Field Access Manager - Diabetes - Detroit/Great Lakes

EVERSANA•Detroit, MI

About The Position

The Field Access Manager (FAM) is the primary contact at designated healthcare accounts, supporting 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, and coordinates patient access support across channels such as the HUB and specialty pharmacies when the patient has provided proper HIPAA consent. The role serves as the primary representative of Patient Services platforms in designated healthcare professional offices and partners with internal and external stakeholders to optimize patient access to the product. The FAM develops account strategies and supports implementation of market access initiatives, helping offices navigate access and payer approval processes and address barriers. The role also maintains expertise in payer policies, specialty pharmacy, utilization management, and patient support programs, while coordinating patient access activities and providing field insights to relevant teams.

Requirements

Bachelor's degree required.
10 or more years of pharmaceutical industry experience, including payer policy and patient access experience.
5 or more years of experience in benefit verifications and/or prior authorization requirements, or equivalent patient access experience.
Knowledge of Centers for Medicare & Medicaid Services (CMS) 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 understanding the role of 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 via Microsoft Teams.
Ability to manage multiple priorities with strong 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 or 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 healthcare professional offices and educate staff on navigating access and payer approval processes, identifying barriers, and taking actions that support patient access to therapy.
Provide educational resources to support the patient journey by optimizing prior authorization, appeals, and specialty pharmacy processes and addressing access issues.
Coordinate use of the patient services platform to support customers and patients through the HUB or specialty pharmacy, according to the office's preferred path to approved therapy.
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 as a process and payer expert.
Identify and address time-sensitive market development and implementation efforts to remove access barriers for appropriate patients 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, including specialty pharmacy and utilization management criteria.
Understand how payer, pharmacy benefit manager (PBM), and specialty pharmacy alignment, as well as pharmacy drug formularies, affect market access in the designated geography.
Provide appropriate field insights to support access and patient/payer support programs and resources offered through Patient Support Programs.
Anticipate, navigate, and address account and patient access issues in partnership with appropriate stakeholders.
Demonstrate commitment to diversity, equity, and inclusion through ongoing development, inclusive behaviors, and proactive bias management.
Perform other duties as assigned.