
Field Access Manager β Mid Central
Posted Sep 11

Posted Sep 11
This is a fully remote position, open to applicants in Illinois, +2 more states.
β’ Proactively identify and resolve patient access challenges related to payer coverage, prior authorization, step edits, copay assistance, and specialty pharmacy routing.
β’ Collaborate with healthcare provider offices to assist with benefits verification and educate on payer documentation requirements and patient support resources.
β’ Analyze and interpret data from HUB, specialty pharmacy, and payers to pinpoint systemic access gaps and implement compliance-approved process enhancements or access education.
β’ Act as a field access subject matter expert, delivering approved access education to internal stakeholders.
β’ Work alongside Market Access, Patient Services, and HUB vendors to enhance pull-through efficiency and address recurring access friction points.
β’ Assist with launch readiness and lifecycle management by identifying access challenges and executing field-based mitigation strategies.
β’ Track access performance metrics such as time to fill, PA approval rates, abandonment rates, and conversion rates.
β’ Handle high-priority case escalations involving intricate reimbursement or payer issues.
β’ Conduct regional payer landscape monitoring and identify any policy changes or coverage shifts.
β’ Provide structured field insights to cross-functional partners to guide access strategies, HUB optimization, and enhancements to patient support programs.
β’ Ensure compliant and accurate documentation of case activities, interventions, and outcomes in CRM systems.
β’ Integrate access strategy with field execution to ensure effective implementation of strategies.
β’ Bachelorβs degree in business, life sciences, healthcare administration, or a related field (advanced degree preferred but not mandatory).
β’ Over 10 years of experience in pharmaceutical field reimbursement, patient access services, HUB services, specialty pharmacy, or market access support roles.
β’ Strong understanding of payer dynamics, reimbursement pathways, prior authorization workflows, and specialty pharmacy distribution models.
β’ Experience with HUB systems, case management platforms, and specialty pharmacy data feeds.
β’ Proven ability to resolve complex access and reimbursement cases in a field-based or customer-facing capacity.
β’ Extensive knowledge of pharmaceutical access data sources and processes including claims, benefit verification, SP reporting, and payer policy tracking.
β’ Excellent problem-solving skills with the capability to distill complex reimbursement scenarios into straightforward, actionable steps.
β’ Strong communication and relationship-building abilities with HCP offices, field teams, and internal stakeholders.
β’ Capacity to function in a fast-paced launch or high-growth commercial environment with competing priorities.
β’ Proficient in CRM systems and Microsoft Office Suite.
β’ Familiarity with BI tools such as Tableau and Power BI is advantageous.
β’ Experience in training or supporting field sales teams on access and reimbursement topics is preferred.
β’ Equity in the form of stock options and/or restricted stock units.
β’ Comprehensive coverage for health, dental, vision, life, and disability insurance.
β’ 401k retirement benefits with employer matching.
β’ Learning stipends.
β’ Wellness stipends.
β’ Paid time off.
Mercor
ICF
ICF
The Cigna Group
Get handpicked remote jobs straight to your inbox weekly.