Field Access Manager - Diabetes - Northern California
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 a product for approved indications. The FAM educates accounts about the Patient Services program, regional payer landscape, and pharmacy-channel access, and coordinates patient-support pull-through across channels, subject to proper HIPAA consent. The role is the primary representative of Patient Services platforms within designated HCP offices and partners with internal and external stakeholders to optimize patient access to the product. The FAM supports access and payer-approval processes, helps address barriers, coordinates patient services and pharmacy reauthorizations, and develops strategic plans for key accounts. This role requires current knowledge of payer policies, specialty pharmacy and utilization-management criteria, and regional and local market dynamics. The FAM also provides field insights and collaborates across functions to support access programs and improve patient adherence.
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 of pharmaceutical-industry experience, including 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 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/Integrated Health Systems.
- Strong understanding of Microsoft applications and ability to conduct virtual engagements via 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 experience.
Responsibilities
- Expand advocacy within HCP offices and educate staff on access and payer-approval processes, access barriers, and actions that support patient access to therapy.
- Provide educational resources for the patient journey, including prior authorizations, appeals, specialty pharmacy processes, and access issues.
- Coordinate use of the patient service platform to support customers and patients using the HUB or specialty pharmacy pathways.
- 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 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, and specialty pharmacy alignment and 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 access issues by partnering with appropriate stakeholders.
- Demonstrate commitment to diversity, equity, and inclusion through development, inclusive behavior, and proactive management of bias.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
