Field Access Manager - Diabetes - Detroit/Great Lakes
About The Position
The Field Access Manager (FAM) is the primary contact at designated healthcare accounts, providing account management support to healthcare professionals and their staff for patients prescribed the product for approved indications. The role educates accounts about the Patient Services program, regional payer landscape, and pharmacy channel access, and coordinates patient pull-through across channels such as the HUB and specialty pharmacy when proper HIPAA consent has been obtained. The FAM serves as the primary representative of Patient Services platforms in designated HCP offices and partners with internal and external stakeholders to optimize patient access. The role focuses on developing account advocacy, helping offices navigate access and payer approval processes, coordinating patient-support services, and identifying and resolving barriers to therapy. The FAM builds strategic account plans, maintains expertise in payer and pharmacy access requirements, and provides field insights to support access and patient-support programs. This position is part of the Sales department and Market Access and Reimbursement job family.
Requirements
- Bachelor’s degree required; a healthcare degree is advantageous, including MS, RN, PA, PharmD, or a similar advanced healthcare or scientific degree.
- 10 or more years of pharmaceutical industry experience, including payer policy and patient access experience.
- 5 or more years of experience with 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 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 organization 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.
- 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 to support the patient journey, optimize prior authorization, appeals, and specialty pharmacy processes, and address access issues.
- Coordinate use of the patient service platform to support customers and patients using the HUB or specialty pharmacy as the path to approved therapy.
- Coordinate annual pharmacy reauthorizations at designated accounts to support timely reauthorization and continued therapy.
- Collaborate with Sales, Market Access, Patient Services, Strategic Accounts, and other stakeholders as a process and payer expert.
- Identify and address time-sensitive market development and implementation needs 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, specialty pharmacy, and pharmacy 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-level access issues in partnership with appropriate stakeholders.
- Demonstrate commitment to diversity, equity, and inclusion through continued 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
