Field Access Manager – Diabetes

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

📋 Description

• Serve as the primary contact for designated accounts, delivering account management support to healthcare professionals and their staff on behalf of patients who have been prescribed approved products.

• Provide education to accounts regarding the Patient Services program, the regional payer landscape, and access to pharmacy channels.

• Facilitate pull-through initiatives for prescribed patients across HUB, specialty pharmacy, and other channels, ensuring proper HIPAA consent is obtained.

• Act as the face of Patient Services platforms within the designated healthcare professional offices.

• Collaborate with both internal and external stakeholders to enhance product access for patients.

• Foster advocacy within healthcare professional offices and educate staff on access and payer approval workflows.

• Identify barriers to access and highlight actions that healthcare professionals can take to enhance patient access to therapy.

• Offer educational materials that support prior authorizations, appeals, specialty pharmacy, and resolution of access issues.

• Coordinate the use of patient service platforms according to the office's preferred HUB or specialty pharmacy pathway.

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

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

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

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

• Maintain in-depth knowledge of national, regional, and local payer landscapes, specialty pharmacy, and utilization management criteria.

• Understand the alignment of payers, PBMs, and specialty pharmacies, and how formularies impact market access in the specified geography.

• Provide insights from the field that support company access and patient/payer assistance programs.

• Anticipate, navigate, and resolve account and patient access concerns with relevant stakeholders.

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

⛳️ Requirements

• A Bachelor’s degree is required.

• A healthcare degree is advantageous, including MS, RN, PA, PharmD, or a comparable advanced healthcare/scientific degree.

• 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 experience in patient access.

• Familiarity with Centers for Medicare & Medicaid Services (CMS) policies and procedures, including Medicare Parts B & D.

• Knowledge and comprehension of specialty markets, HUB/reimbursement services, and patient access programs.

• Strong grasp of specialty product access and reimbursement processes, including Patient Support Services programs.

• Excellent analytical skills to evaluate market dynamics, competitor actions, and continuous diabetes monitoring trends.

• Ability to collect and interpret data to inform regional strategy, including HUB and patient claims data.

• Understanding of Integrated Delivery Networks/Integrated Health Systems.

• Proficient in Microsoft applications and capable of conducting virtual engagements via Microsoft Teams.

• Ability to juggle multiple priorities with exceptional organizational and problem-solving skills, initiative, and independence.

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

• Ability to deliver impactful educational presentations.

• Strong knowledge of Veeva systems.

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

• Previous experience with product launches in an Access/Reimbursement role is preferred.

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

🏝️ Benefits

• Competitive salary and benefits package.

• Reasonable accommodations during the hiring process for qualified applicants with disabilities.

• Commitment to equal opportunity employment and an inclusive workplace.