Field Access Manager - Ohio Valley

Merck; North Wales (Montgomery County); Remote; USD 90,000 - 120,000; Full time

Job summary

Merck is seeking a Field Access Manager to serve as the subject-matter expert on access issues for HCPs and HCOs. The role works cross-functionally with patient support, market access, and field sales to facilitate timely patient access to therapy.

Responsibilities include providing education on access processes, analyzing access trends, and coordinating with hub vendors. Travel 20-25% within the assigned Ohio Valley territory is required.

Qualifications

• Bachelor's degree required.
• 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.
• Expertise in pharmaceutical compliance and HIPAA regulations regarding patient confidentiality.
• Must reside in the Ohio Valley assigned territory and be able to travel 20-25%.

Responsibilities

• Provide information and education to HCP accounts on patient access, including benefit verification, prior authorization, appeals and patient support programs.
• Analyze access trends and collaborate to address barriers to patient access.
• Build cross-functional relationships to support seamless patient access to therapy.
• Monitor payer trends and provide access information to HCP offices.
• Educate field teams on access issues and hub programs; escalate access issues with third parties.

Skills

Adaptability

Clinical Care

Healthcare Reimbursement

Market Access

HIPAA Regulations

Health Economics

Data Analysis

Interpersonal Relationships

Liaison Work

Payer Coverage

Education

Bachelor's Degree

Job description

Field Access Manager

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.

The FAMs will manage daily activities that support appropriate patient access. Activities include, but are not limited to:

• 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 Ohio Valley 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.
• Has context menu.

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