Field Access Manager - Diabetes - New York City Metro
About The Position
The Field Access Manager (FAM) serves as the primary 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 provides ongoing education about the Patient Services program, the regional payer landscape, and pharmacy channel access, and coordinates efforts to support patients’ access to prescribed therapy across channels, including the HUB and specialty pharmacies, when proper HIPAA consent has been secured. The FAM is the primary representative of the Patient Services platforms within designated HCP offices and partners with internal and external stakeholders to optimize patient access. The role focuses on educating account staff about access and payer approval processes; supporting prior authorizations, appeals, and specialty pharmacy workflows; coordinating patient service platform use and annual pharmacy reauthorizations; and identifying and addressing account- and patient-level access barriers. The FAM develops strategic account plans, applies knowledge of payer and pharmacy landscapes, shares field insights, and collaborates across functions to support access initiatives and patient adherence.
Requirements
- Bachelor’s degree required; a healthcare degree is advantageous, including an MS, RN, PA, PharmD, or similar advanced healthcare or scientific degree.
- 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 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 HUB and patient claims data.
- Knowledge of Integrated Delivery Networks/Integrated Health Systems.
- Strong understanding of Microsoft applications and ability to conduct virtual engagements via Microsoft Teams.
- Ability to manage multiple priorities with strong organizational and problem-solving skills, 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 is a plus, such as product marketing, managed care, field sales, case management, or large healthcare practice experience.
Responsibilities
- Expand advocacy within HCP offices and educate staff on access and payer approval processes, access barriers requiring HCP action, and actions that support patient access to therapy.
- Provide educational resources to support the patient journey, including processes for prior authorizations, appeals, and specialty pharmacy, and help address 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 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 while optimizing 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 payer, PBM, and specialty pharmacy alignment and how national and regional pharmacy drug formularies affect market access in the assigned geography.
- Provide field insights to support the company’s access and patient/payer support programs and resources.
- Anticipate, navigate, and address account- and patient-level access issues by partnering with appropriate stakeholders.
- Demonstrate commitment to diversity, equity, and inclusion through ongoing development, inclusive behavior, and proactive bias management.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
