Field Access Manager - San Francisco, CA
Ionis Pharmaceuticals, Inc.
6 hours ago
On-site
San Francisco Bay Area
Market Access
Key Responsibilities:
- Interact within assigned accounts to support patient access, providing proactive face-to-face (or virtual if appropriate) education on access/reimbursement programs to providers and staff to integrate into office processes and workflows.
- Leverage data and analytical tools to address customer questions related to payer policies and access requirements.
- Work with key account members (e.g., providers, administrators, billing and coding staff) to support patient access.
- Address customer questions related to payer policies (e.g., utilization management, denial, appeals) and patient reimbursement.
- Collaborate with cross-functional partners to share insights on customer needs and barriers related to access and reimbursement.
- Maintain a deep understanding of company policies and perform responsibilities with integrity consistent with company Values and Behaviors.
- Handle Patient Identifiable Information (PII) appropriately, ensuring compliance with HIPAA, privacy laws, and internal compliance policies.
- Identify and report adverse events via established systems per applicable processes.
Qualifications:
- Minimum 8 years in the healthcare/pharmaceutical industry.
- Prior reimbursement or case management experience required (prior field access/reimbursement preferred).
- Experience with pharmacy benefit reimbursement/access and specialty pharmacy required.
- CPC or similar coding certification preferred.
- Experience in the cardiometabolic area preferred.
- Knowledge of key Medicare policies such as Part D design and IRA.
- Proven teamwork and collaboration in highly matrixed, cross-functional teams.
- ~50% travel required; must live within assigned territory.
- Valid driver’s license required.
Education:
- Bachelor’s degree required; advanced degree preferred.
Benefits/Pay:
- Pay scale: $162,765 to $185,000.
- Interact within assigned accounts to support patient access, providing proactive face-to-face (or virtual if appropriate) education on access/reimbursement programs to providers and staff to integrate into office processes and workflows.
- Leverage data and analytical tools to address customer questions related to payer policies and access requirements.
- Work with key account members (e.g., providers, administrators, billing and coding staff) to support patient access.
- Address customer questions related to payer policies (e.g., utilization management, denial, appeals) and patient reimbursement.
- Collaborate with cross-functional partners to share insights on customer needs and barriers related to access and reimbursement.
- Maintain a deep understanding of company policies and perform responsibilities with integrity consistent with company Values and Behaviors.
- Handle Patient Identifiable Information (PII) appropriately, ensuring compliance with HIPAA, privacy laws, and internal compliance policies.
- Identify and report adverse events via established systems per applicable processes.
Qualifications:
- Minimum 8 years in the healthcare/pharmaceutical industry.
- Prior reimbursement or case management experience required (prior field access/reimbursement preferred).
- Experience with pharmacy benefit reimbursement/access and specialty pharmacy required.
- CPC or similar coding certification preferred.
- Experience in the cardiometabolic area preferred.
- Knowledge of key Medicare policies such as Part D design and IRA.
- Proven teamwork and collaboration in highly matrixed, cross-functional teams.
- ~50% travel required; must live within assigned territory.
- Valid driver’s license required.
Education:
- Bachelor’s degree required; advanced degree preferred.
Benefits/Pay:
- Pay scale: $162,765 to $185,000.