Field Access & Payer Strategy Lead

Waltz Health; Detroit (MI); Vor Ort; USD 110.000 - 150.000; Vollzeit

Zusammenfassung

EVERSANA is seeking a Field Access Manager (FAM) to serve as the primary contact at designated accounts, educating Healthcare Professionals and staff on the Patient Services program, payer landscape, and access pathways. You will coordinate pull-through for patients and act as the face of Patient Services within HCP offices.

The role requires deep knowledge of payer policy, prior authorization processes, and cross-functional collaboration to remove access barriers and optimize patient outcomes

Qualifikationen

• Bachelor’s degree required; healthcare degree advantageous (MS, RN, PA, PharmD, or similar).
• 10+ years in pharmaceutical industry with payer policy and patient access experience.
• 5+ years in benefit verifications and/or prior-authorization or equivalent patient access experience.
• Knowledge of CMS policies and Medicare Parts B & D.
• Knowledge of HUB/reimbursement services and patient access programs.

Aufgaben

• Expand advocacy within HCP offices and educate staff to navigate access and payer approval.
• Provide resources to support patient journey by optimizing prior authorizations and appeals.
• Coordinate patient service platform usage to support HUB or SP paths to therapy.
• Coordinate annual pharmacy reauthorizations to ensure timely continuation of therapy.
• Collaborate with Sales, Market Access, Patient Services and Strategic Accounts to address access barriers.

Kenntnisse

Account management

Payer policy

Cross-functional collaboration

Education presentations

CMS knowledge

Veeva systems

Data interpretation

Ausbildung

Bachelor’s degree

Healthcare degree advantageous (MS, RN, PA, PharmD)

Advanced degree preferred

Tools

Microsoft Teams

Jobbeschreibung

EVERSANA is seeking a Field Access Manager (FAM) to serve as the primary contact at designated accounts, educating Healthcare Professionals and staff on the Patient Services program, payer landscape, and access pathways. You will coordinate pull-through for patients and act as the face of Patient Services within HCP offices.

The role requires deep knowledge of payer policy, prior authorization processes, and cross-functional collaboration to remove access barriers and optimize patient outcomes