
Field Access Manager – Diabetes
Posted Sep 19

Posted Sep 19
This is a fully remote position, open to applicants in Illinois.
• Serve as the primary contact for assigned accounts, delivering account management support to healthcare professionals and their teams on behalf of patients prescribed approved products.
• Offer continuous education regarding the Patient Services program, the regional payer landscape, and pharmacy channel access.
• Coordinate efforts to support prescribed patients through HUB, specialty pharmacy, and other channels, ensuring proper HIPAA consent is obtained.
• Act as the leading representative of Patient Services platforms within designated healthcare professional offices.
• Collaborate with both internal and external stakeholders to enhance patient access to products.
• Foster advocacy within healthcare professional offices and educate staff on access and payer approval procedures.
• Recognize access obstacles and emphasize the necessary actions healthcare professionals must take to address them.
• Provide educational materials to support prior authorizations, appeals, specialty pharmacy, and resolution of access issues.
• Oversee the utilization of the patient service platform when offices opt for HUB or specialty pharmacy pathways.
• Manage annual pharmacy reauthorizations to ensure uninterrupted therapy continuation.
• Work collaboratively across functions with Sales, Market Access, Patient Services, Strategic Accounts, and other partners as a process and payer specialist.
• Identify and tackle urgent market development and implementation initiatives to eliminate access barriers and enhance adherence.
• Develop and implement strategic business plans for key accounts and market access initiatives.
• Stay informed about national, regional, and local payer landscapes, specialty pharmacy, utilization management criteria, and formularies.
• Provide field insights to bolster access and patient/payer support programs.
• Anticipate, navigate, and resolve account and patient access challenges in collaboration with relevant stakeholders.
• Show dedication to diversity, equity, and inclusion through ongoing development and inclusive practices.
• A Bachelor’s degree is required.
• A healthcare degree is advantageous, including MS, RN, PA, PharmD, or a similar advanced healthcare/scientific qualification.
• Over 10 years of experience in the pharmaceutical industry with a focus on payer policy and patient access.
• At least 5 years of experience in benefit verifications and/or prior-authorization requirements, or equivalent patient access experience.
• Familiarity with Centers for Medicare & Medicaid Services (CMS) policies and procedures, including Medicare Parts B & D.
• Understanding of specialty markets, HUB/reimbursement services, and patient access programs.
• Strong grasp of specialty product access/reimbursement processes, including Patient Support Services programs.
• Excellent analytical skills to evaluate market dynamics, competitor activities, and ongoing diabetes monitoring trends.
• Capability to collect and interpret data to inform regional strategy, including the role of HUB and patient claims data.
• Knowledge of Integrated Delivery Networks/Integrated Health Systems.
• Proficient in Microsoft applications and capable of conducting virtual interactions via Microsoft Teams.
• Ability to juggle multiple priorities with exceptional organizational and problem-solving capabilities, initiative, and independence.
• Demonstrated success in a cross-functional setting.
• Proficient in delivering impactful educational presentations.
• Strong familiarity with Veeva systems.
• Experience in Pediatric Endocrinology and/or Endocrinology is preferred.
• Previous launch experience in an Access/Reimbursement role is preferred.
• Experience in other biopharmaceutical industry functions is a plus.
• Competitive salaries and benefits.
• Reasonable accommodations during the hiring process for qualified applicants with disabilities.
• Equal opportunity employment.
Mercor
ICF
ICF
The Cigna Group
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