Diabetes Field Access Manager – Payer & Patient Access

Eversana; San Francisco (CA); On-site; USD 150,000 - 165,000; Full time

Job summary

EVERSANA is seeking a Field Access Manager (Diabetes) to lead payer strategy and patient access initiatives across Northern California. You will educate HCP staff, navigate prior authorizations, and coordinate patient service platforms to ensure timely access to therapy.

You will partner with Sales, Market Access, and Patient Services to optimize regional access, understand payer dynamics, and drive successful implementation of access initiatives while maintaining a patient-first focus in a

Qualifications

• 10+ years in pharmaceutical industry with payer policy and patient access.
• 5+ years of experience in benefit verifications and/or prior-authorization requirements or equivalent experience in patient access.
• Knowledge of CMS policies and processes with Medicare Parts B & D.
• Knowledge of specialty markets, HUB/reimbursement services and patient access programs.
• Strong understanding of patient access programs and reimbursement processes.
• Strong analytical skills to assess market dynamics and interpret data.
• Knowledge of Integrated Delivery Networks/Integrated Health Systems.
• Proficiency with Microsoft applications and virtual engagements via Teams.
• Ability to manage multiple priorities with initiative and independence.
• Proven capability to conduct impactful educational presentations.
• Strong knowledge of Veeva systems.

Responsibilities

• Expand advocacy within HCP offices and educate staff to navigate access and payer approval.
• Provide resources to support patient journey by improving prior authorizations/appeals processes.
• Coordinate use of patient service platform to support patients and offices choosing HUB or SP.
• Coordinate annual pharmacy reauthorizations at designated accounts.
• Collaborate cross-functionally with Sales, Market Access, Patient Services and more to address access barriers.
• Build and execute strategic plans to meet top accounts’ needs for market access.
• Maintain knowledge of payer landscape on national, regional, and local levels.
• Understand alignment of payer/PBM/SP and impact of formularies on access in designated geography.
• Provide field insights to support access programs and patient services.
• Anticipate and address account and patient access issues with stakeholders.
• Demonstrate commitment to diversity, equity, and inclusion.

Skills

Payer policy

Patient access

CMS policy

HUB/reimbursement

Specialty markets

Data analysis

MS Teams

Cross-functional work

Veeva systems

Educational presentations

Market access strategy

Education

Bachelor’s degree

Advanced degree preferred

Tools

Veeva systems

Microsoft Teams

Job description

EVERSANA is seeking a Field Access Manager (Diabetes) to lead payer strategy and patient access initiatives across Northern California. You will educate HCP staff, navigate prior authorizations, and coordinate patient service platforms to ensure timely access to therapy.

You will partner with Sales, Market Access, and Patient Services to optimize regional access, understand payer dynamics, and drive successful implementation of access initiatives while maintaining a patient-first focus in a