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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient access management, including knowledge of payer policies, prior authorization processes, and specialty pharmacy operations. Proven ability to collaborate cross-functionally and educate healthcare professionals on access solutions and patient support programs.
Highest-signal resume keywords
Patient Access ManagementPayer Policy KnowledgePrior Authorization ExperienceSpecialty Pharmacy KnowledgeCross-Functional Collaboration
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Benefit VerificationData AnalysisMarket Dynamics AssessmentPatient Support ServicesHUB Services KnowledgeUtilization Management CriteriaEducational Presentation SkillsAccess/Reimbursement ExperienceIntegrated Delivery Networks KnowledgeDiabetes Monitoring Trends
Soft Skills
Organizational SkillsProblem-Solving SkillsAnalytical SkillsCommunication SkillsInterpersonal Skills
Tools & Technologies
Microsoft ApplicationsMicrosoft TeamsVeeva Systems
Certifications & Qualifications
Bachelor's DegreeHealthcare Degree (MS, RN, PA, PharmD)
Industry Keywords
Pharmaceutical IndustryPayer LandscapeSpecialty MarketsPatient Access ProgramsDiversity, Equity, and Inclusion
About the role
Key responsibilities & impact- Act as the main point of contact at designated accounts, providing account management support to healthcare professionals and their staff on behalf of patients
- Provide ongoing education on the Patient Services program, regional payer landscape, and pharmacy channel access
- Coordinate pull-through efforts for prescribed patients across HUB, specialty pharmacy, and other channels when proper HIPAA consent is secured
- Serve as the primary face of Patient Services platforms within designated HCP offices
- Partner with internal and external stakeholders to optimize patient access to the product
- Expand advocacy within HCP offices and educate staff on access and payer approval processes
- Identify access barriers and highlight HCP actions needed to overcome them
- Provide educational resources supporting prior authorizations, appeals, specialty pharmacy, and access issue resolution
- Coordinate use of patient service platforms and annual pharmacy reauthorizations
- Collaborate cross-functionally with Sales, Market Access, Patient Services, and Strategic Accounts
- Identify and address time-sensitive market development and implementation efforts to remove access barriers and optimize adherence
- Build and execute strategic business plans for top accounts and market access initiatives
- Maintain knowledge of national, regional, and local payer landscapes, specialty pharmacy, formularies, and utilization management criteria
- Provide field insights supporting access and patient/payer support programs
- Anticipate, navigate, and resolve account and patient access issues
- Demonstrate commitment to diversity, equity, and inclusion
- Perform other duties as assigned
Requirements
What you’ll need- Bachelor’s degree required
- Healthcare degree advantageous, including MS, RN, PA, PharmD, or similar advanced healthcare/scientific degree
- 10+ years in the pharmaceutical industry with experience in payer policy and patient access
- 5+ years of experience in benefit verifications and/or prior-authorization requirements or equivalent patient access experience
- Knowledge of CMS policies and processes, including Medicare Parts B & D
- Knowledge of specialty markets, HUB/reimbursement services, and patient access programs
- Strong understanding of specialty product access/reimbursement processes and Patient Support Services programs
- Strong analytical skills to assess market dynamics, competitor activity, and continuous diabetes monitoring trends
- Ability to gather and interpret data to guide regional strategy, including HUB and patient claims data
- Knowledge of Integrated Delivery Networks/Integrated Health Systems
- Strong understanding of Microsoft applications and ability to conduct virtual engagements via Microsoft Teams
- Ability to manage multiple priorities with excellent organizational and problem-solving skills
- Proven success working in a cross-functional environment
- Ability to conduct impactful educational presentations
- Strong knowledge of Veeva systems
- Pediatric Endocrinology and/or Endocrinology experience preferred
- Previous launch experience in an Access/Reimbursement role preferred
- Previous biopharmaceutical industry experience in product marketing, managed care, field sales, case management, or large healthcare practice is a plus
Benefits
Comp & perks- Competitive salary and benefits
- Remote work option