Field Access Manager – Diabetes
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Job Description
Field Access Manager optimizing diabetes therapy access for EVERSANA’s life-sciences clients. Guiding healthcare offices through payer approvals, patient services, specialty pharmacy, and reimbursement processes.
Responsibilities:
- Act as the main point of contact at designated accounts, providing account management support to healthcare professionals and their staff on behalf of patients prescribed approved products
- Provide ongoing education on the Patient Services program, regional payer landscape, and pharmacy channel access
- Coordinate pull-through efforts for prescribed patients across HUB, specialty pharmacy, and other channels when proper HIPAA consent is secured
- Serve as the primary face of Patient Services platforms within designated healthcare professional offices
- Partner with internal and external stakeholders to optimize patient access to products
- Expand advocacy within healthcare professional offices and educate staff on access and payer approval processes
- Identify access barriers and highlight healthcare professional actions needed to overcome them
- Provide educational resources supporting prior authorizations, appeals, specialty pharmacy, and access issue resolution
- Coordinate use of the patient service platform when offices select HUB or specialty pharmacy pathways
- Coordinate annual pharmacy reauthorizations to ensure timely continuation of therapy
- Collaborate cross-functionally 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 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, specialty pharmacy, utilization management criteria, and formularies
- Provide field insights supporting access and patient/payer support programs
- Anticipate, navigate, and address account and patient access issues with appropriate stakeholders
- Demonstrate commitment to diversity, equity, and inclusion through continuous development and inclusive behaviors
Requirements:
- Bachelor’s degree required
- Healthcare degree advantageous, including MS, RN, PA, PharmD, or similar advanced healthcare/scientific degree
- 10+ years in the pharmaceutical industry with experience in payer policy and patient access
- 5+ years of experience in benefit verifications and/or prior-authorization requirements, or equivalent experience in patient access
- Knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes, including Medicare Parts B & D
- Knowledge and understanding of specialty markets, HUB/reimbursement services, and patient access programs
- Strong understanding of specialty product access/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 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
- Pediatric Endocrinology and/or Endocrinology experience preferred
- Previous launch experience in an Access/Reimbursement role preferred
- Previous experience in other biopharmaceutical industry functions a plus
Benefits:
- Competitive salaries and benefits
- Reasonable accommodation during the hiring process for qualified applicants with disabilities
- Equal opportunity employment
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