Diabetes Market Access Field Lead

Eversan, Inc.; Oklahoma City (OK); On-site; USD 150,000 - 165,000; Full time

Job summary

EVERSANA is seeking a Field Access Manager (Diabetes) in Oklahoma/Memphis to lead payer strategy and patient access initiatives for approved therapies. This full-time role focuses on education, HUB and reimbursement processes, and cross-functional collaboration to remove access barriers and ensure continuity of therapy.

The ideal candidate has 10+ years in pharma, deep payer policy knowledge, and strong analytical skills, with experience in CMS rules, prior authorizations, and leveraging Patient

Qualifications

• 10+ years in pharmaceutical industry with payer policy and patient access.
• 5+ years in benefit verifications or prior-authorization requirements or equivalent experience in patient access.
• Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with experience in Medicare Parts B & D.
• Knowledge and understanding of specialty markets, HUB/reimbursement services and patient access programs.
• Strong analytical skills to assess market dynamics, competitor activity, and continuous diabetes monitoring trends.
• Knowledge of Integrated Delivery Network/Integrated Health Systems.
• Strong understanding of Microsoft applications and the ability to conduct virtual engagements via Microsoft Teams.
• Ability to manage multiple priorities with excellent organizational and problem-solving skills with a high level of initiative and independence.
• Proven success in working in a cross functional environment.
• Ability to conduct impactful educational presentations.

Responsibilities

• Expand advocacy within HCP offices to navigate access and payer approval.
• Offer educational resources to support patient’s journey including prior authorizations/appeals and addressing access issues.
• Coordinate utilization of the patient service platform across HUB and SP channels.
• Coordinate annual pharmacy reauthorizations at designated accounts to ensure timely reauthorization.
• Collaborate with Sales, Market Access, Patient Services and Strategic Accounts to address access barriers.
• Build and execute strategic business plans for top accounts and ensure successful implementation of market access initiatives.
• Maintain knowledge of payer landscape, including special pharmacy and utilization management criteria.
• Support field insights to ensure access and patient/payer programs offered by the company’s Patient Support Programs.
• Anticipate and address account and patient access issues by partnering with stakeholders.
• Demonstrate commitment to diversity, equity, and inclusion.

Skills

Payer policy

Patient access

CMS policies

Specialty markets

HUB/reimbursement

Data analysis

Cross-functional collaboration

Presentation skills

Microsoft Teams

Veeva systems

Prior authorization

Benefit verifications

Education

Bachelor's degree

Advanced degree preferred

Tools

Veeva systems

Microsoft Office

Job description

EVERSANA is seeking a Field Access Manager (Diabetes) in Oklahoma/Memphis to lead payer strategy and patient access initiatives for approved therapies. This full-time role focuses on education, HUB and reimbursement processes, and cross-functional collaboration to remove access barriers and ensure continuity of therapy.

The ideal candidate has 10+ years in pharma, deep payer policy knowledge, and strong analytical skills, with experience in CMS rules, prior authorizations, and leveraging Patient