Field Access Manager - Diabetes - Providence/Hartford
About The Position
The Field Access Manager (FAM) is the primary point of 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, regional payer landscape, and pharmacy-channel access. The FAM coordinates patient access and pull-through across channels, including the HUB and specialty pharmacies, when the patient has provided proper HIPAA consent, and serves as the primary representative of Patient Services platforms within designated HCP offices. The FAM partners with internal and external stakeholders to optimize patient access, address account and patient access issues, and support appropriate adherence. This includes building strategic account plans, sharing field insights, and applying knowledge of national, regional, and local payer policies and pharmacy access requirements.
Requirements
- Bachelor’s degree required.
- At least 10 years of pharmaceutical-industry experience, including payer policy and patient access.
- At least 5 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 for 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 via Microsoft Teams.
- Ability to manage multiple priorities with strong organizational and problem-solving skills, 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/reimbursement role.
- Experience in other biopharmaceutical-industry functions, such as product marketing, managed care, field sales, case management, or large healthcare practice.
Responsibilities
- Educate HCP offices and staff on access and payer approval processes, access barriers, and actions that support patient access to therapy.
- Provide educational resources to support the patient journey, including prior authorizations, appeals, specialty pharmacy processes, and access issues.
- Coordinate use of the patient service platform, including HUB or specialty pharmacy pathways selected by the office.
- 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 stakeholders as a process and payer expert.
- Identify and address time-sensitive market development and implementation efforts 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 payer landscapes, specialty pharmacy, utilization management criteria, and national, regional, and local access requirements.
- Understand how payer, PBM, specialty pharmacy, and pharmacy drug formularies affect market access in the designated geography.
- Provide field insights to support 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 management of bias.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
