Remote Field Access & Reimbursement Lead

Merck; Topeka (KS); Remote; USD 117,000 - 184,000; Full time

Job summary

Merck is seeking a Field Access Manager to serve as the access SME for HCPs and HCOs, supporting patient access to therapy. This remote/field-based role collaborates across Field Sales, Market Access, and other teams to address coverage and reimbursement needs.

You will provide education on access processes, analyze payer trends, and guide hub enrollment and patient support activities, with 20-25% travel and residency in the Ohio Valley territory.

Qualifications

• Bachelor’s Degree required for the role.
• Minimum of 7 years in patient support, pharma/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.
• Ability to manage multiple priorities in a remote environment with 20-25% travel; must reside in the Ohio Valley territory.
• Must be at least 21 years old with a valid driver’s license and a clean driving record.

Responsibilities

• Provide information and/or education to HCP accounts on patient access, including benefit verification, prior authorization, appeals, and patient support programs.
• Analyze access trends and identify barriers to patient access.
• Partner cross-functionally to address barriers and support patient satisfaction.
• Build collaborative relationships with internal stakeholders to enable seamless patient access to therapy.
• Monitor payer trends to address access barriers.
• Provide access information to HCP offices and education to field teams.
• Escalate and coordinate access issues with third parties including hub vendor.
• Educate on Specialty Pharmacy issues and payer coverage policies.
• Explain coverage to HCP offices across Commercial, Medicare, Medicaid.
• Answer payer-specific access questions and maintain knowledge of market dynamics.
• Act as SME on access and affordability across payer types.
• Educate HCPs on hub program and patient support offerings.

Skills

HIPAA Regulations

Medicare Part B

Market Access Knowledge

Patient Support

Communication Skills

Remote Collaboration

Education

Bachelor’s Degree

Job description

Merck is seeking a Field Access Manager to serve as the access SME for HCPs and HCOs, supporting patient access to therapy. This remote/field-based role collaborates across Field Sales, Market Access, and other teams to address coverage and reimbursement needs.

You will provide education on access processes, analyze payer trends, and guide hub enrollment and patient support activities, with 20-25% travel and residency in the Ohio Valley territory.