Regional Patient Access Manager – Northeast

This is a fully remote position, open to applicants in Connecticut, +8 more states.

📋 Description

• Deliver field access support services and training to healthcare professionals to enhance patient access to company offerings and expedite treatment timelines.

• Engage with specialty pharmacies and HUB partners to support marketed products across the United States.

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

• Develop and maintain relationships with pharmacies, physicians, office personnel, and other healthcare professionals to address coverage issues for ongoing prescriptions.

• Educate healthcare professionals on payer-specific coverage policies, documentation requirements, appeals processes, and patient financial assistance programs.

• Introduce electronic patient access submission technologies, such as CoverMyMeds.

• Clarify payer criteria, required forms, prior authorization, Letters of Medical Necessity, appeals, step edits, formulary exception requests, and associated documentation requirements.

• Engage in problem-solving and case resolution activities.

• Maintain compliant communication with field sales, corporate staff, healthcare professionals, network pharmacies, and HUB personnel to identify and resolve patient access and coverage challenges.

• Identify and relay payer-related issues to the National Account Directors team.

• Report on opportunities and challenges concerning patient access issues to management.

• Provide insights into payer coverage policies and processes during internal business reviews and national/regional sales meetings.

• Oversee distribution network processes, propose workflow strategies, and disseminate best practices for specialty distribution efficiency.

• Promote a diverse and inclusive workplace free from discrimination and harassment.

• Undertake additional duties as assigned.

⛳️ Requirements

• Bachelor's degree in a related field along with 6+ years of commercial experience in pharma/biotech, including 2+ years in specialty pharmacy/market access.

• Experience with rare disease products is preferred, ideally alongside expertise in Endocrinology.

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

• A Master’s degree or MBA is preferred, accompanied by 4+ years of relevant experience.

• PharmD or PhD with at least 2+ years of related experience is acceptable.

• Familiarity with best practices in the functional discipline and broader concepts related to business disciplines is essential.

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

• Ability to collaborate as part of and lead multiple teams.

• Demonstrated leadership skills and the ability to guide lower-level and/or indirect teams.

• Proficient computer skills are required.

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

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

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

• In-depth understanding of prescription adjudication processes.

• Ability to clearly communicate payer coverage criteria and prior authorization processes.

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

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

🏝️ Benefits

• Annual bonus opportunity targeting 30% of earned base salary.

• Eligibility for participation 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, prescription drug, dental, and vision coverage.