Field Access Manager - Northeast

SUMMARY OF KEY RESPONSIBILITIES

• Acts as the subject matter expert (SME) in access, coding, coverage, and reimbursement for assigned therapeutic products within specified geography.
• Educates HCPs on the access process and available resources to support patients.
• Builds relationships with infectious disease physicians, hospital case management teams, discharge planners, pharmacists, and other healthcare stakeholders supporting patient access.
• Provides ongoing support for HCP access questions regarding benefits verification, prior authorization, appeals, financial assistance or other access and reimbursement questions.
• PARTNERS WITH HUB/Patient Services teams to support & monitor the patient journey from enrollment through therapy initiation.
• Collaborates with Sales, Market Access, and Patient Support teams to provide integrated support that enhances the overall customer experience while following appropriate compliance ways of working.
• Uses analytics dashboards to identify potential reimbursement challenges and monitor overall access experience in the geography.
• Maintains detailed, timely documentation of field activities and customer interactions in the CRM system.
• MONITORS LOCAL AND NATIONAL ACCESS TRENDS, PAYER POLICY CHANGES, AND EMERGING ACCESS CHALLENGES.
• Participates in team meetings and calls, training sessions, and regional or national sales meetings as appropriate.

REQUIRED QUALIFICATIONS AND SKILLS

• Bachelor’s degree required; advanced degree (MBA or healthcare-related) preferred.
• Minimum 5 years of overall healthcare industry experience in pharmaceutical, biotechnology, specialty pharmacy, hospital, payer, reimbursement, patient services, nursing, case management, or related healthcare settings.
• Minimum 3 years of experience in a Field Access Manager, Field Reimbursement Manager, Patient Access Liaison, or equivalent field-based role directly supporting patient access.
• Demonstrated experience educating healthcare providers on coding, reimbursement and patient access processes within specialty prescribers, hospitals, academic medical centers, and pharmacies.
• Demonstrated knowledge of payer policy and coverage criteria for Medicare, Medicaid, and commercial insurance.
• DIRECT EXPERIENCE SUPPORTING PATIENT ACCESS THROUGH TRANSITIONS BETWEEN INPATIENT AND OUTPATIENT SETTINGS.
• Strong working knowledge of HUB services, co-pay programs, patient assistance programs, and reimbursement processes.
• Experience supporting oncology or HIV therapies strongly preferred.
• PROVEN TRACK RECORD OF CROSS-FUNCTIONAL COLLABORATION, PARTICULARLY WITH SALES AND MARKET ACCESS.
• Exceptional communication and relationship-building skills.
• Proficient with Microsoft Office Suite and CRM systems.
• ABILITY TO MANAGE A LARGE TERRITORY AND TRAVEL BETWEEN 60%-80% OF YOUR TIME INCLUDING OVERNIGHTS.