Field Access Leader: Patient Access & Payer Strategy

Eversana; Michigan; On-site; USD 110,000 - 140,000; Full time

Job summary

EVERSANA is seeking a Field Access Manager to lead payer policy and patient access initiatives for designated accounts. You will educate HCP staff, coordinate patient service pathways (HUB/SP), and work with internal partners to optimize access and approvals.

The role requires deep knowledge of CMS policies, Medicare Part B/D, and specialty access programs, with a track record of cross-functional collaboration and complex access optimization.

Qualifications

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

Responsibilities

• Expand advocacy within HCP offices and educate staff on access and payer processes.
• Provide resources to support patient journey, including prior authorizations and appeals.
• Coordinate patient service platform usage to support HUB or SP paths.
• Coordinate annual pharmacy reauthorizations for continuity of therapy.
• Collaborate with Sales, Market Access, Patient Services and Strategic Accounts to remove access barriers.
• Develop and execute strategic plans to meet top accounts’ needs and implement market access initiatives.
• Maintain knowledge of payer landscape and formularies at national, regional, and local levels.

Skills

Payer policy & patient access

Benefit verifications & prior-author

CMS policies & Medicare

Specialty market knowledge

Cross-functional collaboration

Education

Bachelor’s degree

Healthcare degree (MS/RN/PA/PharmD)

Tools

Veeva systems

Microsoft Teams

Microsoft Office

Job description

EVERSANA is seeking a Field Access Manager to lead payer policy and patient access initiatives for designated accounts. You will educate HCP staff, coordinate patient service pathways (HUB/SP), and work with internal partners to optimize access and approvals.

The role requires deep knowledge of CMS policies, Medicare Part B/D, and specialty access programs, with a track record of cross-functional collaboration and complex access optimization.