Field Access Manager - Northwest

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.

• 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.

• 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.

• 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.

• 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.

• 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

• 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

• 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

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/