Field Access Manager - Diabetes - Kentucky/West Virginia

EVERSANA•Nashville, TN

2d•$150,000 - $165,000

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 on behalf of 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 access support across channels, including the HUB and specialty pharmacies, when proper HIPAA consent has been secured. 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 to the product. The FAM develops and executes strategic plans for top accounts, supports access and payer-approval processes, and helps address account- and patient-specific access barriers. The role requires expertise in payer policies, specialty pharmacy, reimbursement, patient-support programs, and relevant market dynamics, along with effective cross-functional collaboration and educational engagement.

Requirements

Bachelor’s degree required.
10 or more years of pharmaceutical industry experience, including payer policy and patient access.
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 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 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

Healthcare degree or advanced healthcare/scientific degree, such as an MS, RN, PA, PharmD, or similar.
Advanced degree.
Pediatric Endocrinology and/or Endocrinology experience.
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 navigating access and payer-approval processes, identifying barriers requiring HCP action, and supporting patient access to therapy.
Provide educational resources to support the patient journey by optimizing prior authorization, appeals, and specialty pharmacy processes and addressing access issues.
Coordinate use of the patient services platform to support customers and patients when an office chooses the HUB or specialty pharmacy as its 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 partners as a process and payer expert to address time-sensitive market-development and implementation efforts and remove access barriers for appropriate patients while optimizing adherence.
Build and execute a strategic business plan for top accounts and implement market access initiatives.
Maintain knowledge of the national, regional, and local payer landscape, including specialty pharmacy and utilization-management criteria.
Understand how payer, PBM, and specialty pharmacy alignment and national and regional pharmacy drug formularies affect market access in the designated geography.
Provide appropriate field insights to support access and patient/payer support programs and resources offered by the company's Patient Support Programs.
Anticipate, navigate, and address account- and patient-specific access issues in partnership with appropriate stakeholders.
Demonstrate commitment to diversity, equity, and inclusion through continuous development, inclusive behavior, and proactive bias management.
Perform other duties as assigned.