Field Access Manager - Diabetes - Phoenix
About The Position
The Field Access Manager (FAM) serves as the primary 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 role provides ongoing education about the Patient Services program, regional payer landscape, and pharmacy-channel access, and coordinates pull-through support for prescribed patients across channels, subject to proper HIPAA consent. The FAM is the primary representative of the Patient Services platforms in designated HCP offices and partners with internal and external stakeholders to optimize patient access to the product. The FAM develops account strategies, educates office staff on access and payer approval processes, supports prior authorizations, appeals, specialty pharmacy processes, and reauthorizations, and addresses account- and patient-specific access barriers. The role requires current knowledge of payer policies, specialty pharmacy, utilization management, formularies, HUB and reimbursement services, and patient support programs. It collaborates across Sales, Market Access, Patient Services, Strategic Accounts, and other teams to implement market access initiatives and support appropriate patient access and adherence.
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 of specialty markets, HUB/reimbursement services, and patient access programs.
- Strong understanding of specialty product access and reimbursement processes, including Patient Support Services programs.
- 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 strong organizational and problem-solving skills, initiative, and independence.
- Proven success working in a cross-functional environment.
- Ability to deliver impactful educational presentations.
- Strong knowledge of Veeva systems.
Nice To Haves
- Advanced degree preferred; healthcare degrees such as MS, RN, PA, PharmD, or similar are advantageous.
- 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 to support the patient journey, optimize prior authorization, appeals, and specialty pharmacy processes, and address access issues.
- Coordinate use of the patient service platform, including HUB or specialty pharmacy pathways selected by the office.
- Coordinate annual pharmacy reauthorizations at designated accounts to support timely continuation of therapy.
- Collaborate cross-functionally with Sales, Market Access, Patient Services, Strategic Accounts, and other partners to address market development and implementation needs and remove access barriers.
- Build and execute strategic business plans for top accounts and implement market access initiatives.
- Maintain knowledge of national, regional, and local payer landscapes, specialty pharmacy, and utilization management criteria.
- Understand how payer, PBM, specialty pharmacy, and pharmacy drug formularies affect market access in the designated geography.
- Provide field insights to support access and patient/payer support programs and resources.
- Anticipate, navigate, and address account- and patient-specific access issues with appropriate stakeholders.
- Demonstrate commitment to diversity, equity, and inclusion through 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
