Field Access Manager – Diabetes

This is a fully remote position, open to applicants in New York, +1 more state.

📋 Description

• Serve as the primary point of contact for assigned accounts, offering account management assistance to healthcare professionals and their teams on behalf of patients using approved products.

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

• Facilitate pull-through initiatives for patients prescribed medications, coordinating with HUB, specialty pharmacies, and other channels once proper HIPAA consent is obtained.

• Represent Patient Services platforms as the main liaison within designated healthcare provider offices.

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

• Foster advocacy within healthcare provider offices and inform staff about access and payer approval procedures.

• Identify challenges related to access and emphasize healthcare provider actions that facilitate patient access to therapies.

• Offer resources to assist with prior authorizations, appeals, specialty pharmacy, and resolving access issues.

• Oversee the utilization of patient service platforms, including HUB and specialty pharmacy pathways.

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

• Work cross-functionally with Sales, Market Access, Patient Services, and Strategic Accounts.

• Identify and address urgent market development and implementation initiatives aimed at eliminating access barriers and enhancing adherence.

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

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

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

• Proactively anticipate, navigate, and resolve access issues related to individual accounts and patients with 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 similar advanced healthcare/scientific degree.

• Over 10 years of experience in the pharmaceutical industry, focusing on payer policy and patient access.

• A minimum of 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 processes, including Medicare Parts B & D.

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

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

• Excellent analytical abilities to evaluate market dynamics, competitor activities, and ongoing diabetes monitoring trends.

• Proficient in gathering and interpreting data to inform regional strategies, 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.

• Exceptional organizational and problem-solving skills; the ability to manage numerous priorities with initiative and independence.

• Demonstrated success in a cross-functional environment.

• Capability to deliver impactful educational presentations.

• Strong knowledge of Veeva systems.

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

• Previous launch experience in an Access/Reimbursement role is preferred.

• Previous biopharmaceutical industry experience in product marketing, managed care, field sales, case management, or within a large healthcare practice is a plus.

🏝️ Benefits

• Competitive salary and benefits package.

• Commitment to diversity, equity, and inclusion.

• Reasonable accommodations provided during the hiring process.

• Option for remote work.