Nisha P. Email & Phone Number

Palo Alto, California, United States

California, United States

Key Achievements● Completed numerous “Management by Objectives” (MBOs), including:• Expanded acquisition pathways to enable broader access for patients• Improved customer perception on coverage and ease of access by driving increased utilization to the HUB• Improved customer and patient perception on affordability• Reduced nonclinical barriers to enable seamless therapy continuation● Received the annual Select award in 2020 as decided by upper management in recognition of excellent execution of regular tasks and responsibilitiesKey Responsibilities● Built relationships with Cardiovascular & Primary Care practices for pre-launch and post-launch activities● Collaborated with cross-functional teams to penetrate integrated delivery networks and private practices● Presented approved resources to regional and national teams for branded and unbranded products● Educated providers and staff on medical claims billing and coding for resolution● Mentored by industry experts to implement population health efforts and develop pricing strategies● Verified technical reimbursement questions for providers, billing, and coding staff● Strategic account management to help customers feel comfortable with business decisions in the buy & bill, alternative sites of care, and specialty pharmacy model space● Managed benefit investigations, prior authorizations, denials, and financial support options● De-escalated customer interactions as the main point of contact, by providing alternative tactics to solving problems and satisfying client needs● Researched rejections and investigated problems to appeal claims

Gaithersburg, Maryland, United States

Key Achievements● Successfully launched biosimilar adoption into a previously untapped market● Increased patient access to the Immunology Biosimilar product through effective reimbursement education and claims pull-through activities● Reduced prior authorization denials by through proactive education and timely communication● Winner of 4 awards for client compliments, an award for a collaboration project, and a final award for excellenceKey Responsibilities● Implemented strategic geographic business plans for the Immunology Biosimilar Team to support appropriate access in 15 western states, including Alaska and Hawaii● Proactively identified, led, and capitalized on opportunities to enhance coverage access, addressing reimbursement barriers and pull-through activities to optimize patient reimbursement outcomes● Coached medical office personnel on material usage, optimizing the effectiveness of the access program● Collaborated with cross-functional teams to resolve local payer issues and develop action plans for patient access● Educated office staff on financial assistance and alternative funding options, improving patient satisfaction● Demonstrated unwavering commitment to compliance, maintaining strict adherence to corporate and industry policies, ensuring data confidentiality and integrity

San Francisco Bay Area

● Sold a $1M+ immunology and self-injectable/infusion-based Hepatitis C medication product portfolio to physician’s offices● Strengthened relationships with top prescribing physician offices resulting in an average 15% week on week growth in prescription volume

San Francisco Bay Area

● Successfully increased reimbursement approval rate for an oncology drug in the Western Region, through collaboration with client management and reimbursement support programs to streamline processes

Oakland, Ca

● Efficiently processed prior authorizations, applied clinical guidelines, resolved claim denials, and prepared audit reports for organizational determinations and appeals

Berkeley, Ca

● Successfully obtained prior authorizations for specialty medications and verified patient benefits, and conducted marketing activities to doctors

Sacramento, California Area

Rocklin, California

Master Of Legal Studies, Health Law

Bachelor'S Degree, Health/Health Care Administration/Management

Associate Of Science - As, Pharmacology