Field Access & Payer Strategy Lead

Waltz Health; New Orleans (LA); Vor Ort; USD 90.000 - 130.000; Vollzeit

Zusammenfassung

EVERSANA seeks a Field Access Manager to serve as the primary contact for designated accounts, educating HCP staff on access strategies and payer processes. You will coordinate HUB/sp pathways and ensure timely reauthorizations to maintain therapy continuity, while partnering with Sales, Market Access, and Patient Services to unlock payer-driven access.

The role requires deep CMS knowledge, extensive payer experience, and strong cross-functional collaboration across regions to optimize patient

Qualifikationen

• The requirements below represent the experience, education, knowledge, skills, and abilities needed for this role.
• Bachelor’s degree required; Healthcare degree advantageous, including MS, RN, PA, PharmD, or similar advanced healthcare/scientific degree.
• 10+ years in pharmaceutical industry with experience in payer policy and patient access.
• 5+ years of experience in benefit verifications and/or prior-authorization requirements or equivalent experience in patient access.
• Knowledge of CMS policies and processes with experience in Medicare Parts B & D.
• Knowledge and understanding of specialty markets, HUB/reimbursement services and patient access programs.
• Strong analytical skills to assess market dynamics and data-driven regional strategy.
• Strong understanding of Microsoft applications and virtual engagements via Teams.
• Ability to manage multiple priorities with initiative and independence.
• Proven success in cross-functional collaboration.

Aufgaben

• Expand advocacy within HCP offices and educate staff to navigate access and payer approval.
• Offer educational resources to support the patient journey for prior authorizations and appeals.
• Coordinate use of patient service platforms to support HUB or SP pathways.
• Coordinate annual pharmacy reauthorizations at accounts to ensure continuity.
• Collaborate with Sales, Market Access, and Patient Services to remove access barriers.

Kenntnisse

Payer policy

Patient access

CMS knowledge

Veeva systems

MS Teams

Cross-functional

Prior authorization

Ausbildung

Bachelor’s degree

Healthcare degree

Tools

MS Office

Jobbeschreibung

EVERSANA seeks a Field Access Manager to serve as the primary contact for designated accounts, educating HCP staff on access strategies and payer processes. You will coordinate HUB/sp pathways and ensure timely reauthorizations to maintain therapy continuity, while partnering with Sales, Market Access, and Patient Services to unlock payer-driven access.

The role requires deep CMS knowledge, extensive payer experience, and strong cross-functional collaboration across regions to optimize patient