Field Access Manager - Diabetes - Kentucky/West Virginia

EVERSANA•Nashville, TN

About The Position

The Field Access Manager (FAM) is the main point of contact for 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 pull-through across channels such as the HUB and specialty pharmacies when appropriate patient HIPAA consent has been secured. The FAM is the primary representative of the Patient Services platforms in designated healthcare professional offices and partners with internal and external stakeholders to optimize patient access to the product. The FAM supports healthcare offices in navigating payer approvals and access barriers, helps optimize prior authorization, appeals, and specialty-pharmacy processes, and coordinates use of patient-service platforms and annual pharmacy reauthorizations. The role develops account plans and implements market-access initiatives, maintains expertise in payer and pharmacy landscapes, and provides field insights to support patient and payer programs. The position also requires cross-functional collaboration, strong organization and initiative, and a commitment to diversity, equity, and inclusion.

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 experience in 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, with experience in 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 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 and a high level of 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 a large healthcare practice.

Responsibilities

Expand advocacy within healthcare professional offices and educate staff on navigating access and payer-approval processes, identifying barriers, and taking actions that support patient access to therapy.
Provide educational resources to support the patient journey, including optimizing prior authorization, appeals, and specialty-pharmacy processes and addressing access issues.
Coordinate use of patient-service platforms to support customers and patients when an office selects the HUB or specialty pharmacy as its path to approved therapy.
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 appropriate 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 ongoing development, inclusive behavior, and proactive bias management.
Perform other duties as assigned.