
AD, Field Access Management (Northeast)
Primary Work Location
Remote - US
Job Code
2456
# of openings
1
Serve as the regional subject-matter expert on payer/PBM coverage policies and access requirements for Agios products (formulary status, PA criteria, exceptions/appeals, step edits, distribution, and patient support pathways).
Educate stakeholders, HCPs, office staff, PA departments, on pharmacy benefit access processes and requested documentation to help reduce time to therapy.
Establish relationships with regional hematology centers as well as targeted community practices.
Partner with Patient Services on case escalations and barrier resolution, with clear handoffs and compliant documentation.
Collaborate with Specialty Pharmacy partners to support efficient triage/fulfillment and resolve access-related issues; share trends and improvement opportunities.
Coordinate with the National Accounts Payer Team to monitor and interpret PBM/health plan policy changes and utilization management criteria; share field insights and support consistent deployment of payer tools/resources.
Coordinate with Sales on account priorities and stakeholder engagement; provide compliant, non-promotional access information.
Identify access barriers and trends; share insights and support improvements to field tools, resources, and processes.
Document activities and outcomes in required systems; protect patient information and maintain data integrity.
Partner with Specialty Pharmacy, the National Accounts Payer Team, Patient Services, Sales, and Field Medical to align on stakeholder needs, share insights, and execute coordinated (non-promotional) access strategies.
Use established escalation pathways to resolve patient access barriers, clarify coverage requirements, and address operational issues impacting triage, fulfillment, and time to therapy.
Aim High: Setting high standards and striving for excellence.
Come Together: Working collaboratively to achieve common goals.
Embrace Differences: Valuing diversity and inclusion in the workplace.
Bring Your Whole Self: Encouraging personal contributions and engagement.
Blaze New Trails: Taking bold steps and innovative approaches to problem-solving.
Bachelor’s degree or equivalent relevant experience.
Experience working in a field-based role with provider offices and/or with patient support HUB services
Working knowledge of pharmacy benefit access pathways including benefits investigation, prior authorization, exceptions, appeals, and PBM/health plan coverage decision-making.
Demonstrated ability to collaborate cross-functionally and influence without authority.
Strong communication, organization, and problem-solving skills; ability to manage multiple priorities across a territory.
Proficiency with CRM and case management/documentation tools (or similar systems).
Prior field access or managed care experience supporting specialty products.
Existing experience and/or relationships within the hematology space, including key regional hematology centers, i.e. Mount Sinai Center for Sickle Cell Disease (New York, NY), Aflac Cancer and Blood Disorders Center (Atlanta, GA), Duke University Health System, (Durham, NC), and Southwestern Health Resources (multiple locations, North Texas, TX).
Experience working directly with including providing next steps to provider offices, specialty pharmacies and hubs/patient support programs.
Relevant managed care experience with prior authorizations, appeals processes, and medical necessity for both established and new products entering the market.
Understanding distribution models and payer landscape for specialty therapies.
Deliberate Development. Your professional growth as one of our top priorities.
Flexibility. We’re all about individual needs. We embrace different perspectives, work styles, health and wellness approaches, care of families and productivity. When you’re at your best, we’re at our best.
Premium benefits package. We invest in the health, wellbeing, and security of our people with a premium benefits package that is well-rounded and flexible to help meet the varied personal and professional needs of every member of our team. For more detail on the benefits we offer at Agios, visit the Inside Agios section of our website.
Competitive and equitable performance-based compensation. This includes base salary and both short- and long-term incentives that are connected to our business strategy and vary based on individual and company performance.
The current base salary range for this position is expected to be between $153,541 and $230,312 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators.
Psychological safety. We support an environment of fearlessness. We want you to share your ideas, speak candidly and take data-informed risks to help push the boundaries.
Commitment to diversity. We strive to foster a welcoming workplace where everyone can thrive. We’re continuously looking to improve the inclusivity of our workforce.
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Originally posted by Agios Pharmaceuticals. View original posting
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