Field Access Manager – Southern California

This is a fully remote position, open to applicants in Alaska, +5 more states.

📋 Description

• Spearhead the proactive identification and resolution of obstacles to patient access regarding payer coverage, prior authorizations, step edits, copay assistance, and specialty pharmacy navigation.

• Collaborate with healthcare provider offices on benefits verification, payer documentation requirements, and resources for patient support.

• Examine HUB, specialty pharmacy, and payer data to pinpoint access gaps and implement compliant process enhancements or education initiatives.

• Offer sanctioned access education to internal stakeholders, aligned with compliance-approved materials.

• Work alongside Market Access, Patient Services, and HUB vendors to enhance pull-through efficiency and tackle recurring access challenges.

• Aid in launch readiness and lifecycle management by identifying access hurdles and executing field-based mitigation strategies.

• Track access performance metrics and convert insights into actionable plans.

• Oversee urgent reimbursement and payer case escalations through cross-functional coordination.

• Monitor regional payer landscapes and recognize policy or coverage modifications impacting access.

• Provide field insights to shape access strategies, optimize HUB operations, and enhance patient support programs.

• Keep compliant records of case activities, interventions, and outcomes within CRM systems.

• Connect access strategies with field execution to ensure practical effectiveness of strategies.

⛳️ Requirements

• Bachelor's degree in business, life sciences, healthcare administration, or a related field (advanced degree preferred but not mandatory).

• Over 10 years of experience in pharmaceutical field reimbursement, patient access services, HUB services, specialty pharmacy, or market access support roles.

• Comprehensive understanding of payer dynamics, reimbursement pathways, prior authorization processes, and specialty pharmacy distribution models.

• Experience with HUB systems, case management platforms, and specialty pharmacy data feeds.

• Proven capability to resolve intricate access and reimbursement cases in a field-based or customer-facing position.

• In-depth knowledge of pharmaceutical access data sources and processes, including claims, benefit verification, specialty pharmacy reporting, and payer policy tracking.

• Proficient in CRM systems and Microsoft Office Suite.

• Ability to thrive in a fast-paced commercial environment characterized by rapid launches or high growth, managing multiple priorities.

🏝️ Benefits

• Equity in the form of stock options and/or restricted stock units.

• Comprehensive health insurance.

• Dental insurance.

• Vision insurance.

• Life insurance.

• Disability insurance.

• 401k retirement benefits with employer match.

• Learning stipends.

• Wellness stipends.

• Paid time off.