Diabetes Field Access & Payer Strategy Lead

EVERSANA; Cleveland (OH); On-site; USD 110,000 - 170,000; Full time

Job summary

EVERSANA is seeking a Field Access Manager to serve as the primary contact for designated accounts, educating HCP staff on access pathways, payer processes, and patient services programs. You will coordinate HUB/sp access, support authorizations, and work across Sales, Market Access, and Patient Services to overcome barriers and streamline patient access.

Ideal candidates possess a senior background in pharma payer policy, deep knowledge of CMS rules, and strong cross-functional collaboration

Qualifications

• Bachelor’s degree required; healthcare degree advantageous (MS/RN/PA/PharmD).
• 10+ years in pharmaceutical industry with payer policy and patient access.
• 5+ years in benefit verifications and/or prior-authorization requirements.
• Knowledge of CMS policies and Medicare Part B & D.
• Knowledge of specialty markets, HUB/reimbursement, and patient access programs.
• Strong analytical skills to assess market dynamics and payer data.
• Proficiency with Microsoft applications and Teams for virtual engagements.
• Ability to manage multiple priorities with initiative and independence.

Responsibilities

• Expand advocacy within HCP offices and educate staff on access and payer processes.
• Provide resources to support patient journey and prior authorizations.
• Coordinate use of the patient service platform across HUB or SP.
• Coordinate annual pharmacy reauthorizations at designated accounts.
• Collaborate with Sales, Market Access, Patient Services and more to remove access barriers.
• Build and execute a strategic business plan for top accounts and market access initiatives.
• Understand payer landscape and formulary impact at regional levels.
• Support field insights for patient/payer programs offered by the company.
• Address account and patient access issues with stakeholders.
• Demonstrate commitment to diversity, equity, and inclusion.

Skills

Payer policy experience

Patient access expertise

Analytical skills

Cross-functional collaboration

Presentation skills

MS Teams proficiency

Education

Bachelor’s degree in healthcare or related field

Advanced healthcare degree preferred (MS/RN/PA/PharmD)

Tools

Veeva systems

Microsoft Teams

Job description

EVERSANA is seeking a Field Access Manager to serve as the primary contact for designated accounts, educating HCP staff on access pathways, payer processes, and patient services programs. You will coordinate HUB/sp access, support authorizations, and work across Sales, Market Access, and Patient Services to overcome barriers and streamline patient access.

Ideal candidates possess a senior background in pharma payer policy, deep knowledge of CMS rules, and strong cross-functional collaboration