Maritza Nunez
Boston,Massachusetts
Summary
Dynamic Sr. Patient Support Manager at Takeda Pharmaceutical with a proven track record in program development and insurance assessment. Expert in enhancing patient access through effective communication and conflict resolution, achieving significant improvements in treatment timelines. Committed to HIPAA compliance and fostering strong relationships across healthcare teams.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Sr. Patient Support Manager
Takeda Pharmaceutical
Lexington, MA
01.2019 - Current
- Acted as primary liaison for patients, caregivers, HCP offices, hospitals, and specialty pharmacies, facilitating therapy access by removing barriers.
- Facilitate end-to-end patient access and reimbursement processes, focusing on benefits verification and appeals management.
- Educate patients and healthcare professionals on therapy access procedures to accelerate treatment timelines.
- Resolved complex cases by collaborating with specialty pharmacies and implementing strategic escalation management to ensure timely patient support.
- Collaborate with Regional Business Managers to optimize territory caseload management and ensure compliant execution.
- Coordinated onboarding processes for Takeda therapies, providing training for injections and ensuring continuity of infusion therapy.
- Provide expertise in cross-functional forums, ensuring alignment of all communications with QA/RA standards.
Patient Support Manager
SHIRE PHARMACEUTICALS/TAKEDA PHARMACEUTICALS
06.2016 - 09.2019
- Collaborated with cross-functional teams to enhance patient support programs and tools, driving better patient experiences.
- Managed communication between patients and healthcare providers, improving care delivery effectiveness.
- Developed training materials on patient engagement strategies, equipping staff to enhance patient interactions.
- Facilitated workshops educating patients on medication management and disease understanding.
- Implemented best practices for patient outreach programs in alignment with company standards.
- Led team meetings to discuss project progress and address patient needs.
Sr. Reimbursement Manager
Touch Bionic
Mansfield, MA
01.2016 - 06.2016
- Established claims management processes, ensuring accurate and timely verification and submission of claims.
- Executed daily operations to optimize clients' insurance authorization processes.
- Advocated for patients to facilitate the insurance reimbursement process effectively.
- Educated clients and patients on reimbursement procedures in compliance with QA/RA and HIPAA guidelines.
- Coordinated with Sales Managers and National Account Managers to address and resolve authorization approval issues.
- Streamlined submission process by ensuring completion of required clinical information for prior authorizations.
- Developed partnerships to expand market share in Mexico and Latin America.
- Researched employee benefits and safety practices, recommending policy modifications based on findings.
Sr. Reimbursement Liaison
Insulet Corporation
Billerica, MA
07.2014 - 01.2016
- Acted as department expert on Insulet insurance contracts and processing requirements for covered products.
- Managed reimbursement processes by contacting payors and verifying benefits per medical guidelines.
- Submitted authorization requests for Insulet product approval during claims processing.
- Visited MDO to resolve reimbursement issues and provide education to payers.
- Gathered and organized appeal details for case reviews on denied claims, improving approval rates.
- Provided patients with comprehensive benefit and cost-share information.
- Collaborated with sales and billing teams to proactively communicate order status.
- Completed assignments in compliance with management directives and relevant legislation.
Education
ACCESS CERTIFICATE - Patient Access Manager Mentorship Program
TAKEDA PHARMACEUTICALS
05.2023
Field Reimbursement Manager Mentorship Program - PATIENT ACCESS
TAKEDA PHARMACEUTICALS
Lexington, MA04.2023
MBA - Business Management
Emmanuel College
Boston, MA01.2005
Bachelor of Science - Business Management
Emanuel College
Boston, MA01.2001
Skills
- HIPAA compliance
- Patient privacy
- Insurance assessment
- Program development
- Project management
- Employee training
- Leadership skills
- Effective communication
- Conflict resolution
- Collaborative problem solving
- Critical thinking
- Adaptability and flexibility
- Dependable commitment
- Relationship building
Certification
• ACMA - PACC Certificate, 10/2025
Awards
- TAKEDA PRESIDENT CLUB AWARD, 2019
- TAKEDA PRESIDENT CLUB AWARD, 2021
- TAKEDA MVP AWARD, 2024
Languages
Spanish, Native/Bilingual
Timeline
Sr. Patient Support Manager
Takeda Pharmaceutical
01.2019 - Current
Patient Support Manager
SHIRE PHARMACEUTICALS/TAKEDA PHARMACEUTICALS
06.2016 - 09.2019
Sr. Reimbursement Manager
Touch Bionic
01.2016 - 06.2016
Sr. Reimbursement Liaison
Insulet Corporation
07.2014 - 01.2016
ACCESS CERTIFICATE - Patient Access Manager Mentorship Program
TAKEDA PHARMACEUTICALS
Field Reimbursement Manager Mentorship Program - PATIENT ACCESS
TAKEDA PHARMACEUTICALS
MBA - Business Management
Emmanuel College
Bachelor of Science - Business Management
Emanuel College