Field Access Manager - Diabetes - Pacific Northwest

EVERSANA•Seattle, WA

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, the regional payer landscape, and pharmacy-channel access, and coordinates patient access pull-through across channels such as the HUB and specialty pharmacies when the patient has provided appropriate HIPAA consent. The FAM serves as the primary representative of Patient Services platforms in designated healthcare professional offices and partners with internal and external stakeholders to optimize patient access. The role requires expertise in payer policies, specialty pharmacy and reimbursement processes, patient support programs, and the regional market. The FAM develops account strategies, supports access initiatives, identifies and addresses barriers, and collaborates across functions to help appropriate patients obtain and continue therapy.

Requirements

Bachelor’s degree required.
10 or more years of pharmaceutical industry experience, including payer policy and patient access experience.
At least 5 years of experience with benefit verifications and/or prior-authorization requirements, or equivalent patient access experience.
Knowledge of Centers for Medicare & Medicaid Services policies and processes, including 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 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 strong organizational and problem-solving skills and a high degree of initiative and independence.
Demonstrated success working in a cross-functional environment.
Ability to deliver impactful educational presentations.
Strong knowledge of Veeva systems.

Nice To Haves

Advanced degree preferred; healthcare degrees such as MS, RN, PA, PharmD, or a similar advanced healthcare or scientific degree are advantageous.
Pediatric Endocrinology and/or Endocrinology experience.
Previous launch experience in an access or reimbursement role.
Experience in other biopharmaceutical industry functions, such as product marketing, managed care, field sales, case management, or a large healthcare practice.

Responsibilities

Educate healthcare professional offices about access and payer-approval processes, barriers requiring provider action, and steps that support patient access to therapy.
Provide educational resources and help optimize processes for prior authorizations, appeals, specialty pharmacy, and other access issues across the patient journey.
Coordinate use of the patient service platform 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.
Identify and address time-sensitive market development and implementation needs 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, pharmacy benefit manager, and specialty pharmacy alignment, as well as pharmacy drug formularies, affect access in the assigned geography.
Provide field insights to support access and patient/payer support programs and resources offered by 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 behavior, and proactive bias management.
Perform other duties as assigned.