Field Access Manager – Diabetes

This is a fully remote position, open to applicants in California.

📋 Description

• Serve as the primary liaison at assigned accounts, delivering account management support to healthcare professionals and their teams on behalf of patients prescribed approved products.

• Inform accounts about the Patient Services program, the regional payer landscape, and pharmacy channel accessibility.

• Facilitate pull-through initiatives for patients with prescriptions across HUB, specialty pharmacy, and other channels once HIPAA consent is obtained.

• Represent the Patient Services platforms within the designated healthcare professional offices.

• Collaborate with both internal and external stakeholders to enhance patient access to products.

• Increase advocacy within healthcare professional offices and educate staff on access and payer approval processes.

• Recognize access barriers and emphasize healthcare professional actions that promote patient access to therapy.

• Provide educational materials that assist with prior authorizations, appeals, specialty pharmacy, and resolving access issues.

• Oversee the use of patient service platforms through HUB or specialty pharmacy pathways.

• Manage annual pharmacy reauthorizations to ensure timely continuation of therapy.

• Work collaboratively across departments, including Sales, Market Access, Patient Services, Strategic Accounts, and other partners.

• Identify and tackle urgent market development and implementation efforts to eliminate access barriers and enhance adherence.

• Develop and implement strategic business plans for key accounts and execute market access initiatives.

• Stay informed about national, regional, and local payer landscapes, specialty pharmacy, and utilization management criteria.

• Comprehend how payer/PBM/specialty pharmacy alignments and pharmacy formularies impact market access.

• Offer field insights that support access and patient/payer support programs.

• Anticipate, navigate, and resolve individual account and patient access challenges.

• Exhibit a commitment to diversity, equity, and inclusion.

⛳️ Requirements

• A Bachelor’s degree is required.

• A degree in healthcare is advantageous, including MS, RN, PA, PharmD, or similar advanced healthcare/scientific qualifications.

• Over 10 years of experience in the pharmaceutical industry with a focus on payer policy and patient access.

• More than 5 years of experience in benefit verifications and/or prior authorization requirements, or equivalent experience in patient access.

• Familiarity with the Centers of 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 grasp of specialty product access/reimbursement processes, including Patient Support Services programs.

• Exceptional analytical skills for evaluating market dynamics, competitor activities, and ongoing diabetes monitoring trends.

• Capability to collect and interpret data to inform regional strategies, including HUB and patient claims data.

• Understanding of Integrated Delivery Networks/Integrated Health Systems.

• Proficient in Microsoft applications and experienced in conducting virtual meetings via Microsoft Teams.

• Ability to prioritize multiple tasks with excellent organizational and problem-solving skills, demonstrating initiative and independence.

• Proven track record of success in a cross-functional environment.

• Skilled in delivering impactful educational presentations.

• Familiarity with Veeva systems is essential.

• An advanced degree is preferred.

• Experience in Pediatric Endocrinology and/or Endocrinology is preferred.

• Previous experience in an Access/Reimbursement role during product launches is advantageous.

• Background in other biopharmaceutical functions, such as product marketing, managed care, field sales, case management, or large healthcare practice experience, is a plus.

🏝️ Benefits

• Competitive salary and benefits package.

• Opportunity for remote work.

• Reasonable accommodations provided during the hiring process.

• Commitment to equal opportunity employment.