Field Access Manager - Diabetes - New York City Metro

EVERSANA•New York, NY

About The Position

The Field Access Manager (FAM) serves as the main point of contact at designated healthcare accounts, providing account management support to healthcare professionals and their staff on behalf of patients prescribed a product for approved indications. The role provides ongoing education about the Patient Services program, regional payer landscape, and pharmacy channel access, and coordinates patient pull-through across channels such as the HUB and specialty pharmacies when proper HIPAA consent has been secured. The FAM is the primary face of the Patient Services platforms in designated HCP offices and partners with internal and external stakeholders to optimize patient access to the product. The FAM builds and executes strategic business plans for top accounts, supports implementation of market access initiatives, and serves as a process and payer expert. The position requires maintaining knowledge of payer policies, specialty pharmacy and utilization management criteria, and the alignment of payers, PBMs, and specialty pharmacies. It also involves providing field insights, anticipating account and patient access issues, and collaborating across functions to address barriers and support appropriate patient adherence.

Requirements

Bachelor’s degree required.
10+ years of experience in the pharmaceutical industry, 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 and understanding 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 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.
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, or PharmD 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

Expand advocacy within HCP offices and educate staff on navigating access and payer approval processes, identifying access barriers, and taking 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 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 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 national, regional, and local payer landscapes, including specialty pharmacy and utilization management criteria.
Understand how payer, PBM, and specialty pharmacy alignment and pharmacy drug formularies affect market access in the designated geography.
Provide field insights to support access and patient/payer support programs and resources offered through Patient Support Programs.
Anticipate, navigate, and address account- and patient-level access issues by partnering with appropriate stakeholders.
Demonstrate commitment to diversity, equity, and inclusion through continuous development, inclusive behavior, and proactive management of bias.
Perform other duties as assigned.