Samuel Vasquez, PACS

Experience

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  Celgene

  May 2007 - Apr 2020

  Senior Patient Support Specialist

  Acted as a dedicated central point of contact for patients, healthcare providers/pharmacies for access to both oral & IV Celgene products.Independently managed caseloads within the West & Midwest Territories, and provide seamless coverage for other Patient Support Specialists’ case load when necessary.Helped guide development and execution of managed care and reimbursement strategies through education of current insurance trends and creation of processes that eased challenges faced by patients/providers in accessing Oral and Intravenous Oncology products (Revlimid, Thalomid, Pomalyst, Idhifa, Vidaza, Istodax, Abraxane, Inrebic, Onureg). Provided content knowledge of reimbursement investigation and counseling to all external and internal clients through presentation and direct conversations.Promoted Patient Support Services to internal and external customers including but not limited to Oncology offices, Social Workers, Sales Representatives, Specialty Pharmacies, Advocacy groups, patients, Insurance Payers, National Account Managers and political liaisons.Mentor for new Patient Support Coordinator hires covering various locale (nationwide).Trained new Patient Support Specialists as well as provide updates to the Celgene Patient Support Team on work SOPs and reimbursement topics such as Medicare Part D, co-pay accumulators, co-pay maximizers and oral parity. Partnered with Hematology Oncology Consultants, Clinical Nurse Consultants and Reimbursement Account Managers to support accounts / patients in the Midwest, West and Southern Districts navigate access to new therapies during the drug launches of Vidaza, Abraxane and Istodax.Served as Ambassador for Celgene and communicated with state representatives regarding Step Therapy, Oral Parity and Medicare policies for Car-T therapy. Show less

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  Bristol Myers Squibb

  Apr 2020 - Jul 2023

  Senior Patient Access Specialist at Bristol Myers Squibb
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  Amicus Therapeutics

  Jul 2023 - now

  Case Manager

  • Work closely with patient/caregiver to support access to therapy.• Provide day-to-day oversight and coordination of caseload to ensure all activities and tasks are completed timely and ensure cases move through the process as required.• Accurately document and maintain case history for all assigned patients.• Act as single point of contact responsible for performing preliminary benefits investigations, prior authorization and appeal support, communications to patients, healthcare providers, and other internal and external stakeholders.• Communicate patient benefits and responsibility timely and accurately.• Complete a pre-screen to determine eligibility for financial support.• Troubleshoot complex cases while interfacing with key stakeholders (internal/external) to ensure optimal start to therapy.• Professionally field incoming telephone calls while making a positive impression.• Answer patient and medical office inquiries and provide timely resolution to access issues.• Provide ongoing adherence and compliance support for patients.• Provide back-up coverage for other Case Managers.• Attend patient and commercial strategy meetings where applicable.• Other duties in support of patient access to therapy, as assigned.• Ensure that success is achieved with the highest ethics and in compliance with all applicable legal and regulatory mandates, including the US Food, Drug and Cosmetic Act, U.S. anti-kickback laws, and the US PhRMA Code.• Serve as a compliance role model to the commercial organization and broader Amicus community. Show less