Field Access Manager - Cincinnati, OH

Role Summary

The Field Access Manager is a customer-facing role that builds reimbursement confidence for Ardelyx products by educating providers and office staff on payer landscape, access services, and reimbursement solutions relevant to their region. The role demonstrates account management, payer knowledge, reimbursement expertise, and data analytics to facilitate timely access, executing a regional strategic plan in collaboration with internal and external stakeholders. The role requires understanding the patient access process and patient support programs and may involve handling patient health information (PHI). Travel may be required to cover multi-state geographies.

Responsibilities

• Establish reimbursement confidence among HCPs and office staff by understanding and articulating the key payer and access dynamics required to access our products
• Work with HCP offices to support the patient journey. Provide office education and awareness using approved materials during the entire access process, which may include reimbursement (coverage, coding & payment), specialty pharmacy and distribution processes, provider support services (e.g., benefits investigation) and patient support resources (e.g., copay assistance programs, patient assistance programs).
• Review patient-specific information in cases where the provider office has specifically requested assistance resolving any issues or coverage challenges when appropriate.
• Establish collaborative relationships with Patient Service Program Partners, Field Sales, and Healthcare Providers to support patient access.
• Partner with internal and external stakeholders to identify, anticipate and address patient and HCP access barriers; implement updates/changes based on solutions generated to address barriers.
• Review data in multiple resources to understand access barriers to work with HCPs on resolution.
• Ability to conduct business reviews with offices to help identify insights and opportunities for the territory.
• Partner with HUB and specialty pharmacy partners to ensure patient access barriers are removed.
• Grow the knowledge of hub and specialty distribution channels to understand current policies, potential future changes, and improve patient support needs.
• Monitor patients start trends in assigned geographies/plans and collaborate with Field Sales and Patient Services partners to proactively address and mitigate challenges. Maintain and grow knowledge of national, regional, local, and account market dynamics for payors and prescribers.
• Execute business in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion of all required training.

Qualifications

• B.A/B.S. degree with 5+ years of proven commercial experience within reimbursement / access services or equivalent, understanding of specialty pharmacy networks and distribution.
• Strong functional knowledge of product distribution (including retail and specialty pharmacy) payer policy and health insurance and benefits (i.e. Medicare Part D, commercial and Medicaid) with a demonstrated expert understanding of insurance eligibility, benefit verification, prior authorization processes, reimbursement coverage, appealing insurance denials, application of financial assistance, co-pay support and free product programs
• Knowledge of HCP office processes regarding patient flow, prescription flow and clinic office operations. Experience with GI or Nephrology products and/or providers preferred.
• Outstanding customer relationship, interpersonal, and communication skills with the established ability to effectively work with diverse audiences and influence cross-functionally
• Ability to master product information to effectively represent product access and information clearly to customers
• Ability to evaluate data and identify trends, barriers, and translate into actionable steps
• Excellent organizational and time management skills
• Strong understanding of laws and regulations applicable to sales and marketing of pharmaceutical products to physicians and healthcare organizations

Additional Requirements

• This position reports to an Associate Director, Field Access Management
• Ability to travel and cover large multistate geography territories. Travel will vary by territory and business need. At least 50% travel required, based on geography and territory.
• Candidates must have a valid driver’s license.