Field Access Manager - Diabetes - Northern California

EVERSANA•San Francisco, CA

About The Position

The Field Access Manager (FAM) is the primary point of contact at designated healthcare accounts, providing account-management support to 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 pull-through across channels such as the HUB and specialty pharmacy when the patient has provided appropriate HIPAA consent. The role serves as the primary face of Patient Services in designated HCP offices and partners with internal and external stakeholders to optimize patient access to the product. The FAM helps HCP offices navigate access and payer approval processes, identify barriers and actions needed to overcome them, and use educational resources to support prior authorizations, appeals, specialty pharmacy, and other access needs. The role coordinates patient-service platform use and annual pharmacy reauthorizations, develops strategic account plans, and applies national, regional, and local payer and pharmacy knowledge to support timely access and ongoing therapy. The FAM also provides field insights and works cross-functionally to address account and patient access issues and support market access initiatives.

Requirements

Bachelor’s degree required; a healthcare degree is advantageous, including MS, RN, PA, PharmD, or a similar advanced healthcare or scientific degree.
10+ years of pharmaceutical industry experience, including payer policy and patient access experience.
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 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 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.

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 services platform to support customers and patients when an office selects 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, including specialty pharmacy and utilization management criteria.
Understand how payer, PBM, and specialty pharmacy alignment and pharmacy drug formularies affect market access in the assigned geography.
Provide field insights to support the company's patient support programs, access programs, and resources.
Anticipate, navigate, and address individual account and patient access issues by partnering with appropriate stakeholders.
Demonstrate commitment to diversity, equity, and inclusion through ongoing development, inclusive behaviors, and proactive bias management.
Perform other duties as assigned.