Field Access Manager - Lexington, KY / Southern OH - ExecuSearch of Chicago

Overview

Our client is a global biopharmaceutical company on a mission to transform the lives of patients living with serious and rare diseases. Our client's most valuable resource is their employees, and everything that they do is motivated by a patient-first mentality. This organization is dedicated to growing their team with talented individuals from around the world who are willing to challenge the status quo, solve problems, and work collaboratively with a sense of urgency and compassion. Guided by their core values of collaboration, accountability, passion, respect, and integrity, our client aims to foster an inclusive, diverse, and flexible work environment, where their employees are recognized for leaning in and rolling up their sleeves.

Our client holds their teams and ourselves to the highest standards to serve the patients and HCPs by ensuring they receive a best-in-class experience.  In this field-based role, you will have a unique opportunity to support patient access to prescribed treatment and deliver upon an industry leading patient experience for patients battling serious and rare diseases. The Field Access Manager will leverage his/her reimbursement expertise and demonstrated experience to identify, understand, and compliantly address reimbursement challenges impacting patients’ access to the products as prescribed by the HCP. The Field Access Manager will be a member of the field-based Field Access team, and will report to the Director, Field Access Managers. This is a non-supervisory position.

Responsibilities

A key component of this role is to establish collaborative relationships with Patient Support Services, Field Sales, Channel Management, and Market Access colleagues to support patient access. Additional responsibilities will include, but not necessarily limited to, the following:

• Assist in the resolution of patient-specific access barriers to products as prescribed by HCP
• Educate HCP office staff about prior authorization & appeals process, how to access related forms, and high-level information about submission procedures and reauthorization requirements. This may require travel to identified HCP offices to address patient-specific issues
• Work compliantly and proactively to identify and resolve patient access and reimbursement issues, within assigned geography
• Provide appropriate factual process information to HCP office utilizing Personal Health Information (PHI), with appropriate patient consent
• Serve as reimbursement expert for patient support services team for assigned geography/plans
• Monitor patient start trends in assigned geographies/plans, and collaborate with Market Access team to proactively address emerging patient access challenge
• Maintain up-to-date repository of plan-specific reimbursement criteria, forms, and submission procedures
• Comply with the Company’s reimbursement support policy and rules of engagement

Qualifications

• 5+ years of relevant experience in – reimbursement and patient access, market access, specialty pharmacy, or physician/system account management
• Bachelor’s degree required
• Experience working with HCP offices strongly preferred
• Product launch experience preferred
• Experience navigating payer reimbursement process, preferably Medicare Part D (pharmacy benefit design and coverage policy)
• Experience with specialty products acquired through specialty pharmacy networks
• Proven record of success through cross-functional collaboration and execution
• Patient-centric and service-oriented mindset, with a high degree of emotional intelligence and empathy
• Exemplary interpersonal and listening skills
• Strong communication (written and verbal), and presentation skills
• Understanding of patient privacy laws including HIPAA and similar state laws
• High learning agility
• Strong business acumen
• High enthusiasm with a drive to success within a team – demonstrated ability to reach common goals in collaboration with multiple therapeutic specialists, sales leadership, market access, and patient support services colleagues
• Highly organized with a strong attention to detail
• Highly proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook)
• Ability to travel and cover large multistate geography/territories – up to 75% travel may be required, based upon assigned geography
• Must successfully exhibit core values: Collaboration, Accountability, Passion, Respect, and Integrity; along with any other position-specific competencies