Field Access Manager – Allegheny

Jobtailor; Deutschland; Remote; EUR 103.000 - 155.000; Vollzeit

Zusammenfassung

Jobtailor is seeking an accomplished Field Access Leader to drive patient access initiatives across payer coverage, prior authorizations, and HUB services. You will partner with HCP offices to verify benefits and educate on payer requirements, analyze data to close access gaps, and deliver field-facing education with compliant materials.

The role requires deep knowledge of reimbursement pathways, strong problem-solving and stakeholder management skills, and willingness to travel within the

Qualifikationen

• Bachelor's degree in business, life sciences, healthcare administration, or related field.
• 10+ years of experience in pharmaceutical field reimbursement, patient access services, HUB services, specialty pharmacy, or market access support roles.
• Strong understanding of payer dynamics, reimbursement pathways, prior authorization workflows, and specialty pharmacy distribution models.
• Experience working with HUB systems, case management platforms, and specialty pharmacy data feeds.
• Demonstrated ability to resolve complex access and reimbursement cases in a field-based or customer-facing role.
• Strong knowledge of pharmaceutical access data sources and processes, including claims, benefit verification, SP reporting, and payer policy tracking.
• Excellent problem-solving skills with the ability to simplify complex reimbursement scenarios into clear, actionable steps.
• Strong communication and relationship-building skills with HCP offices, field teams, and internal stakeholders.
• Ideal candidate resides within the Allegheny territory and within a 100-mile radius of a major commercial airport.

Aufgaben

• Lead proactive identification and resolution of patient access barriers across payer coverage and prior authorization.
• Partner with HCP offices to support benefits verification and education regarding payer documentation requirements.
• Analyze HUB, specialty pharmacy, and payer data to identify access gaps and drive improvements.
• Serve as a field access subject matter expert delivering approved education to stakeholders.
• Collaborate with Market Access, Patient Services, and HUB vendors to improve pull-through efficiency.
• Support launch readiness and lifecycle management by identifying barriers early and mitigating in the field.
• Monitor access metrics such as time to fill, PA approval rates, abandonment, and conversion rates.
• Manage high-priority escalations requiring cross-functional coordination.
• Conduct payer landscape monitoring at regional level for policy changes or coverage shifts.
• Deliver field insights to inform access strategy and patient support program enhancements.
• Maintain compliant documentation of case activity in CRM systems.
• Bridge strategy and execution to ensure access strategies work in the field.
• Travel throughout the assigned territory to engage with providers and HUB-related partners.

Kenntnisse

Data Analysis

Prior Authorization Workflows

Benefit Verification

Claims Processing

Specialty Pharmacy Distribution Models

Access Performance Metrics Monitoring

Case Management

Process Improvement Implementation

Access Education Delivery

Field-Based Mitigation Strategies

Ausbildung

Bachelor's degree in business, life sciences, healthcare administration, or related field

Tools

Microsoft Office Suite

CRM Systems

Tableau

Power BI

Jobbeschreibung

• Lead proactive identification and resolution of patient access barriers across payer coverage, prior authorization, step edits, copay assistance, and specialty pharmacy routing
• Partner with HCP offices to support benefits verification and education regarding payer documentation requirements and available patient support resources
• Analyze and interpret HUB, specialty pharmacy, and payer data to identify systemic access gaps and implement compliance-approved process improvements or access education
• Serve as a field access subject matter expert, providing approved access education to internal stakeholders consistent with compliance-approved materials
• Collaborate with Market Access, Patient Services, and HUB vendors to improve pull-through efficiency and resolve recurring access friction points
• Support launch readiness and lifecycle management by identifying access barriers early and executing field-based mitigation strategies
• Monitor key access performance metrics, including time to fill, PA approval rates, abandonment rates, and conversion rates, and translate insights into action plans
• Manage high-priority case escalations involving complex reimbursement or payer issues requiring cross-functional coordination
• Conduct payer landscape monitoring at the regional level, identifying policy changes or coverage shifts impacting patient access
• Deliver structured field insights to cross-functional partners to inform access strategy, HUB optimization, and patient support program enhancements
• Maintain compliant, accurate documentation of case activity, interventions, and outcomes in CRM systems
• Act as a bridge between strategy and execution, ensuring access strategies are working in the field
• Travel throughout the assigned territory to engage with healthcare providers, patient support stakeholders, specialty pharmacies, and other access-related partners

Requirements

• Bachelor degree in business, life sciences, healthcare administration, or related field
• 10+ years of experience in pharmaceutical field reimbursement, patient access services, HUB services, specialty pharmacy, or market access support roles
• Strong understanding of payer dynamics, reimbursement pathways, prior authorization workflows, and specialty pharmacy distribution models
• Experience working with HUB systems, case management platforms, and specialty pharmacy data feeds
• Demonstrated ability to resolve complex access and reimbursement cases in a field-based or customer-facing role
• Strong knowledge of pharmaceutical access data sources and processes, including claims, benefit verification, SP reporting, and payer policy tracking
• Excellent problem-solving skills with the ability to simplify complex reimbursement scenarios into clear, actionable steps
• Strong communication and relationship-building skills with HCP offices, field teams, and internal stakeholders
• Ability to operate in a fast-paced launch or high-growth commercial environment with multiple priorities
• Proficiency with CRM systems and Microsoft Office Suite; familiarity with BI tools such as Tableau and Power BI is a plus
• Experience training or supporting field sales teams on access and reimbursement topics is preferred
• Ideal candidate resides within the Allegheny territory and within a 100-mile radius of a major commercial airport

Core Competencies

Demonstrates expertise in patient access services, reimbursement pathways, and specialty pharmacy operations, with a strong ability to analyze data and implement process improvements. Proven track record in managing complex reimbursement cases and collaborating with healthcare providers to enhance patient support.

Highest-signal resume keywords

• Patient Access Services
• Reimbursement Pathways
• HUB Systems Experience
• Payer Dynamics Knowledge
• CRM Systems Proficiency

Hard Skills

• Data Analysis
• Prior Authorization Workflows
• Benefit Verification
• Claims Processing
• Specialty Pharmacy Distribution Models
• Access Performance Metrics Monitoring
• Case Management
• Process Improvement Implementation
• Access Education Delivery
• Field-Based Mitigation Strategies

Soft Skills

• Problem-Solving
• Communication
• Relationship-Building
• Collaboration
• Adaptability

Industry Keywords

• Pharmaceutical Field Reimbursement
• Patient Support Programs
• Market Access
• HUB Services
• Specialty Pharmacy

Tools & Technologies

• Microsoft Office Suite
• CRM Systems
• Tableau
• Power BI