Field Access Manager - Diabetes - North Florida
About The Position
The Field Access Manager (FAM) serves as the main point of contact at designated healthcare accounts, supporting 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. The FAM coordinates patient pull-through efforts across channels, including the HUB and specialty pharmacies, when proper HIPAA consent has been secured, and serves as the primary representative of Patient Services platforms in designated HCP offices. The position partners with internal and external stakeholders to optimize patient access to the product. The FAM develops account strategies, provides education and resources for access processes, and helps address individual account and patient access barriers. The role requires expertise in payer policies, specialty markets, reimbursement and patient-support services, and collaboration across Sales, Market Access, Patient Services, Strategic Accounts, and other functions.
Requirements
- Bachelor’s degree required; a healthcare degree is advantageous, including an MS, RN, PA, PharmD, or similar advanced healthcare or scientific degree.
- At least 10 years in the pharmaceutical industry, with experience in payer policy and patient access.
- At least 5 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 experience with 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 for 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 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/reimbursement role.
- Experience in other biopharmaceutical 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 navigating access and payer approval processes, identifying barriers requiring HCP action, and supporting patient access to therapy.
- Provide educational resources that support the patient journey, including optimizing prior authorization, appeals, and specialty pharmacy processes and addressing access issues.
- Coordinate use of the patient service platform to support customers and patients when an office chooses the 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 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, specialty pharmacy, and utilization management criteria.
- Understand how payer, PBM, and specialty pharmacy alignment and pharmacy drug formularies affect market access in the designated geography.
- Provide field insights to support access and patient/payer programs and resources offered through Patient Support Programs.
- Anticipate, navigate, and address account- and patient-level 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.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
