Field Access Manager - Diabetes - Pacific Northwest
About The Position
The Field Access Manager (FAM) serves as the main point of contact at designated accounts, providing account-management support to healthcare professionals and their staff on behalf of patients prescribed the product for approved indications. The FAM educates accounts about the Patient Services program, regional payer landscape, and pharmacy-channel access. With proper patient HIPAA consent, the FAM coordinates efforts to help patients move toward therapy through available channels, including the HUB and specialty pharmacies, and is the primary representative of Patient Services platforms in designated HCP offices. The role partners with internal and external stakeholders to optimize patient access to the product. The FAM develops account advocacy and equips office staff to navigate access and payer approval processes, identify barriers, and take actions that support access. The role provides educational resources across the patient journey, coordinates use of patient service platforms and annual pharmacy reauthorizations, and helps resolve account- and patient-level access issues. It also builds and executes strategic business plans for top accounts, maintains knowledge of payer and pharmacy landscapes, and supplies field insights to support patient and payer programs. The position requires cross-functional collaboration, process and payer expertise, and a commitment to diversity, equity, and inclusion.
Requirements
- Bachelor’s degree required; a healthcare degree is advantageous, including an MS, RN, PA, PharmD, or similar advanced healthcare or scientific degree.
- 10+ years in the pharmaceutical industry with experience in payer policy and patient access.
- 5+ years of experience in benefit verifications and/or prior-authorization requirements, or equivalent patient-access experience.
- Knowledge of Centers for Medicare & Medicaid Services policies and processes, including Medicare Parts B and D.
- Knowledge and understanding of specialty markets, HUB/reimbursement services, and patient-access programs.
- Strong understanding of specialty-product access and reimbursement processes, including Patient Support Services programs.
- Strong analytical skills to assess market dynamics, competitor activity, and continuous diabetes monitoring trends; ability to gather and interpret data to guide regional strategy, including HUB and patient-claims data.
- Knowledge of Integrated Delivery Networks and Integrated Health Systems.
- Strong understanding of Microsoft applications and ability to conduct virtual engagements using Microsoft Teams.
- Ability to manage multiple priorities with excellent organizational and problem-solving skills, initiative, and independence.
- Proven success working in a cross-functional environment.
- Ability to conduct impactful educational presentations.
- Strong knowledge of Veeva systems.
Nice To Haves
- Advanced degree preferred.
- Pediatric Endocrinology and/or Endocrinology experience preferred.
- Previous launch experience in an Access/Reimbursement role.
- Experience in other biopharmaceutical industry functions, such as product marketing, managed care, field sales, case management, or large healthcare practice.
Responsibilities
- Expand advocacy within HCP offices and educate staff on access and payer approval processes, barriers, and actions that support patient access to therapy.
- Provide educational resources and optimize processes for prior authorizations, appeals, specialty pharmacies, and other access issues.
- Coordinate use of the patient service platform to support customers and patients through their chosen HUB or specialty pharmacy pathway.
- Coordinate annual pharmacy reauthorizations at designated accounts to support timely reauthorization and continuation of therapy.
- Collaborate with Sales, Market Access, Patient Services, Strategic Accounts, and other partners to address market-development and implementation needs, remove access barriers, and optimize adherence.
- Build and execute strategic business plans for top accounts and implement market-access initiatives.
- Maintain knowledge of national, regional, and local payer landscapes, specialty pharmacies, and utilization-management criteria.
- Understand how payer, PBM, and specialty-pharmacy alignment and pharmacy formularies affect market access in the designated geography.
- Provide field insights to support access and patient/payer support programs and resources.
- Anticipate and address account- and patient-level access issues by partnering with appropriate stakeholders.
- Demonstrate commitment to diversity, equity, and inclusion through ongoing development, inclusive behavior, and proactive bias management.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
