Field Access Manager - Diabetes - North Florida

EVERSANA•Orland Hills, IL

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 FAM educates accounts about the Patient Services program, regional payer landscape, and pharmacy-channel access, and coordinates pull-through support for prescribed patients across channels such as the HUB and specialty pharmacy when appropriate HIPAA consent has been secured. The role serves as the primary face of the Patient Services platforms in designated HCP offices and partners with internal and external stakeholders to optimize patient access. The FAM works to equip HCP office staff to navigate access and payer approval processes, identify and address barriers, and support patients throughout their therapy journey. The role develops account strategies, maintains expertise in payer and specialty-pharmacy requirements, coordinates reauthorizations, and provides field insights to support patient and payer programs. It collaborates across functions to implement market-access initiatives and improve access and adherence for appropriate patients.

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 with 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 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 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.

Responsibilities

Expand advocacy within HCP offices and educate staff on navigating access and payer approval processes, identifying barriers, and taking actions that support patient access to therapy.
Provide educational resources and optimize processes for prior authorizations, appeals, and specialty pharmacy to support the patient journey and address access issues.
Coordinate use of the patient services 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 and optimize adherence for appropriate patients.
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, and specialty-pharmacy alignment and formularies affect market access in the assigned 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 behaviors, and proactive bias management.
Perform other duties as assigned.