Field Access Manager - Ohio Valley

Field Access Manager

• 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.
  
  Minimum Requirements:

• Bachelor’s Degree.
• Minimum of 7 years’ experience in patient support, Pharmaceutical /healthcare sales or operations, 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.
• Exhibit competent understanding of hub and patient support activities.
• Proven ability to manage multiple priorities in a remote environment with 20-25% travel; Must reside in the Ohio Valley assigned territory. 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.
• Excellent interpersonal and communication skills; demonstrated ability to engage and influence multiple stakeholders across teams and disciplines.

• Pharmaceutical industry experience highly preferred.
• Deep understanding of HCP office workflows, prescription flow, and clinic operations; pulmonology experience preferred.
• Has context menu.

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Where required by law, the compensation range for this role is provided below.

The salary range for the primary location of this role is:

This range reflects the Company's reasonable expectation of the base salary applicable to this role at the time of posting. An employee’s position within the salary range will be based on several factors including, but not limited to relevant education, qualifications, certifications, experience, skills, geographic location, government requirements, and business or organizational needs. The successful candidate will be eligible for annual bonus and long-term incentive, if applicable.

We offer a comprehensive package of benefits. Available benefits include 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. More information about benefits is available at https://jobs.merck.com/us/en/compensation-and-benefits.