Field Access & Payer Strategy Lead

Define Ventures; Orlando (FL); On-site; USD 90,000 - 130,000; Full time

Job summary

EVERSANA in the United States seeks a Field Access Manager to lead account strategy and payer navigation for designated healthcare accounts. You will educate staff, advance patient access programs, and coordinate between HUB, SP, and payers to optimize therapy access while ensuring HIPAA compliance.

In this role you will build plans with Sales, Market Access, and Patient Services teams, analyze payer landscapes, and drive re-authorization processes to maintain therapy continuity.

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 CMS policies and processes with experience in Medicare Parts B & D.
• Knowledge and understanding of specialty markets, HUB/reimbursement services and patient access programs.

Responsibilities

• Expand advocacy within HCP offices and equip staff to navigate access and payer approval processes.
• Offer educational resources to support the patient journey by optimizing prior authorizations and appeals processes.
• Coordinate use of the patient service platform to support HUB or SP pathways to therapy.
• Coordinate annual pharmacy reauthorizations at designated accounts.
• Collaborate with Sales, Market Access, Patient Services, and Strategic Accounts to remove access barriers and optimize adherence.
• Build and execute a strategic business plan to meet top accounts.

Skills

Payer policy understanding

Account management

Educational presentations

Cross-functional teamwork

MS Teams proficiency

Education

Bachelor’s degree

Healthcare degree advantageous

Tools

Veeva systems

Job description

EVERSANA in the United States seeks a Field Access Manager to lead account strategy and payer navigation for designated healthcare accounts. You will educate staff, advance patient access programs, and coordinate between HUB, SP, and payers to optimize therapy access while ensuring HIPAA compliance.

In this role you will build plans with Sales, Market Access, and Patient Services teams, analyze payer landscapes, and drive re-authorization processes to maintain therapy continuity.