Field Access Manager - Diabetes - Charlotte/Raleigh
About The Position
The Field Access Manager (FAM) serves as the primary contact at designated 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, regional payer landscape, and pharmacy channel access, and coordinates pull-through efforts for prescribed patients across channels, including the HUB and specialty pharmacy, when proper HIPAA consent has been secured. The role is the primary representative of Patient Services platforms within designated HCP offices and partners with internal and external stakeholders to optimize patient access to the product. The FAM supports HCP offices in navigating access and payer approval processes, identifying barriers and appropriate actions, and coordinating resources for prior authorizations, appeals, specialty pharmacy, and other access issues. The role coordinates use of patient service platforms and annual pharmacy reauthorizations, develops strategic plans for top accounts, and maintains expertise in payer policy, specialty pharmacy, utilization management, and market access. The FAM collaborates across functions to address implementation needs, improve access and adherence, and provide field insights for patient and payer support programs.
Requirements
- Bachelor’s degree required.
- 10+ years of pharmaceutical industry experience, including payer policy and patient access experience.
- 5+ years of experience in benefit verifications and/or prior-authorization requirements, or equivalent patient access experience.
- Knowledge of Centers for Medicare & Medicaid Services (CMS) 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 excellent organizational and problem-solving skills, initiative, and independence.
- Proven success working in a cross-functional environment.
- Ability to conduct impactful educational presentations.
- Strong knowledge of Veeva systems.
Nice To Haves
- Advanced degree preferred; healthcare degrees such as MS, RN, PA, PharmD, or similar are advantageous.
- 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
- Educate HCP office staff on access and payer approval processes, access barriers, and actions that support patient access to therapy.
- Provide educational resources and optimize processes for prior authorizations, appeals, specialty pharmacy, and other access issues across the patient journey.
- 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 to identify and address market development and implementation needs and remove access barriers.
- Build and execute strategic business plans for top accounts and implement market access initiatives.
- Maintain knowledge of national, regional, and local payer landscapes, specialty pharmacy, and utilization management criteria.
- 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 bias management.
- Perform other duties as assigned.
Benefits
- Competitive salaries and benefits; specific benefits are described at eversana.com/careers.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
