Field Access Manager - Diabetes - Charlotte/Raleigh

EVERSANA•Charlotte, NC

About The Position

The Field Access Manager (FAM) is the main point of contact at designated healthcare accounts, providing account-management support to healthcare professionals (HCPs) 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 patient access pull-through across channels such as the HUB and specialty pharmacies when proper HIPAA consent has been secured. The role serves as the primary representative of Patient Services platforms in designated HCP offices and partners with internal and external stakeholders to optimize patient access to the product. The FAM equips HCP office staff to navigate payer approvals and access processes, supports prior authorizations and appeals, and addresses access barriers. The role coordinates patient-service platform use and annual pharmacy reauthorizations, develops strategic plans for top accounts, and applies knowledge of payer, pharmacy, and utilization-management landscapes to inform regional strategy and resolve account- and patient-level access issues. The position also collaborates across functions and provides field insights to support patient and payer programs.

Requirements

Bachelor’s degree required; a healthcare degree is advantageous, including an MS, RN, PA, PharmD, or similar advanced healthcare or scientific degree.
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 understanding the role of HUB and patient claims data.
Knowledge of Integrated Delivery Networks/Integrated Health Systems.
Strong understanding of Microsoft applications and ability to conduct virtual engagements using 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.
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 work.

Responsibilities

Expand advocacy within HCP offices and educate staff on access and payer approval processes, 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 when an HCP 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 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 market conditions.
Understand how payer, PBM, and specialty pharmacy alignment and 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 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.