Remote Field Access Manager—Healthcare Payer Expert

Merck; Austin (TX); Remoto; USD 117.000 - 184.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical insurance

Dental insurance

Vision insurance

401(k) plan

Paid holidays

Vacation and sick days

Descrizione del lavoro

Merck is seeking a Field Access Manager to serve as a subject‑matter expert on access issues for HCPs and HCOs. The role collaborates with Field Sales, Market Access, and others to facilitate patient access to therapy, provide payer education, and support hub coordination.

Requires a bachelor’s degree and 7+ years in patient support or reimbursement. The position is remote/field-based with 20–25% travel, likely within a defined geography, and involves educating providers on access processes and

Competenze

• Bachelor’s Degree.
• 7+ years’ experience in patient support, Pharmaceutical/healthcare sales or operations, or reimbursement support.
• Strong knowledge of health insurance structures (Medicare Part B, Medicaid, commercial) and related access processes, including benefit verification, prior authorization, and appeal processes.
• Expertise in pharmaceutical compliance and HIPAA regulations regarding patient confidentiality.
• Exhibit competent understanding of hub and patient support activities.
• Proven ability to manage multiple priorities in a remote environment with 20-25% travel; Must reside in the Ohio Valley assigned territory.
• Must be at least 21 years old with a valid driver’s license and a clean driving record.
• Excellent interpersonal and communication skills; demonstrated ability to engage and influence multiple stakeholders across teams and disciplines.

Mansioni

• Provide information and education to HCP accounts on patient access, including benefit verification, prior authorization process, appeals process, and patient support programs in both live and virtual formats.
• Analyze access trends.
• Partner cross-functionally to identify and address barriers to patient access and supporting patient satisfaction.
• Build collaborative, trusted relationships with internal stakeholders to support seamless patient access to therapy.
• Monitor payer trends to address access barriers.
• Provide access information to HCP offices.
• Provide access education to field teams upon approved direction.
• Escalate and coordinate on access issues with third parties including hub vendor.
• Provide education and support on Specialty Pharmacy issues.
• Provide information to HCP offices on how the products are covered under the benefit design (Commercial, Medicare, Medicaid).
• Answer questions about coverage, including payer-specific access questions.
• Maintain deep knowledge of regional and national market dynamics, and payer coverage policies.
• Act as a subject matter expert on access and affordability challenges across various payer types, including Medicare, Medicaid, and commercial plans.
• Educate and update HCPs on key private and public payer coverage and changes that impact access for patients.
• Support patient access to the product by providing subject matter expertise on payer coverage issues impacting product access in a manner that complies with policies, processes and standard operating procedures.
• Educate HCP offices on the product hub program including, e.g., patient support offerings, financial assistance and hub educational resources.
• Demonstrate knowledge of and communicate information about access resources and payer processes/policies.
• Attend National and Regional Meetings. Minimum Requirements:

Conoscenze

Communication

Interpersonal skills

Market Access

HIPAA compliance

Medicare knowledge

Payer coverage

Pharma compliance

Travel ability

Team collaboration

Education delivery

Formazione

Bachelor's degree

Descrizione del lavoro

Merck is seeking a Field Access Manager to serve as a subject‑matter expert on access issues for HCPs and HCOs. The role collaborates with Field Sales, Market Access, and others to facilitate patient access to therapy, provide payer education, and support hub coordination.

Requires a bachelor’s degree and 7+ years in patient support or reimbursement. The position is remote/field-based with 20–25% travel, likely within a defined geography, and involves educating providers on access processes and