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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 strategies, payer policy navigation, and specialty pharmacy processes, while effectively collaborating with healthcare professionals and stakeholders to optimize patient support and access. Strong analytical and organizational skills are essential for managing multiple priorities and conducting impactful educational presentations.
Highest-signal resume keywords
Patient Access ManagementPayer Policy KnowledgeBenefit Verification ExperienceSpecialty Pharmacy UnderstandingCross-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
Patient Access ProgramsPrior Authorization RequirementsMarket Dynamics AnalysisData InterpretationHUB Services KnowledgeMicrosoft Applications ProficiencyVeeva Systems KnowledgePediatric Endocrinology ExperiencePharmaceutical Industry ExperienceHealthcare Degree
Soft Skills
Organizational SkillsProblem-Solving SkillsInitiativeIndependenceCommunication Skills
Tools & Technologies
Microsoft TeamsHUB PlatformsSpecialty Pharmacy Pathways
Industry Keywords
CMS PoliciesMedicare Parts B & DIntegrated Delivery NetworksPatient Support ServicesAccess/Reimbursement Experience
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
- Educate accounts on the Patient Services program, regional payer landscape, and pharmacy channel access
- Coordinate pull-through efforts for patients prescribed the product across HUB, specialty pharmacy, and other channels, with proper HIPAA consent
- Serve as the primary face of Patient Services platforms within designated healthcare professional offices
- Partner with internal and external stakeholders to optimize patient access to the product
- Expand advocacy within healthcare professional offices and educate staff on access and payer approval processes
- Help identify access barriers and highlight actions healthcare professionals can take to support patient access
- Provide educational resources supporting prior authorizations, appeals, specialty pharmacy, and access issue resolution
- Coordinate use of patient service platforms through HUB or specialty pharmacy pathways
- Coordinate annual pharmacy reauthorizations to support timely continuation of therapy
- 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, and utilization management criteria
- Understand payer, PBM, and specialty pharmacy alignment and formulary impacts on market access
- Provide field insights supporting access and patient/payer support programs
- Anticipate, navigate, and address account and patient access issues with appropriate stakeholders
- Demonstrate commitment to diversity, equity, and inclusion
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 experience in patient access
- Knowledge of CMS policies and processes, including Medicare Parts B & D
- Knowledge and understanding 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, initiative, and independence
- 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 experience in other biopharmaceutical functions is a plus
Benefits
Comp & perks- Competitive salaries and benefits
- Reasonable accommodation during the hiring process for qualified applicants with disabilities
- Diversity, equity, and inclusion commitment