Field Access & Payer Strategy Lead

Eversana; Oklahoma; On-site; USD 120,000 - 170,000; Full time

Job summary

EVERSANA in the United States is seeking a Field Access Manager to serve as the primary contact at designated accounts, providing account management support to healthcare professionals and their staff for patients prescribed products.

You will educate accounts on the Patient Services program, payer landscape, and hub or specialty pharmacy access, coordinating pull-through and reauthorizations while collaborating across Sales, Market Access, and patient services.

Qualifications

• 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 Centers of Medicare & Medicaid Services (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, competitor activity, and continuous diabetes monitoring trends. Ability to gather and interpret data to guide regional strategy, including understanding the role of HUB and patient claims data.
• Knowledge of Integrated Delivery Network/Integrated Health Systems.
• Strong understanding of Microsoft applications and the ability to conduct virtual engagements via Microsoft Teams.
• Ability to manage multiple priorities with excellent organizational and problem-solving skills with a high level of initiative and independence.
• Proven success in working in a cross functional environment.
• Ability to conduct impactful educational presentations.
• Strong knowledge of Veeva systems.

Responsibilities

• Expand advocacy within HCP offices and equip the staff, through education, to navigate the access and payer approval process, identify access barriers that the HCP must act on to overcome, and highlight HCP actions that support patient access to therapy.
• Offer educational resources to support the entire patient’s journey by optimizing processes for prior authorizations/appeals/specialty pharmacy and addressing access issues.
• Coordinate utilization of the patient service platform to seamlessly support the customer and patient when office chooses the HUB or SP as their ideal path to approved therapy.
• Coordinate annual pharmacy reauthorizations at designated accounts to ensure timely reauthorization and continuation of therapy is maintained.
• Work cross functionally and collaboratively with partners in Sales, Market Access, Patient Services, Strategic Accounts and more to act as a process and payer expert. The FAM will help identify and address time sensitive market development and implementation efforts to remove access barriers to the product for appropriate patients, while optimizing adherence.
• Build and execute a strategic business plan to meet the needs of top accounts and ensure successful implementation of market access initiatives.
• Obtain and maintain knowledge and understanding of payer landscape, including specialty pharmacy and utilization management criteria, on a national, regional and local level so that you can act as a process and payer expert.

Skills

Payer policy

Patient access

CMS knowledge

HUB knowledge

Data analysis

MS Teams

Cross-functional

Veeva systems

Education

Bachelor’s degree or higher in healthcare/pharma

Advanced healthcare degree (MS/RN/PA/PharmD)

Tools

Veeva systems

MS Teams

Job description

EVERSANA in the United States is seeking a Field Access Manager to serve as the primary contact at designated accounts, providing account management support to healthcare professionals and their staff for patients prescribed products.

You will educate accounts on the Patient Services program, payer landscape, and hub or specialty pharmacy access, coordinating pull-through and reauthorizations while collaborating across Sales, Market Access, and patient services.