Field Access Manager – Allegheny

This is a fully remote position, open to applicants in Ohio, +3 more states.

📋 Description

• Proactively identify and address patient access challenges related to payer coverage, prior authorizations, step edits, copay assistance, and specialty pharmacy routing.

• Collaborate with healthcare provider (HCP) offices to facilitate benefits verification and educate them on payer documentation requirements and available patient support resources.

• Analyze and interpret data from HUB, specialty pharmacies, and payers to pinpoint systemic access gaps and implement process improvements or educational initiatives that comply with regulations.

• Act as a subject matter expert in field access, delivering approved access education to internal stakeholders in line with compliance guidelines.

• Work together with Market Access, Patient Services, and HUB vendors to enhance pull-through efficiency and resolve persistent access challenges.

• Assist in launch readiness and lifecycle management by identifying access barriers early and executing field-based strategies to mitigate them.

• Track key access performance metrics, such as time to fill, PA approval rates, abandonment rates, and conversion rates, and convert insights into actionable plans.

• Handle high-priority case escalations that involve complex reimbursement or payer issues needing cross-functional collaboration.

• Monitor the regional payer landscape, noting policy changes or coverage adjustments that impact patient access.

• Provide structured field insights to cross-functional partners to guide access strategy, HUB optimization, and enhancements to patient support programs.

• Ensure accurate and compliant documentation of case activities, interventions, and outcomes within CRM systems.

• Serve as a liaison between strategy and execution, confirming that access strategies are effective in the field.

• Travel within the designated territory to engage with healthcare providers, patient support stakeholders, specialty pharmacies, and other related partners.

⛳️ Requirements

• Bachelor's degree in business, life sciences, healthcare administration, or a related field.

• Over 10 years of experience in pharmaceutical field reimbursement, patient access services, HUB services, specialty pharmacy, or market access support roles.

• Strong comprehension of payer dynamics, reimbursement pathways, prior authorization workflows, and specialty pharmacy distribution models.

• Experience with HUB systems, case management platforms, and specialty pharmacy data feeds.

• Proven ability to resolve complex access and reimbursement cases in a field-based or customer-facing capacity.

• In-depth knowledge of pharmaceutical access data sources and processes, including claims, benefit verification, SP reporting, and payer policy tracking.

• Exceptional problem-solving abilities, capable of distilling complex reimbursement scenarios into clear, actionable steps.

• Strong communication and relationship-building skills with HCP offices, field teams, and internal stakeholders.

• Capability to function effectively in a fast-paced launch or high-growth commercial environment with competing priorities.

• Proficiency in CRM systems and the Microsoft Office Suite; knowledge of BI tools like Tableau and Power BI is an advantage.

• Previous experience in training or supporting field sales teams regarding access and reimbursement topics is preferred.

• The ideal candidate should reside within the Allegheny territory, within a 100-mile radius of a major commercial airport.

🏝️ Benefits

• Equity options in the form of stock options and/or restricted stock units.

• Comprehensive health, dental, vision, life, and disability insurance coverage.

• 401k retirement plan with employer matching contributions.

• Learning and wellness stipends.

• Paid time off.