Virtual Field Access Manager

The virtual Field Access Manager will provide access education to HCPs of insured patients who enroll in the program and have been prescribed one of our client’s brands. They will engage healthcare providers, and their staff to communicate and educate on patient pharmacy benefit coverage, prior authorization processes, general payer policy criteria and affordability programs supporting the initiation of the products. They will have a solid understanding of the local, regional and national payer landscape. Exceptional customer and patient engagement skills, attention to detail, and the ability to think comprehensively is a must. The virtual Field Access Manager will report to a National Manager.

Responsibilities:

Engage healthcare providers and appropriate office staff to educate on access to prescribed treatments within the specialty pharmacy channel, including addressing questions about initial access, insurance approval and reauthorizations pertaining to the initiation of product.

• Educate HCP office staff about prior authorization & appeals process, how   to access related forms, and high-level information about submission procedures and reauthorization requirements.

• 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 .

• Utilize approved resources and call guides/FAQs to provide education and answer questions as needed.

• Conduct ongoing payer policy reviews and contribute local, regional and national policy insights to Field Access Managers and client leadership.

• Virtually manage assigned accounts and align with FAM team on ongoing support needs.

• Document call details with attention to data integrity to ensure compliance with program policies and business rules.

• Navigate CRM platform in daily interactions and learn internal team processes.

•  Maintain confidentiality of Patient Health Information (PHI) and act in compliance with all laws, regulations, and company policies.

•  Triage appropriate escalations to the Field Access Manager team in accordance with the program design and business rules.

•  Comply, take, and attend all required training.

• Adhere to all Inizio and client policies, procedures, business rules, and call guides, as well as applicable laws.

Knowledge, Skillset and Abilities:

•  Knowledge of private/commercial payers and processes.

•  Strong problem-solving skills, detail oriented.

•  Strong communication skills allowing exceptional engagement with both healthcare providers, and their staff.

•  Case management and relationship building skills.

•  Skilled at productive and effective collaboration.

Requirements:

• BS/BA Degree e.
 

• Proven success operating in a virtual environment***

• 3+ years of relevant experience in – reimbursement and patient access,
    market access, specialty pharmacy, or physician/system account management

• Experience engaging HCP staff in a support role to educate on access pathways and product requirements.

• Experience navigating payer reimbursement process, preferably Medicare Part D (pharmacy benefit design and coverage policy)

• 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

• 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

• 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 excellent attention to detail and the ability to multi-task in engaging both patients and providers.

• Highly proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook) 
• Language requirements: English required and Spanish highly preferred