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Merck logo
Merck

Headquartered in Kenilworth, New Jersey, Merck is a global pharmaceuticals company offering products that include biologic therapies, vaccines, prescription med

Field Access Manager

Location

United States

Posted

131 days ago

Salary

$117K - $184.2K / year

Seniority

Lead

No structured requirement data.

Job Description

Field Access Manager

Merck

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description 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: Indianapolis IN, South Bend IN, Lafayette IN. 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 Qualifications - 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 Required Skills - Accountability - Adaptability - Communication - Cost Effectiveness Analysis - Data Analysis - Direct Marketing - Health Care Regulation - Healthcare Reimbursement - Health Economic Modeling - Health Economics - Health Economics Research - Health Policy Analysis - Health Technology Assessment (HTA) - Interpersonal Relationships - Market Access - Marketing - Market Research - Patient Access - Pharmaceutical Compliance - Pharmaceutical Guidelines - Preauthorization - Pricing Processes - Project Management - Public Affairs Travel Requirements - 25% Flexible Work Arrangements - Remote Salary Range $117,000.00 - $184,200.00 Benefits - Medical, dental, vision healthcare and other insurance benefits (for employee and family) - Retirement benefits, including 401(k) - Paid holidays, vacation, and compassionate and sick days

Job 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
  • Required Skills
  • Accountability
  • Adaptability
  • Communication
  • Cost Effectiveness Analysis
  • Data Analysis
  • Direct Marketing
  • Health Care Regulation
  • Healthcare Reimbursement
  • Health Economic Modeling
  • Health Economics
  • Health Economics Research
  • Health Policy Analysis
  • Health Technology Assessment (HTA)
  • Interpersonal Relationships
  • Market Access
  • Marketing
  • Market Research
  • Patient Access
  • Pharmaceutical Compliance
  • Pharmaceutical Guidelines
  • Preauthorization
  • Pricing Processes
  • Project Management
  • Public Affairs
  • Travel Requirements
  • 25%
  • Flexible Work Arrangements
  • Remote
  • Salary Range
  • $117,000.00 - $184,200.00

Benefits

  • Medical, dental, vision healthcare and other insurance benefits (for employee and family)
  • Retirement benefits, including 401(k)
  • Paid holidays, vacation, and compassionate and sick days

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Medical Director131 days ago
OtherRemoteTeam 10,001+Since 1852H1B Sponsor

Company : Highmark Inc.Job Description : JOB SUMMARY This job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent will be supported by a multi-disciplinary team and will use clinical judgment to refer members to appropriate multi-disciplinary resources. In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case management. 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For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice

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