Diabetes Field Access & Payer Lead

Waltz Health; San Francisco (CA); Presencial; USD 110.000 - 160.000; Jornada completa

Descripción de la vacante

EVERSANA is seeking a Field Access Manager (FAM) to serve as the primary contact at designated accounts, educating HCP staff on access programs and payer processes. You will coordinate HUB/sp access, drive patient services initiatives, and partner across Sales, Market Access and Patient Services to remove barriers to therapy.

The role requires deep knowledge of payer policy, CMS matters, and access programs, with a focus on cross-functional execution and education across national, regional, and

Formación

• Bachelor’s degree required; healthcare degree advantageous.
• 10+ years in pharmaceutical industry with payer policy & patient access.
• 5+ years in benefit verifications or prior-authorization.
• Knowledge of CMS policies and Medicare Parts B & D.
• Understanding of specialty markets, HUB/reimbursement & patient access programs.
• Strong analytical skills to assess market dynamics and payer data.

Responsabilidades

• Expand advocacy within HCP offices and educate staff on access and payer processes.
• Provide resources to support prior authorizations, appeals, and specialty pharmacy.
• Coordinate patient service platform usage at designated accounts.
• Manage annual pharmacy reauthorizations for timely continuation of therapy.
• Collaborate with Sales, Market Access and Patient Services to remove access barriers.
• Develop strategic plans to meet top account needs and drive market access initiatives.
• Stay knowledgeable about payer landscapes and formulary changes at national/regional levels.
• Provide field insights to support patient/payer programs offered by the company.

Conocimientos

Payer policy knowledge

Benefit verifications

CMS policies

Cross-functional collaboration

Virtual engagements (Teams)

Data analysis

Educación

Bachelor’s degree

Healthcare degree advantageous

Herramientas

Microsoft Teams

Veeva systems

Descripción del empleo

EVERSANA is seeking a Field Access Manager (FAM) to serve as the primary contact at designated accounts, educating HCP staff on access programs and payer processes. You will coordinate HUB/sp access, drive patient services initiatives, and partner across Sales, Market Access and Patient Services to remove barriers to therapy.

The role requires deep knowledge of payer policy, CMS matters, and access programs, with a focus on cross-functional execution and education across national, regional, and