Regional Patient Access Manager

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

📋 Description

• Deliver field access support services and training to Healthcare Professionals to enhance patient access to Company products and expedite treatment initiation.

• Engage with Specialty Pharmacies, Closed Door Pharmacies—including Genoa—and Patient-Physician Services HUB partners to support marketed products across the U.S.

• Establish and maintain the pharmacy distribution network by performing vetting activities within a designated region, including communication regarding approvals, denials, or removals.

• Provide support and education to HCP entities concerning coverage concerns for on-label prescriptions currently in process, including access support services, processes, forms, payer-specific coverage issues, and patient financial support programs.

• Act as a subject matter expert on regional and national payer coverage policies and procedures.

• Collaborate cross-functionally with field sales, network pharmacies, market access, commercial analytics, and operations teams.

• Work with Payer Marketing to develop materials that enhance customer awareness of essential coverage requirements.

• Oversee distribution-network processes, suggest workflow strategies, and share best practices in specialty distribution with trade leadership.

• Cultivate and maintain relationships with pharmacies, physicians, office staff, and other HCPs to address coverage challenges.

• Provide training and education to HCPs on payer-specific coverage policies, documentation needs, appeals processes, and patient financial assistance programs.

• Introduce electronic Patient Access submission technologies such as CoverMyMeds and assist with prior authorizations, Letters of Medical Necessity, appeals, step edits, and formulary exception requests.

• Liaise with field sales, corporate staff, HCPs, network pharmacies, and HUB employees to identify and resolve coverage and patient access challenges.

• Recognize and communicate payer issues to the National Account Directors team.

• Interface with local closed-door and LTC pharmacies, providing support services and education.

• Report patient access challenges and opportunities to management.

• Present payer coverage insights during internal business reviews and national/regional sales meetings.

• Conduct Patient Access workshops at POA meetings and assist with training new hires.

• Strive to foster a diverse and inclusive environment free from discrimination and harassment.

• Monitor pharmacies to ensure efficient and effective operations.

• Perform additional duties as assigned.

⛳️ Requirements

• BS/BA degree in a related field AND 6+ years of commercial experience in pharma/biotech, including 2+ years in specialty pharmacy/market access.

• Experience with specialty products, preferably within CNS.

• Master’s degree or MBA preferred AND 4+ years of relevant experience.

• PharmD or PhD AND 2+ years of relevant experience.

• Strong knowledge of specialty pharmacies, managed care, pharmacy benefit managers, and government payers, and their influence on product access.

• Excellent understanding of patient support programs, including reimbursement support and adherence to financial assistance initiatives.

• Robust knowledge of the prescription adjudication process.

• Capability to communicate payer coverage criteria and prior authorization procedures.

• Previous experience in other pharma/biotech roles such as sales, management, marketing, or managed markets is preferred.

• Awareness of current issues within the marketplace, pharmaceutical industry, and national healthcare system.

• Willingness to travel overnight up to 60% of the time.

• Familiarity with best practices in the functional area and broader related business disciplines.

• Ability to enhance tools and processes within the functional area.

• Capacity to work effectively as part of and lead multiple teams.

• Demonstrated leadership skills, typically guiding lower-level and/or indirect teams.

• Proficient computer skills.

• Exceptional communication, problem-solving, and analytical thinking abilities.

• Ability to see the broader picture and impact across multiple departments/divisions.

• Skill in meeting various deadlines across a range of projects/programs with precision and efficiency.

• Strong project management skills and capability to thrive in a cross-functional environment while managing multiple tasks.

• Excellent interpersonal skills and track record of success in cross-functional teams.

🏝️ Benefits

• Annual bonus with a target of 30% of the earned base salary.

• Eligibility to participate in the equity-based long-term incentive program.

• Retirement savings plan with company match.

• Paid vacation.

• Paid holidays and personal days.

• Paid caregiver/parental and medical leave.

• Comprehensive medical, prescription drug, dental, and vision coverage.