We are looking for an Access Manager to provide education and support to appropriate providers and their offices/staff on access and affordability programs for designated therapeutic products in their defined geography / aligned accounts in a mostly virtual environment, but not exclusively. May expect up to 30% required travel to visit customers in a live face-to- face setting. Under either scenario, will manage daily activities that support appropriate patient access to products in the provider offices and work as a liaison to other patient assistance and reimbursement support services.
| TITLE: | Access Manager |
| CATEGORY: | Employee and Program Support |
| TYPE: | Exempt, Salary, Full Time |
| JOB NATURE: | Remote field-based position, primarily phone and computer usage with travel as needed. Minimal lifting. |
| JOB SUMMARY: | Provide education and support to appropriate providers and their offices/staff on access and affordability programs for designated therapeutic products in their defined geography / aligned accounts in a mostly virtual environment, but not exclusively. May expect up to 30% required travel to visit customers in a live face-to- face setting. Under either scenario, will manage daily activities that support appropriate patient access to products in the provider offices and work as a liaison to other patient assistance and reimbursement support services. |
| JOB DUTIES: | Provide majority of engagements virtually using a multi-channel approach to enhance HCP experience, using approved tools, to support and address questions about coverage requirements but as necessary may provide in- person engagement. Supports the entire reimbursement journey from Patient Enrollment or Initiation, access determination, payer prior authorization to appeals/denials requirements procedures and any required forms. Educate HCP’s and office staff on available patient assistance programs and explain the importance of their role in facilitating access to therapy for appropriate, eligible patients. This may include training on web-based provider tools. Serve as payer and pharmacy expert for defined geography and proactively communicate changes to key stakeholders, both internal and external, in a timely manner. Coordinate with other patient service, market access and field personnel where appropriate. Identifies market access trends from local, regional, or national payers in assigned geography, and partners with purpose internally to enable appropriate patient access and/or externally to support patient pull- through. Maintain and grow knowledge of national, regional, local and account market dynamics including coverage and prior authorization requirements. Adapts and pivots to manage change and complexity: agility to flex when markets, policies and dynamics change; proactive and reactive managing through conflict; navigates complexity of accounts and patient journey. Maintain and grow knowledge of hub and specialty pharmacy channels to improve practice and patient support. Works collaboratively to share insights into customer needs, potential barriers and payer issues/opportunities for product access. Under guidance, provides access insights to local field teams, and home office functions as needed. Identifies key customer insights through effective questioning; critical thinking and problem solving; analyzing and disseminating data and information as appropriate to partners. Establishing relationships within a practice by working closely with them to help remove Reimbursement barriers to specialty products for their patients. Partner with sales leadership and field sales teams to ensure best-in-class patient services. Executes business in accordance with client values to the highest ethical, legal and compliance standards. |
| TRAINING, EDUCATION, EXPERIENCE: | Must be 18 years old or older. Bachelor’s degree required; advanced degree preferred. Minimum three years’ experience in public or private third-party reimbursement arena or pharmaceutical industry in managed care, clinical support, or sales. Specialty pharmacy experience required (ability to teach an office the entire process from script to injection). Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare Part D (Pharmacy Benefit design and coverage policy) a plus. Knowledge of Managed Care, Government, and Federal payer sectors, as well as Integrated Delivery Network/Integrated Health Systems a plus. |
| REQUIREMENTS: | Exhibit proficiency in Microsoft Office products. Must demonstrate a patient and provider-centric service mindset Excellent customer service skills (call center experience preferred). Acts with high sense of urgency and attention to detail. High proficiency with complex patient access CRMs (Salesforce.com, Veeva, etc.). Advanced problem solving, research and analytical skills. Advanced communication skills, both written and verbal. Data entry accuracy required. Ability to operate as a "team player" in collaboration with multiple internal and external stakeholders, including market access, sales representatives, sales leadership, and internal colleagues to reach common goals. Ability to multi-task and manage time independently. Client interaction experience preferred. |
| JOB RELATIONSHIPS: | Works with varying levels of staff and in direct contact with HCP’s, Patients, and Client. This role also carries potential for consideration as a future direct hire to our client’s organization. |
| TIME COMMITMENT: | 40 work hours, full time, Monday – Friday, with occasional weekends and holidays depending on needs of healthcare providers. |
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