Remote Field Access & Reimbursement Lead

Merck; Dover (DE); Remote; USD 117,000 - 184,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Plan

Paid Holidays

Job summary

Merck seeks a Field Access Manager to serve as the subject-matter expert on access for healthcare professionals and organizations. You will work remotely to educate accounts on patient access, verify benefits, manage prior authorizations, and address coverage issues while coordinating with field teams and hubs.

You will analyze access trends, collaborate across departments, and maintain knowledge of payer policies including Medicare, Medicaid, and commercial plans.

Qualifications

• Bachelor’s Degree.
• Minimum of 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.
• Expertise in pharmaceutical compliance and HIPAA regulations regarding patient confidentiality.
• 20-25% travel; Must reside in the New England South assigned territory.
• Ability to operate as a “team player” with multiple stakeholders.
• Must be at least 21 years old with a valid driver’s license and a clean driving record.
• Excellent interpersonal and communication skills.

Responsibilities

• Provide information and/or 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 support patient satisfaction.
• Build collaborative 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 products are covered under the benefit design.

Skills

Adaptability

Interpersonal skills

Market Access

Healthcare reimbursement

Education

Bachelor’s Degree

Job description

Merck seeks a Field Access Manager to serve as the subject-matter expert on access for healthcare professionals and organizations. You will work remotely to educate accounts on patient access, verify benefits, manage prior authorizations, and address coverage issues while coordinating with field teams and hubs.

You will analyze access trends, collaborate across departments, and maintain knowledge of payer policies including Medicare, Medicaid, and commercial plans.