Remote Field Access & Reimbursement Manager

Merck; Jackson (MS); Remote; USD 117,000 - 184,000; Full time

Benefits offered by this job

Remote work

Travel 25%

Job summary

Merck is seeking a Field Access Manager (FAM) to serve as the subject-matter expert on access issues for healthcare professionals and organizations. The role works cross-functionally to support timely patient access to therapy, providing education on access, reimbursement, and patient support programs, while ensuring regulatory compliance.

The FAM role is remote/field-based, coordinating with access hubs and cross-functional teams to address payer barriers and optimize patient access, including

Qualifications

• Bachelor’s Degree required.
• 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, 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 New Orleans area assigned territory/metro area.
• Ability to operate as a “team player” in collaborating with multiple sales representatives, sales leadership, and internal colleagues appropriately to reach common goals.
• 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.

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 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.

Skills

Healthcare Reimbursement

Market Access

HIPAA Regulations

Medicare Part B

Data Analysis

Patient Assistance

Market Analysis

Market Research

Multidisciplinary Teamwork

Education

Bachelor’s Degree

Job description

Merck is seeking a Field Access Manager (FAM) to serve as the subject-matter expert on access issues for healthcare professionals and organizations. The role works cross-functionally to support timely patient access to therapy, providing education on access, reimbursement, and patient support programs, while ensuring regulatory compliance.

The FAM role is remote/field-based, coordinating with access hubs and cross-functional teams to address payer barriers and optimize patient access, including