Field Access Manager

PharmaEssentia U.S.A.

1d•$160,000 - $200,000•Onsite

About The Position

The Company: It’s not often you get the chance to make a real impact on the lives of others, while expanding your own possibilities. You’ll find that rare opportunity at PharmaEssentia. Join us, and let’s transform lives, together. PharmaEssentia Corporation is a rapidly growing biopharmaceutical innovator. We are leveraging deep expertise and proven scientific principles to deliver effective new biologics for challenging diseases in the areas of hematology and oncology, with one product approved and a diversifying pipeline. We believe in the potential to improve both health and quality of life for patients with limited options today through the combination of rigorous research and innovative thinking. Founded in 2003 by a team of Taiwanese-American executives and renowned scientists from U.S. biotechnology and pharmaceutical companies, today we are listed on the Taiwan Stock Exchange (TWSE: 6446) and are expanding our global presence with operations in the U.S., Japan, Singapore, South Korea, and China, along with a world-class biologics production facility in Taichung. Position Summary The Field Access Manager (FAM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their office staff with respect to patient access to PharmaEssentia therapies. This role involves investing significant time (~75%) on-site with HCPs, assessing their education needs and facilitating collaboration with various stakeholders across Market Access, field sales, and internal operations.

Requirements

Bachelor's degree required; advanced degree or clinical license preferred
5+ years of relevant experience, of which a minimum of 3 years are in specialty disease state(s)
Demonstrated experience in specialty pharmacy operations, payer dynamics, prior authorization processes, and HUB services
Maintain deep expertise in the market access environment across commercial and government payers, including Medicare Part B/D, Medicaid Managed Care, and commercial payer processes, including the impact of policy changes on patient access to therapy
Ability to travel approximately 75% of the time, including field rides, customer engagements, and internal meetings
Must reside within assigned geographic region, near a major hub airport
Valid driver's license

Nice To Haves

Five or more years of specialty disease state experience
Two or more years of access, reimbursement, or relevant managed care experience
Experience in hematology/oncology and/or self-administered therapies
Strong understanding of pharmacy benefit management, including specialty pharmacy operations and formulary management
Launch experience in specialty or oncology
Experience and prior interaction with payer decision makers
Strong working knowledge of copay assistance programs and patient support ecosystems in specialty/rare disease
Demonstrated experience in buy and bill reimbursement
Proven ability to thrive in both an independent setting and in a cross-functional team environment
Strong clinical knowledge as it relates to the payer approval process, and solid business acumen
Strong organizational, problem-solving, and project management skills
Proficiency in CRM and field reporting platforms (Salesforce, Veeva, or similar)
Understanding of national and state legislative, Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products
Excellent technical knowledge and expertise in payer policy, including all elements of the payer approval process: prior authorization and appeals

Responsibilities

Equip HCPs and their staff, through education, to navigate the access and payer approval process, identify access barriers that the HCP must act to overcome, and highlight HCP actions that support access to therapy. Develop and execute an education plan consisting of prioritized activities to best educate the HCPs in territory.
Monitor, analyze, and triage situations which may adversely impact patient access to therapy.
Educate HCPs regarding the access and payer approval process for PharmaEssentia therapies, including prior authorization requirements, step edits, appeals processes, and reimbursement pathways across all sites of care.
Serve as subject matter expert for internal stakeholders and external HCPs regarding education on Medicare treatment guidelines, Medicaid Managed Care, commercial plans, PBM designs, policy changes, formulary status, and the impact of healthcare reform on coverage.
Educate field sales about various elements of Market Access, the payer approval process, payer coverage policies, and medical versus pharmacy benefit designs.
Liaise with the Market Access department — including Payer Relations, Patient Access, HUB, and Specialty Pharmacy partners — as well as field sales and medical groups to identify and resolve trending issues regarding patient access to therapies.
Partner with the Patient Access team within Market Access to align on patient support program execution, copay and financial assistance programs, and patient journey optimization.
Maintain and share relevant information regarding account contacts, prior authorization requirements, trends, and competitive intelligence with the Market Access department.
Serve as an escalation point for complex access challenges, including prior authorization denials, specialty pharmacy delays, and coverage disputes, engaging internal Payer and Patient Access teams as needed.
Update HCPs on Rx status, program eligibility, and patient support options in coordination with the HUB.
Develop and maintain strategic account plans for key HCP accounts within the territory, identifying access barriers, engagement priorities, and tailored education opportunities.
Support onboarding of new accounts to the PharmaEssentia access process by assessing practice workflows, identifying reimbursement challenges, and aligning appropriate patient support resources.
Proactively educate accounts on the evolving payer landscape, including coverage changes, formulary updates, and policy shifts across commercial and government payers that may impact patient access to therapy.
Execute role in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion of all required training.
Document all field activities, account interactions, and issue resolution efforts in the CRM system (e.g., Salesforce, Veeva, or equivalent) in accordance with compliance and company policies.