Diabetes Field Access Manager & Patient Services Lead

Eversana

California

On-site

USD 110,000 - 160,000

Full time

8 days ago

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Job summary

EVERSANA is actively seeking a Field Access Manager (FAM) to serve as the primary contact at designated accounts, educating healthcare professionals and staff on patient access programs and payer landscape. You will coordinate HUB/sp pathways, authorize necessary steps for prior authorizations, and partner with multiple internal teams to optimize access to therapies.

The role emphasizes strategic account planning, educational outreach, and a strong understanding of CMS policies and reimbursement

Qualifications

  • Bachelor’s degree required; Healthcare degree advantageous (MS, RN, PA, PharmD, or similar)
  • 10+ years in pharmaceutical industry with payer policy and patient access experience
  • 5+ years in benefit verifications and/or prior-authorization or equivalent experience
  • Knowledge of CMS policies and Medicare Parts B & D
  • Familiarity with specialty markets, HUB/reimbursement services and patient access programs
  • Strong analytical skills to assess market dynamics and payer landscape
  • Experience with Integrated Delivery Networks/Health Systems
  • Proficiency with Microsoft applications and virtual engagements via Teams
  • Ability to manage multiple priorities with strong organizational skills
  • Proven cross-functional collaboration and stakeholder management

Responsibilities

  • Expand advocacy within HCP offices and educate staff to navigate access and payer processes
  • Provide educational resources to support the patient journey (prior authorizations, appeals, specialty pharmacy)
  • Coordinate patient service platform usage to support HUB or specialty pharmacy pathways
  • Manage annual pharmacy reauthorizations at accounts for ongoing therapy
  • Collaborate with Sales, Market Access, Patient Services and Strategic Accounts to address access barriers
  • Develop and execute strategic plans to meet top accounts’ needs and access initiatives
  • Maintain knowledge of payer landscape and formulary impacts across regions
  • Share field insights to support patient/payer programs offered by Patient Support Programs
  • Anticipate and address account and patient access issues with stakeholders
  • Promote diversity, equity, and inclusion in daily actions and decisions

Skills

Payer policy knowledge
Patient access
CMS policies
Educational presentations
Cross-functional collaboration
Microsoft Teams
Veeva systems
Analytical skills
Project management
Healthcare industry

Education

Bachelor’s degree
Healthcare degree advantageous (MS/RN/PA/PharmD)

Tools

MS Office
Veeva systems

Job description

EVERSANA is actively seeking a Field Access Manager (FAM) to serve as the primary contact at designated accounts, educating healthcare professionals and staff on patient access programs and payer landscape. You will coordinate HUB/sp pathways, authorize necessary steps for prior authorizations, and partner with multiple internal teams to optimize access to therapies.

The role emphasizes strategic account planning, educational outreach, and a strong understanding of CMS policies and reimbursement

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