Field Access Manager, Central California

Role Summary

Field Access Manager on the Patient Services team to help expand patient access to prescribed treatments for serious diseases. Reports to the Director, Field Access Managers and will support patient access and deliver an industry-leading patient experience. Location coverage includes Fresno, San Francisco, San Jose, and Santa Barbara, California.

Responsibilities

• Establish collaborative relationships with Patient Support Services, Field Sales, Channel Management, and Market Access colleagues to support patient access.
• Assist in resolution of patient-specific access barriers to Insmed’s products as prescribed by HCP.
• Educate HCP office staff about prior authorization and appeals process, how to access related forms, and high-level information about submission procedures and reauthorization requirements. Travel to identified HCP offices may be required to address patient-specific issues.
• Work compliantly and proactively to identify and resolve patient access and reimbursement issues within assigned geography.
• Provide appropriate factual process information to HCP offices utilizing PHI, with appropriate patient consent.
• Serve as reimbursement expert for the patient support services team for assigned geography/plans.
• Monitor patient start trends in assigned geographies/plans, and collaborate with the Market Access team to proactively address emerging patient access challenges.
• Maintain up-to-date repository of plan-specific reimbursement criteria, forms, and submission procedures.
• Comply with Insmed’s reimbursement support policy and rules of engagement.

Qualifications

• Required: Bachelor's Degree plus 5+ years’ hands-on experience in reimbursement and patient access, market access, specialty pharmacy, or physician/system account management.
• Required: Experience navigating payer reimbursement process, preferably Medicare Part D (pharmacy benefit design and coverage policy).
• Required: Experience with specialty products acquired through specialty pharmacy networks and experience working with HCP offices.
• Required: Proven record of success through cross functional collaboration and execution.
• Required: Patient-centric and service-oriented mindset, with a high degree of emotional intelligence and empathy.
• Required: Exemplary interpersonal and listening skills.
• Required: Strong communication (written and verbal), and presentation skills.
• Required: Understanding of patient privacy laws including HIPAA and similar state laws.
• Required: 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.
• Required: Highly organized with a strong attention to detail.
• Required: Highly proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook).
• Preferred: Product launch experience.

Education

• Bachelor’s Degree (field not specified; relevant degree in life sciences or related field preferred but not required).

Additional Requirements

• Travel: Frequent domestic travel up to 75%.