Field Access Manager - Northeast

Scorpion Therapeutics

United States

On-site

USD 110,000 - 160,000

Full time

14 days+
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Job summary

Scorpion Therapeutics is seeking a Field Access Manager (Market Access) to lead payer strategy across a defined geography and to ensure robust access for Telix portfolio products. You will coordinate with providers, sites of service staff, and policy stakeholders to optimize reimbursement and educate on medical policy.

The role requires extensive experience in pharmaceutical market access, Medicare/Medicaid knowledge, and strong cross-functional collaboration.

Qualifications

  • BA/BS degree or equivalent experience.
  • 5+ years in pharmaceutical/biotech, market access preferred.
  • 3+ years in healthcare coverage, coding and/or reimbursement.
  • Experience with Medicare Part B, buy-and-bill, and payer policies.

Responsibilities

  • Support Access and Reimbursement for Telix brand portfolio within an assigned geography; maintain regional payer portfolio.
  • Collaborate with site of service staff, providers, and stakeholders on reimbursement education, appeals/denials, patient support services, and appropriate use criteria.
  • Educate site of service staff on medical policy and reimbursement topics/policy criteria.
  • Develop KOL relationships to support patient advocacy and grassroots efforts.
  • Serve as reimbursement and payer policy subject matter expert across Telix and competitor landscape; understand Medicaid, Medicare, and commercial reimbursement regulations.
  • Perform access reviews within key accounts to confirm reasonable/custodial reimbursements.
  • Manage regional payer accounts from pre-commercial through launch and maintenance.
  • Engage policymakers, industry associations, and advocacy groups to shape local/regional healthcare policies.
  • Deliver market access value proposition to population health decision-makers, medical directors, policy development directors, DUR committees, and formulary managers.
  • Develop/execute strategy for policy creation and implementation; improve medical policy placement and remove access barriers.
  • Monitor/analyze healthcare policies and provide updates to internal and external stakeholders.
  • Complete timely administrative responsibilities (e.g., case and success/challenge reporting, expense, vacation/time-off reporting).

Skills

Market access
Payer policy
Reimbursement knowledge
Stakeholder engagement
Policy development

Education

BA/BS degree or equivalent experience

Job description

Field Access Manager (Market Access)
Responsibilities
  • Support Access and Reimbursement for the Telix brand portfolio within an assigned geography; maintain regional payer portfolio.
  • Work with site of service support staff, providers, and other stakeholders on reimbursement (billing/coding education, appeals/denials, patient support services, appropriate use criteria).
  • Educate site of service staff on medical policy and reimbursement topics/policy criteria.
  • Develop KOL relationships to support patient advocacy and grassroots efforts.
  • Serve as reimbursement and payer policy subject matter expert (Telix and competitor landscape) and understand Medicaid, Medicare, and commercial reimbursement regulations.
  • Perform access reviews within key accounts to confirm reasonable/custodial reimbursements.
  • Manage regional payer accounts from pre-commercial through launch and maintenance.
  • Engage policymakers, industry associations, and advocacy groups to shape local/regional healthcare policies.
  • Deliver market access value proposition to population health decision-makers, medical directors, policy development directors, DUR committees, and formulary managers.
  • Develop/execute strategy for policy creation and implementation; improve medical policy placement and remove access barriers.
  • Monitor/analyze healthcare policies and provide updates to internal and external stakeholders.
  • Complete timely administrative responsibilities (e.g., case and success/challenge reporting, expense, vacation/time-off reporting).
Qualifications & Experience
  • BA/BS degree or equivalent experience required.
  • 5+ years in pharmaceutical/biotech (preference: market access).
  • 3+ years in healthcare coverage, coding and/or reimbursement.
  • Direct experience with buy-and-bill products, Medicare Part B, and miscellaneous codes.
  • Diagnostic radiology and oncology experience strongly preferred.
  • Experience working with billing/coding/medical claims; understanding of claims settings/sites of care (physician office, hospital outpatient, IDTF).
  • Knowledge of payer policies/payment methodology for commercial and government insurance.
  • Experience working with regional/national/government payer entities on policy development/implementation.
  • Understanding of oncology buy-and-bill model (recent experience preferred).
  • Knowledge of specialty markets, HUB/reimbursement support, and patient access programs.
  • Ability to travel 20–40% depending on regional/customer needs.
Key Capabilities (preferred)
  • Inclusive mindset, creativity/innovation, commitment to excellence, results-oriented, ethical behavior, adaptability, strong communication, collaboration, resilience, continuous learning.
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