Field Access Manager- New England South

TalentAlly; Hartford (CT); Remote; USD 117,000 - 184,000; Full time

Benefits offered by this job

401(k) plan

Paid holidays

Vacation time

Job summary

TalentAlly is seeking a Field Access Manager (FAM) to serve as the subject-matter expert on access issues for healthcare professionals and organizations. The role is remote/field-based and coordinates with cross-functional teams to facilitate timely patient access and navigate payer coverage.

The position requires deep knowledge of Medicare/Medicaid and commercial plans, with 7+ years in patient support or healthcare operations, and up to 25% travel in assigned territory.

Qualifications

• Bachelor's Degree
• 7+ years' experience in patient support, Pharmaceutical /healthcare sales or operations, or reimbursement support
• Strong knowledge of health insurance structures (Medicare Part B, Medicaid, commercial) and related access processes, including benefit verification, prior authorization, and appeal processes
• Expertise in pharmaceutical compliance and HIPAA regulations regarding patient confidentiality
• Exhibit competent understanding of hub and patient support activities
• Proven ability to manage multiple priorities in a remote environment with 20-25% travel; Must reside in the New England South assigned territory
• Ability to operate as a "team player" in collaborating with multiple sales representatives, sales leadership, and internal colleagues appropriately to reach common goals
• Must be at least 21 years old with a valid driver's license and a clean driving record
• Excellent interpersonal and communication skills; demonstrated ability to engage and influence multiple stakeholders across teams and disciplines

Responsibilities

• Provide information and/or education to HCP accounts on patient access, including benefit verification, prior authorization process, appeals process, and patient support programs in both live and virtual formats.
• Analyze access trends.
• Partner cross-functionally to identify and address barriers to patient access and supporting patient satisfaction.
• Build collaborative, trusted relationships with internal stakeholders to support seamless patient access to therapy.
• Monitor payer trends to address access barriers.
• Provide access information to HCP offices.
• Provide access education to field teams upon approved direction.
• Escalate and coordinate on access issues with third parties including hub vendor.
• Provide education and support on Specialty Pharmacy issues.
• Provide information to HCP offices on how the products are covered under the benefit design (Commercial, Medicare, Medicaid).
• Answer questions about coverage, including payer-specific access questions.
• Maintain deep knowledge of regional and national market dynamics, and payer coverage policies.
• Act as a subject matter expert on access and affordability challenges across various payer types, including Medicare, Medicaid, and commercial plans.
• Educate and update HCPs on key private and public payer coverage and changes that impact access for patients.
• Support patient access to the product by providing subject matter expertise on payer coverage issues impacting product access in a manner that complies with policies, processes and standard operating procedures.
• Educate HCP offices on the product hub program including, e.g., patient support offerings, financial assistance and hub educational resources.
• Demonstrate knowledge of and communicate information about access resources and payer processes/policies.
• Attend National and Regional Meetings.

Skills

HIPAA Regulations

Market Access

Data Analysis

Healthcare Reimbursement

Health Economics

Medicare Part B

Multidisciplinary Teamwork

Education

Bachelor's Degree

Job description

Job Description

The Field Access Manager (FAM) serves as the subject-matter expert on access related issues for healthcare professionals (HCPs) and healthcare organizations (HCOs), and will work cross-functionally with patient support, market access, and field sales to support timely patient access to therapy. The FAM will provide information to providers on access processes, reimbursement issues, and support patient assistance programs, all while ensuring compliance with healthcare regulations.

The FAM role is a remote/field-based role that proactively provides approved education to defined accounts within an assigned geography on matters related to access and coverage to facilitate appropriate patient access. The FAM will analyze access issues and act as the local access resource for HCPs and other field force personnel and region management, as permitted by policy. Where appropriate, the FAM will coordinate with the access hub concerning individual patient cases including patient access and coverage assistance, hub enrollment and overall coordination. The FAM will need to collaborate cross functionally with Field Sales, Marketing, Market Access, Public Affairs, State and Government Affairs, Trade and Specialty Pharmacy Accounts while abiding by all corporate and industry policy and procedures.

Key Responsibilities

• Provide information and/or education to HCP accounts on patient access, including benefit verification, prior authorization process, appeals process, and patient support programs in both live and virtual formats.
• Analyze access trends.
• Partner cross-functionally to identify and address barriers to patient access and supporting patient satisfaction.
• Build collaborative, trusted relationships with internal stakeholders to support seamless patient access to therapy.
• Monitor payer trends to address access barriers.
• Provide access information to HCP offices.
• Provide access education to field teams upon approved direction.
• Escalate and coordinate on access issues with third parties including hub vendor.
• Provide education and support on Specialty Pharmacy issues.
• Provide information to HCP offices on how the products are covered under the benefit design (Commercial, Medicare, Medicaid).
• Answer questions about coverage, including payer-specific access questions.
• Maintain deep knowledge of regional and national market dynamics, and payer coverage policies.
• Act as a subject matter expert on access and affordability challenges across various payer types, including Medicare, Medicaid, and commercial plans.
• Educate and update HCPs on key private and public payer coverage and changes that impact access for patients.
• Support patient access to the product by providing subject matter expertise on payer coverage issues impacting product access in a manner that complies with policies, processes and standard operating procedures.
• Educate HCP offices on the product hub program including, e.g., patient support offerings, financial assistance and hub educational resources.
• Demonstrate knowledge of and communicate information about access resources and payer processes/policies.
• Attend National and Regional Meetings.

Minimum Requirements

• Bachelor's Degree
• Minimum of 7 years' experience in patient support, Pharmaceutical /healthcare sales or operations, or reimbursement support.
• Strong knowledge of health insurance structures (Medicare Part B, Medicaid, commercial) and related access processes, including benefit verification, prior authorization, and appeal processes.
• Expertise in pharmaceutical compliance and HIPAA regulations regarding patient confidentiality.
• Exhibit competent understanding of hub and patient support activities.
• Proven ability to manage multiple priorities in a remote environment with 20-25% travel; Must reside in the New England South assigned territory.
• Ability to operate as a "team player" in collaborating with multiple sales representatives, sales leadership, and internal colleagues appropriately to reach common goals.
• Must be at least 21 years old with a valid driver's license and a clean driving record.
• Excellent interpersonal and communication skills; demonstrated ability to engage and influence multiple stakeholders across teams and disciplines.

Preferred Requirements

• Pharmaceutical industry experience highly preferred.
• Deep understanding of HCP office workflows, prescription flow, and clinic operations; pulmonology experience preferred.

Required Skills

• Adaptability
• Adaptability
• Clinical Care
• Company Policies
• Cost Effectiveness Analysis
• Data Analysis
• Direct Marketing
• Employee Scheduling
• Evaluating Applications
• Healthcare Reimbursement
• Health Economic Modeling
• Health Economics
• Health Economics Research
• Health Policy Analysis
• Health Technology Assessment (HTA)
• HIPAA Regulations
• Interpersonal Relationships
• Liaison Work
• Market Access
• Market Analysis
• Market Research
• Medicare Part B
• Multidisciplinary Teamwork
• Patient Assistance
• Patient Engagement

Compensation and Benefits

The salary range for the primary location of this role is: $117,000.00 - $184,200.00. This range reflects the Company's reasonable expectation of the base salary applicable to this role at the time of posting. An employee's position within the salary range will be based on several factors including, but not limited to relevant education, qualifications, certifications, experience, skills, geographic location, government requirements, and business or organizational needs. The successful candidate will be eligible for annual bonus and long-term incentive, if applicable.

We offer a comprehensive package of benefits. Available benefits include medical, dental, vision healthcare and other insurance benefits (for employee and family).

• retirement benefits, including 401(k)
• paid holidays
• vacation
• compassionate and sick days

Additional Locations

Salary range above applies to the Primary Location of the position. Where a role has other listed locations, different compensation guidelines may apply. If the salary range is not listed for the location you are applying to, our Talent Acquisition team will provide further information to you relevant to your location.

San Francisco Residents Only: We will consider qualified applicants with arrest and conviction records for employment in compliance with the San Francisco Fair Chance Ordinance.

Los Angeles Residents Only: We will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.

Recruiter Policy

Merck & Co., Inc., Rahway, NJ, USA, also known as Merck Sharp & Dohme LLC, Rahway, NJ, USA, does not accept unsolicited assistance from search firms for employment opportunities.