experienced Specialty Medications Reimbursement Manager dedicated to providing both Patients and Prescribers positive experiences related to drug access and reimbursement.

Overview

12
12
years of professional experience

Work History

Access and Reimbursement Manager

GlaxoSmithKline Pharmaceuticals
04.2023 - Current
  • Provided in-person and virtual reimbursement and access support to Health Care Professionals and their Staff for supported Specialty medications within Asthma, Allergy, Pulmonology and Rheumatology practices in Eastern Pennsylvania.
  • Educated HCP Staff on both Specialty Pharmacy and Buy-and-Bill products.
  • Served as Operations Lead to assist colleagues in utilizing data management applications to the best of their abilities.
  • Leader of Reimbursement Manager Office Hours meetings with Sales to foster positive communications and share learnings.

Field Reimbursement Manager

LabCorp
03.2022 - 04.2023
  • Contractual employee for Bristol Myers Squibb Access and Reimbursement Team serving Health Care Providers in the Neurology, Rheumatology and Gastroenterology specialties.
  • Territory included Northeast and Central Pennsylvania.
  • Educated HCP Staff on both Buy-and-Bill and Specialty Pharmacy medications.
  • Served as Area Trainer for MidAtlantic Group.


Field Reimbursement Manager

Eli Lilly Pharmaceuticals
11.2017 - 03.2022
  • Provided in-person and telephonic reimbursement and access support to Health Care Providers and their Staff for supported Specialty medications within Orthopedic, Rheumatology, Endocrinology and Dermatology specialties within New York and Pennsylvania.
  • Served as Team Operations and Payor expert to assist colleagues as needed.
  • Provided open position and Staff vacancy coverage as needed.
  • Participated in 3 successful new drug launches.


Field Reimbursement Manager

Covance
09.2015 - 11.2017

Contractual Employee working on Lilly Biomedicines contract above then hired by Lilly.

Clinical Care Coordinator

NPS Pharma
10.2012 - 09.2015
  • Provided Case Management services to Health Care Professionals and Patients navigating complicated funding for a rare disease orphan drug for infusion-dependent patients in the Gastroenterology space for the geography west of the Mississippi River in the US.
  • Served as a liaison between patients, providers, insurers, and community resources to ensure optimal service delivery throughout the continuum of care.
  • Performed Hub Liaison duties to ensure smooth running of benefit investigations, denial follow-up and specialty pharmacy triages and fills.

Education

Master of Arts - Clinical Psychology

Hamilton University
Evanston, WY

Bachelor of Arts - Psychology

Fairleigh Dickinson University
Madison, NJ

Skills

  • Denial Resolution / Appeals
  • HCPCS Coding
  • HIPAA Compliance
  • Prior Authorizations
  • Insurance Benefits Investigations
  • Payor Expert
  • Specialty Pharmacy communications
  • Client Record Management
  • Medicare and Medicaid expertise

Timeline

Access and Reimbursement Manager

GlaxoSmithKline Pharmaceuticals
04.2023 - Current

Field Reimbursement Manager

LabCorp
03.2022 - 04.2023

Field Reimbursement Manager

Eli Lilly Pharmaceuticals
11.2017 - 03.2022

Field Reimbursement Manager

Covance
09.2015 - 11.2017

Clinical Care Coordinator

NPS Pharma
10.2012 - 09.2015

Master of Arts - Clinical Psychology

Hamilton University

Bachelor of Arts - Psychology

Fairleigh Dickinson University
Joy Skern