Field Access Manager - Diabetes - Rocky Mountain
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 efforts across channels such as the HUB and specialty pharmacies when appropriate HIPAA consent has been secured. The FAM serves as the primary representative of the Patient Services platforms in designated healthcare professional offices and works with internal and external stakeholders to optimize patient access to the product. The position focuses on educating healthcare office staff about access and payer approval processes, supporting prior authorizations and appeals, coordinating patient-service platform use and pharmacy reauthorizations, and identifying and resolving patient and account access barriers. The FAM also develops strategic business plans for top accounts, provides market and payer insights, and collaborates across functions to support market-access initiatives and patient adherence.
Requirements
- Bachelor’s degree required.
- 10 or more years of pharmaceutical industry experience, including payer policy and patient access experience.
- 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 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 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 excellent organizational and problem-solving skills and a high level of 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.
Responsibilities
- Expand advocacy within healthcare professional offices and educate staff on navigating access and payer approval processes, identifying barriers requiring action by the healthcare professional, and taking actions that support patient access to therapy.
- Provide educational resources that support the patient journey by optimizing prior authorization, appeals, and specialty pharmacy processes and addressing access issues.
- Coordinate use of the patient service platform to support customers and patients when an office selects the HUB or specialty pharmacy as its preferred 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 to identify and address time-sensitive market development and implementation efforts, remove access barriers for appropriate patients, and optimize adherence.
- Build and execute strategic business plans that meet the needs of top accounts and support successful implementation of market-access initiatives.
- Maintain knowledge of national, regional, and local payer landscapes, specialty pharmacies, and utilization-management criteria.
- Understand how payer, pharmacy benefit manager, and specialty pharmacy alignment and national or regional pharmacy formularies affect market access in the designated geography.
- Provide appropriate field insights to support access and patient/payer support programs and resources offered through the company’s Patient Support Programs.
- 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 behaviors, and proactive bias management.
- Perform other duties as assigned.
Benefits
- Competitive salaries and benefits.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Senior
