Field Access & Payer Strategy Lead

Waltz Health; Phoenix (AZ); Vor Ort; USD 110.000 - 150.000; Vollzeit

Zusammenfassung

EVERSANA is seeking a Field Access Manager to lead patient access initiatives for designated accounts. You will educate HCP staff, optimize prior authorizations, and coordinate HUB/SP pathways to ensure therapy access while collaborating across Sales, Market Access and Patient Services.

The role requires deep payer policy knowledge, a strong AV/educational presentation ability, and experience with Veeva and Microsoft Teams. A focus on DEI and patient-centered strategies reinforces ourmission.

Qualifikationen

• 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 understanding of specialty product access/reimbursement processes including Patient Support Services programs.
• Strong analytical skills to assess market dynamics, competitor activity, and continuous diabetes monitoring trends.
• 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 organizational and problem-solving skills.
• Proven success in working in a cross functional environment.
• Ability to conduct impactful educational presentations.
• Strong knowledge of Veeva systems.

Aufgaben

• Expand advocacy within HCP offices and educate staff to navigate access and payer approval.
• Offer educational resources to support the patient journey by optimizing prior authorizations/appeals.
• Coordinate utilization of patient service platforms to support HUB or SP paths for approved therapy.
• Coordinate annual pharmacy reauthorizations at designated accounts.
• Work cross-functionally with Sales, Market Access, Patient Services and others to address access barriers.
• Build and execute a strategic business plan for top accounts and access initiatives.
• Stay informed on payer landscape and formularies to guide market access strategies.
• Provide field insights to support patient/payer programs offered by the company.
• Anticipate and address account and patient access issues by partnering with stakeholders.
• Demonstrate commitment to diversity, equity, and inclusion in all actions.

Kenntnisse

Payer policy understanding

Cross-functional collaboration

Educational presentation skills

Microsoft Teams proficiency

Veeva systems knowledge

Ausbildung

Bachelor’s degree

Healthcare degree (MS, RN, PA, PharmD)

Tools

Microsoft Teams

Veeva Systems

Jobbeschreibung

EVERSANA is seeking a Field Access Manager to lead patient access initiatives for designated accounts. You will educate HCP staff, optimize prior authorizations, and coordinate HUB/SP pathways to ensure therapy access while collaborating across Sales, Market Access and Patient Services.

The role requires deep payer policy knowledge, a strong AV/educational presentation ability, and experience with Veeva and Microsoft Teams. A focus on DEI and patient-centered strategies reinforces ourmission.