AD, Field Access Management (Central)

The Role

Serve as the regional subject-matter expert on payer/PBM coverage policies and access requirements for Agios products (formulary status, PA criteria, exceptions/appeals, step edits, distribution, and patient support pathways).

Educate stakeholders, HCPs, office staff, PA departments, on pharmacy benefit access processes and requested documentation to help reduce time to therapy.

Establish relationships with regional hematology centers as well as targeted community practices.

Partner with Patient Services on case escalations and barrier resolution, with clear handoffs and compliant documentation.

Collaborate with Specialty Pharmacy partners to support efficient triage/fulfillment and resolve access-related issues; share trends and improvement opportunities.

Coincide with the National Accounts Payer Team to monitor and interpret PBM/health plan policy changes and utilization management criteria; share field insights and support consistent deployment of payer tools/resources.

Coincide with Sales on account priorities and stakeholder engagement; provide compliant, non-promotional access information.

Identify access barriers and trends; share insights and support improvements to field tools, resources, and processes.

Document activities and outcomes in required systems; protect patient information and maintain data integrity.

Maintain current knowledge of relevant regulations, payer practices, and Agios policies, complete required training.

What You Will Do

Collaborate Partner with Specialty Pharmacy, the National Accounts Payer Team, Patient Services, Sales, and Field Medical to align on stakeholder needs, share insights, and execute coordinated (non-promotional) access strategies.

Use established escalation pathways to resolve patient access barriers, clarify coverage requirements, and address operational issues impacting triage, fulfillment, and time to therapy.

Communicate payer/PBM policy changes, utilization management criteria, and access trends—and their field implications—to inform training, tools, and cross-functional action plans.

Requirements

• Bachelor’s degree or equivalent relevant experience.
• Experience working in a field-based role with provider offices and/or with patient support HUB services.
• Working knowledge of pharmacy benefit access pathways including benefits investigation, prior authorization, exceptions, appeals, and PBM/health plan coverage decision-making.
• Demonstrated ability to collaborate cross-functionally and influence without authority.
• Strong communication, organization, and problem-solving skills; ability to manage multiple priorities across a territory.
• Proficiency with CRM and case management/documentation tools (or similar systems).
• Ability to travel within the assigned territory as required.

Preferred Qualifications

• Prior field access or managed care experience supporting specialty products.
• Existing experience and/or relationships within the hematology space, including key regional hematology centers, i.e. Mount Sinai Center for Sickle Cell Disease (New York, NY), Aflac Cancer and Blood Disorders Center (Atlanta, GA), Duke University Health System, (Durham, NC), and Southwestern Health Resources (multiple locations, North Texas, TX).
• Experience working directly with including providing next steps to provider offices, specialty pharmacies and hubs/patient support programs.
• Relevant managed care experience with prior authorizations, appeals processes, and medical necessity for both established and new products entering the market.
• Understanding distribution models and payer landscape for specialty therapies.
• Experience partnering with National Accounts/Market Access and Sales teams in a matrix organization.

Work Environment & Travel

This is a field-based role with regular travel throughout the assigned region to engage targeted healthcare providers and care teams as appropriate to support access education and issue resolution, along with periodic internal meetings.

Travel expectations and territory alignment will be defined based on business need.

Concerned that you don’t check off every box in the requirements listed above? Please apply anyway!

What We Will Give You

• Deliberate Development. Your professional growth as one of our top priorities.
• Flexibility. We’re all about individual needs. We embrace different perspectives, work styles, health and wellness approaches, care of families and productivity.
• Premium benefits package. We invest in the health, wellbeing, and security of our people with a premium benefits package that is well-rounded and flexible to help meet the varied personal and professional needs of every member of our team.
• Competitive and equitable performance-based compensation. This includes base salary and both short- and long-term incentives that are connected to our business strategy and vary based on individual and company performance.