AD, Field Access Management (West)

Agios Pharmaceuticals Inc • Cambridge, MA

12d • $153,541 - $230,312 • Remote

About The Position

Agios Pharmaceuticals is searching for a dynamic AD, Field Access Manager to join our growing team. We want someone who cares about this important work, and who’s driven to connect to our mission of helping these patient communities. The AD, Field Access Manager will be responsible for ensuring patients can access Agios therapies within the pharmacy benefit by navigating payer coverage and specialty pharmacy fulfillment pathways. The FAM is a regional expert in interpreting PBM/health plan policies and utilization management requirements (e.g., formulary status, PA criteria, step edits, quantity limits) and translating them into actionable guidance to remove access barriers in a compliant manner. This role involves investing time on-site with HCPs, assessing their access needs and facilitating collaboration with various stakeholders.

Requirements

• Bachelor’s degree or equivalent relevant experience.
• Experience working in a field-based role with provider offices and/or with patient support HUB services
• Working knowledge of pharmacy benefit access pathways including benefits investigation, prior authorization, exceptions, appeals, and PBM/health plan coverage decision-making.
• Demonstrated ability to collaborate cross-functionally and influence without authority.
• Strong communication, organization, and problem-solving skills; ability to manage multiple priorities across a territory.
• Proficiency with CRM and case management/documentation tools (or similar systems).
• Ability to travel within the assigned territory as required.

Nice To Haves

• Prior field access or managed care experience supporting specialty products.
• Existing experience and/or relationships within the hematology space, including key regional hematology centers, i.e. Mount Sinai Center for Sickle Cell Disease (New York, NY), Aflac Cancer and Blood Disorders Center (Atlanta, GA), Duke University Health System, (Durham, NC), and Southwestern Health Resources (multiple locations, North Texas, TX).
• Experience working directly with including providing next steps to provider offices, specialty pharmacies and hubs/patient support programs.
• Relevant managed care experience with prior authorizations, appeals processes, and medical necessity for both established and new products entering the market.
• Understanding distribution models and payer landscape for specialty therapies.
• Experience partnering with National Accounts/Market Access and Sales teams in a matrix organization.

Responsibilities

• Serve as the regional subject-matter expert on payer/PBM coverage policies and access requirements for Agios products (formulary status, PA criteria, exceptions/appeals, step edits, distribution, and patient support pathways).
• Educate stakeholders, HCPs, office staff, PA departments, on pharmacy benefit access processes and requested documentation to help reduce time to therapy.
• Establish relationships with regional hematology centers as well as targeted community practices.
• Partner with Patient Services on case escalations and barrier resolution, with clear handoffs and compliant documentation.
• Collaborate with Specialty Pharmacy partners to support efficient triage/fulfillment and resolve access-related issues; share trends and improvement opportunities.
• Coordinate with the National Accounts Payer Team to monitor and interpret PBM/health plan policy changes and utilization management criteria; share field insights and support consistent deployment of payer tools/resources.
• Coordinate with Sales on account priorities and stakeholder engagement; provide compliant, non-promotional access information.
• Identify access barriers and trends; share insights and support improvements to field tools, resources, and processes.
• Document activities and outcomes in required systems; protect patient information and maintain data integrity.
• Maintain current knowledge of relevant regulations, payer practices, and Agios policies, complete required training.
• Partner with Specialty Pharmacy, the National Accounts Payer Team, Patient Services, Sales, and Field Medical to align on stakeholder needs, share insights, and execute coordinated (non-promotional) access strategies.
• Use established escalation pathways to resolve patient access barriers, clarify coverage requirements, and address operational issues impacting triage, fulfillment, and time to therapy.
• Communicate payer/PBM policy changes, utilization management criteria, and access trends—and their field implications—to inform training, tools, and cross-functional action plans.

Benefits

• Deliberate Development. Your professional growth as one of our top priorities.
• Flexibility. We’re all about individual needs. We embrace different perspectives, work styles, health and wellness approaches, care of families and productivity. When you’re at your best, we’re at our best.
• Premium benefits package. We invest in the health, wellbeing, and security of our people with a premium benefits package that is well-rounded and flexible to help meet the varied personal and professional needs of every member of our team. For more detail on the benefits we offer at Agios, visit the Inside Agios section of our website.
• Competitive and equitable performance-based compensation. This includes base salary and both short- and long-term incentives that are connected to our business strategy and vary based on individual and company performance.
• Psychological safety. We support an environment of fearlessness. We want you to share your ideas, speak candidly and take data-informed risks to help push the boundaries.
• Commitment to diversity. We strive to foster a welcoming workplace where everyone can thrive. We’re continuously looking to improve the inclusivity of our workforce.
• Commitment to community. We’re an active participant in the communities that surround us – the communities where we live, and the community of people and their loved ones in need of better treatment options for conditions that are often overlooked.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level