Regional Patient Access Manager

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

📋 Description

• Deliver field access support services and educational resources to Healthcare Professionals to enhance patient access and expedite treatment timelines.

• Engage with specialty pharmacies, closed-door pharmacies, and the Patient-Physician Services HUB partner to support marketed products.

• Develop and maintain the pharmacy distribution network by conducting vetting activities, communicating approvals and denials, and removing pharmacies as needed.

• Assist and educate HCPs regarding coverage issues, access support services, processes, forms, payer-specific coverage, and patient financial support programs.

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

• Collaborate with field sales, network pharmacies, market access, commercial analytics, operations, and Payer Marketing.

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

• Train and inform HCPs about payer coverage policies, documentation requirements, appeals processes, and patient assistance programs.

• Introduce and promote electronic Patient Access submission technologies such as CoverMyMeds.

• Clarify payer criteria, prior authorization, letters of medical necessity, appeals, step edits, formulary exceptions, and associated documentation requirements.

• Troubleshoot and resolve patient access issues through effective problem-solving.

• Identify and relay payer concerns to the National Account Directors team.

• Interact with local closed-door and long-term-care pharmacies.

• Communicate patient access opportunities and obstacles 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 for new hires.

• Oversee distribution-network processes, propose workflow enhancements, share best practices, and utilize end-user feedback to improve specialty distribution efficiency.

• Build and maintain the pharmacy distribution network through ongoing vetting and monitoring of pharmacy operations.

• Execute other assigned duties as needed.

⛳️ Requirements

• BS/BA degree in a relevant field and over 6 years of commercial experience in pharma/biotech, including at least 2 years in specialty pharmacy/market access.

• Alternatively, a Master’s degree or MBA with a minimum of 4 years of related experience.

• Alternatively, a PharmD or PhD with at least 2 years of related experience.

• Experience with specialty products; CNS experience is preferred.

• In-depth understanding of specialty pharmacies, managed care, pharmacy benefit managers, and government payers.

• Excellent knowledge of patient support programs, reimbursement assistance, financial aid, and adherence initiatives.

• Strong grasp of the prescription adjudication process.

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

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

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

• Familiarity with best practices in functional disciplines and related business areas.

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

• Competence to work collaboratively and lead multiple teams.

• Leadership skills, including the ability to guide lower-level and/or indirect teams.

• Proficient computer skills.

• Outstanding communication, problem-solving, analytical thinking, project management, interpersonal, and cross-functional collaboration abilities.

• Capacity to manage multiple deadlines and tasks accurately and efficiently.

🏝️ Benefits

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

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

• Retirement savings plan with company match.

• Paid vacation.

• Paid holidays.

• Paid personal days.

• Paid caregiver/parental leave.

• Paid medical leave.

• Comprehensive medical coverage.

• Prescription drug coverage.

• Dental coverage.

• Vision coverage.

• Commitment to workplace belonging, respect, and empowerment.