Field Access Manager - Ohio Valley - Columbus OH, Fort Wayne IN, Toledo OH

Field Access Manager

The Field Access Manager (FAM) serves as the subject matter expert on access related issues for healthcare professionals (HCPs) and healthcare organizations (HCOs), and will work cross-functionally with patient support, market access, and field sales to support timely patient access to therapy. The FAM will provide information to providers on access processes, reimbursement issues, and support patient assistance programs, all while ensuring compliance with healthcare regulations.

The FAM role is a remote / field-based role that proactively provides approved education to defined accounts within an assigned geography on matters related to access and coverage to facilitate appropriate patient access. The FAM will analyze access issues and act as the local access resource for HCPs and other field force personnel and region management, as permitted by policy. Where appropriate, the FAM will coordinate with the access hub concerning individual patient cases including patient access and coverage assistance, hub enrollment and overall coordination. The FAM will need to collaborate cross functionally with Field Sales, Marketing, Market Access, Public Affairs, State and Government Affairs, Trade and Specialty Pharmacy Accounts while abiding by all corporate and industry policy and procedures. Joining this team means being a part of driving meaningful patient impact by utilizing our scientific expertise and serving as the primary contact for customers within your assigned territory : Columbus OH, Fort Wayne IN, Toledo OH

The FAMs will manage daily activities that support appropriate patient access. Activities include, but are not limited to :

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

Minimum Requirements : Bachelor's Degree; 7+ years' experience in patient support, healthcare sales or operations, project management, 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

Excellent interpersonal and communication skills; demonstrated ability to engage and influence diverse stakeholders across teams and disciplines

Exhibit competent understanding of hub and patient support activities

Proven ability to manage multiple priorities in a hybrid environment with 20-25% travel; Must reside in the 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

Preferred Requirements : Pharmaceutical industry experience highly preferred

Deep understanding of HCP office workflows, prescription flow, and clinic operations; pulmonology experience preferred