Regional Patient Access Manager

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

📋 Description

• Deliver field access support services and education to healthcare professionals to enhance patient access and expedite treatment initiation.

• Engage with specialty pharmacies and closed-door pharmacies, including Genoa, as well as HUB partners that support marketed products.

• Execute pharmacy distribution network vetting activities within the designated region, including communication regarding approvals, denials, and removals.

• Assist and inform healthcare provider (HCP) entities on coverage matters, access support services, procedures, forms, payer-specific coverage challenges, and patient financial support initiatives.

• Function as a subject matter authority on both regional and national payer coverage policies and procedures.

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

• Develop and maintain relationships with pharmacies, physicians, office personnel, and other HCPs to address coverage issues related to prescriptions in progress.

• Educate 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 authorization, Letters of Medical Necessity, appeals, step edits, and formulary exception requests.

• Identify and resolve coverage and patient access challenges in collaboration with field sales, corporate staff, HCPs, network pharmacies, and HUB employees.

• Communicate payer-related issues to the National Account Directors team.

• Provide support and education to local closed-door and long-term care pharmacies.

• Relay patient access opportunities and challenges to management.

• Share payer coverage insights during internal business reviews and at regional or national sales meetings.

• Facilitate Patient Access workshops during POA meetings and assist in training new hires.

• Assess the effectiveness of the pharmacy distribution network, utilize end-user feedback, recommend workflow enhancements, and disseminate best practices.

• Strive to foster a diverse and inclusive environment.

• Perform additional duties as required.

⛳️ Requirements

• Bachelor’s degree in a relevant field and a minimum of 6 years of commercial experience in pharma/biotech, including 2 years in specialty pharmacy/market access.

• Alternatively, a Master’s degree or MBA with at least 4 years of relevant experience.

• Or a PharmD or PhD with a minimum of 2 years of related experience.

• Experience with specialty products, particularly in CNS, is preferred.

• Prior experience in other pharma/biotech functions such as sales, management, marketing, or managed markets is desirable.

• Comprehensive understanding of specialty pharmacies, managed care, pharmacy benefit managers, and government payers.

• Strong working knowledge of patient support programs, reimbursement assistance, and financial adherence programs.

• Solid understanding of prescription adjudication procedures.

• Ability to convey payer coverage criteria and prior authorization processes effectively.

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

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

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

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

• Proven ability to work within and lead multiple teams.

• Leadership capabilities and the ability to guide lower-level and/or indirect teams.

• Proficient computer skills.

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

• Ability to manage multiple deadlines across diverse projects and programs with precision and efficiency.

🏝️ 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 matching contributions.

• Paid vacation.

• Paid holidays.

• Paid personal days.

• Paid caregiver/parental leave.

• Paid medical leave.

• Comprehensive medical coverage.

• Prescription drug coverage.

• Dental coverage.

• Vision coverage.

• A diverse and inclusive workplace that is free from discrimination and harassment.