Field Access Manager

ManagerManagerFull TimeRemoteLeadTeam 501-1,000

Location

United States

Posted

108 days ago

Salary

$160K - $200K / year

Seniority

Lead

No structured requirement data.

Job Description

Field Access Manager

PharmaEssentia U.S.A.

The Company: It’s not often you get the chance to make a real impact on the lives of others, while expanding your own possibilities. You’ll find that rare opportunity at PharmaEssentia. Join us, and let’s transform lives, together. PharmaEssentia Corporation is a rapidly growing biopharmaceutical innovator. We are leveraging deep expertise and proven scientific principles to deliver effective new biologics for challenging diseases in the areas of hematology and oncology, with one product approved and a diversifying pipeline. We believe in the potential to improve both health and quality of life for patients with limited options today through the combination of rigorous research and innovative thinking. Founded in 2003 by a team of Taiwanese-American executives and renowned scientists from U.S. biotechnology and pharmaceutical companies, today we are listed on the Taiwan Stock Exchange (TWSE: 6446) and are expanding our global presence with operations in the U.S., Japan, Singapore, South Korea, and China, along with a world-class biologics production facility in Taichung.Position Summary The Field Access Manager (FAM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their office staff with respect to patient access to PharmaEssentia therapies. This role involves investing significant time (~75%) on-site with HCPs, assessing their education needs and facilitating collaboration with various stakeholders across Market Access, field sales, and internal operations. Key Responsibilities Primary responsibilities include the following. Other duties may be assigned. Patient Access & Payer Education - Equip HCPs and their staff, through education, to navigate the access and payer approval process, identify access barriers that the HCP must act to overcome, and highlight HCP actions that support access to therapy. Develop and execute an education plan consisting of prioritized activities to best educate the HCPs in territory. - Monitor, analyze, and triage situations which may adversely impact patient access to therapy. - Educate HCPs regarding the access and payer approval process for PharmaEssentia therapies, including prior authorization requirements, step edits, appeals processes, and reimbursement pathways across all sites of care. - Serve as subject matter expert for internal stakeholders and external HCPs regarding education on Medicare treatment guidelines, Medicaid Managed Care, commercial plans, PBM designs, policy changes, formulary status, and the impact of healthcare reform on coverage. - Educate field sales about various elements of Market Access, the payer approval process, payer coverage policies, and medical versus pharmacy benefit designs. Cross-Functional Collaboration & Issue Resolution - Liaise with the Market Access department — including Payer Relations, Patient Access, HUB, and Specialty Pharmacy partners — as well as field sales and medical groups to identify and resolve trending issues regarding patient access to therapies. - Partner with the Patient Access team within Market Access to align on patient support program execution, copay and financial assistance programs, and patient journey optimization. - Maintain and share relevant information regarding account contacts, prior authorization requirements, trends, and competitive intelligence with the Market Access department. - Serve as an escalation point for complex access challenges, including prior authorization denials, specialty pharmacy delays, and coverage disputes, engaging internal Payer and Patient Access teams as needed. - Update HCPs on Rx status, program eligibility, and patient support options in coordination with the HUB. Strategic Account Engagement - Develop and maintain strategic account plans for key HCP accounts within the territory, identifying access barriers, engagement priorities, and tailored education opportunities. - Support onboarding of new accounts to the PharmaEssentia access process by assessing practice workflows, identifying reimbursement challenges, and aligning appropriate patient support resources. - Proactively educate accounts on the evolving payer landscape, including coverage changes, formulary updates, and policy shifts across commercial and government payers that may impact patient access to therapy. Compliance & Reporting - Execute role in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion of all required training. - Document all field activities, account interactions, and issue resolution efforts in the CRM system (e.g., Salesforce, Veeva, or equivalent) in accordance with compliance and company policies. Qualifications and Experience REQUIRED - Bachelor's degree required; advanced degree or clinical license preferred - 5+ years of relevant experience, of which a minimum of 3 years are in specialty disease state(s) - Demonstrated experience in specialty pharmacy operations, payer dynamics, prior authorization processes, and HUB services - Maintain deep expertise in the market access environment across commercial and government payers, including Medicare Part B/D, Medicaid Managed Care, and commercial payer processes, including the impact of policy changes on patient access to therapy - Ability to travel approximately 75% of the time, including field rides, customer engagements, and internal meetings - Must reside within assigned geographic region, near a major hub airport - Valid driver's license PREFERRED - Five or more years of specialty disease state experience - Two or more years of access, reimbursement, or relevant managed care experience - Experience in hematology/oncology and/or self-administered therapies - Strong understanding of pharmacy benefit management, including specialty pharmacy operations and formulary management - Launch experience in specialty or oncology - Experience and prior interaction with payer decision makers - Strong working knowledge of copay assistance programs and patient support ecosystems in specialty/rare disease - Demonstrated experience in buy and bill reimbursement - Proven ability to thrive in both an independent setting and in a cross-functional team environment - Strong clinical knowledge as it relates to the payer approval process, and solid business acumen - Strong organizational, problem-solving, and project management skills - Proficiency in CRM and field reporting platforms (Salesforce, Veeva, or similar) - Understanding of national and state legislative, Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products - Excellent technical knowledge and expertise in payer policy, including all elements of the payer approval process: prior authorization and appeals The expected salary range for this position based on greater Boston, MA location is $160,000-$200,000. Actual salary pay will be based on multiple factors, including geographic location, experience, qualifications, and other job-related factors permitted by law. Benefits of working with our team: PharmaEssentia USA strives every day to improve the lives of patients as well as our employees. As a valued member of PharmaEssentia USA, you will enjoy the following benefits: - Comprehensive medical coverage - Dental and vision coverage - Generous paid time-off - 401(k) retirement plan with competitive company match - Medical & Dependent Care Flexible Spending Account - Up to $150 monthly cell phone reimbursement - Employee Assistance Program - Free parking EEO Statement: At PharmaEssentia USA, we are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants without regard to race, color, religion, sex, pregnancy (including childbirth and related medical conditions), national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military and veteran status, and any other characteristic protected by applicable law. PharmaEssentia USA believes that diversity and inclusion among our team are critical to our success as a global company, and we seek to recruit, develop and retain the most talented people from a diverse candidate pool. PharmaEssentia does not accept unsolicited agency resumes. Staffing agencies should not send resumes to our HR team or to any PharmaEssentia employees. PharmaEssentia is not responsible for any fees related to unsolicited resumes from staffing agencies. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.At PharmaEssentia, our goal is to treat as many people with cancer as possible. That means challenging the status quo with better science that leads to better lives. By joining our team, you will not only expand your own possibilities, but you will contribute to expanding options for people with cancer. https://us.pharmaessentia.com/careers/

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