Field Access Manager - Ohio Valley

MSD•Columbus, PA

7d•Remote

About The Position

The Field Access Manager (FAM) is the subject-matter expert on access issues for healthcare professionals and healthcare organizations. This remote, field-based role provides approved education to assigned accounts on access and coverage to facilitate appropriate and timely patient access to therapy. The FAM analyzes access issues, serves as a local access resource for healthcare professionals and field personnel as permitted by policy, and coordinates with the access hub on individual patient cases, enrollment, coverage assistance, and related coordination when appropriate. The FAM collaborates with patient support, field sales, marketing, market access, public affairs, state and government affairs, trade, and specialty pharmacy accounts while following corporate and industry policies and procedures. The role supports healthcare providers with information on reimbursement, benefit design, payer coverage, access resources, and patient support programs, and helps identify and address barriers to patient access. The position covers the Ohio Valley assigned territory, requires residence within that territory, and involves approximately 25% travel.

Requirements

Bachelor’s degree.
At least 7 years of experience in patient support, pharmaceutical or healthcare sales or operations, or reimbursement support.
Strong knowledge of health insurance structures, including Medicare Part B, Medicaid, and commercial plans, and related access processes such as benefit verification, prior authorization, and appeals.
Expertise in pharmaceutical compliance and HIPAA regulations relating to patient confidentiality.
Competent understanding of hub and patient support activities.
Ability to manage multiple priorities in a remote environment.
Must reside in the Ohio Valley assigned territory.
Ability to collaborate as a team player with multiple sales representatives, sales leadership, and internal colleagues to achieve common goals.
Must be at least 21 years old and have a valid driver’s license and a clean driving record.
Excellent interpersonal and communication skills, with demonstrated ability to engage and influence stakeholders across teams and disciplines.

Nice To Haves

Pharmaceutical industry experience is highly preferred.
Deep understanding of healthcare provider office workflows, prescription flow, and clinic operations.
Pulmonology experience preferred.

Responsibilities

Provide information and education to healthcare provider accounts on patient access, including benefit verification, prior authorization, appeals, and patient support programs in live and virtual formats.
Analyze access issues and trends, monitor payer trends, and help identify and address barriers to patient access and patient satisfaction.
Build collaborative relationships with internal stakeholders to support seamless patient access to therapy.
Provide access information to healthcare provider offices and approved access education to field teams.
Escalate and coordinate access issues with third parties, including the hub vendor.
Provide education and support regarding specialty pharmacy issues.
Explain product coverage under commercial, Medicare, and Medicaid benefit designs and answer payer-specific coverage questions.
Maintain knowledge of regional and national market dynamics and payer coverage policies.
Educate and update healthcare professionals on private and public payer coverage and changes that affect patient access.
Provide subject-matter expertise on payer coverage issues affecting product access in accordance with policies, processes, and standard operating procedures.
Educate healthcare provider offices about the product hub program, including patient support offerings, financial assistance, and hub educational resources.
Communicate information about access resources and payer processes and policies.
Attend national and regional meetings.