Virtual Jobs in Alexandria, VA

The virtual Field Access Manager will provide access education to HCPs of insured patients who enroll in the program and have been prescribed one of our client's brands. They will engage healthcare providers, and their staff to communicate and educate on patient pharmacy benefit coverage, prior authorization processes, general payer policy criteria and affordability programs supporting the initiation of the products. They will have a solid understanding of the local, regional and national payer landscape. Exceptional customer and patient engagement skills, attention to detail, and the ability to think comprehensively is a must. The virtual Field Access Manager will report to a National Manager.

Responsibilities :

Engage healthcare providers and appropriate office staff to educate on access to prescribed treatments within the specialty pharmacy channel, including addressing questions about initial access, insurance approval and reauthorizations pertaining to the initiation of product.

• Educate HCP office staff about prior authorization & appeals process, how to access related forms, and high-level information about submission procedures and reauthorization requirements.
• Work compliantly and proactively to identify and resolve patient access and reimbursement issues, within assigned geography.
• Provide appropriate factual process information to HCP office utilizing Personal Health Information (PHI), with appropriate patient consent.
• Serve as reimbursement expert for patient support services team for assigned geography / plans .
• Utilize approved resources and call guides / FAQs to provide education and answer questions as needed.
• Conduct ongoing payer policy reviews and contribute local, regional and national policy insights to Field Access Managers and client leadership.
• Virtually manage assigned accounts and align with FAM team on ongoing support needs.
• Document call details with attention to data integrity to ensure compliance with program policies and business rules.
• Navigate CRM platform in daily interactions and learn internal team processes.
• Maintain confidentiality of Patient Health Information (PHI) and act in compliance with all laws, regulations, and company policies.
• Triage appropriate escalations to the Field Access Manager team in accordance with the program design and business rules.
• Comply, take, and attend all required training.
• Adhere to all Inizio and client policies, procedures, business rules, and call guides, as well as applicable laws.

Knowledge, Skillset and Abilities :

Requirements :

market access, specialty pharmacy, or physician / system account management

preferably Medicare Part D (pharmacy benefit design and coverage

policy)

networks

emotional intelligence and empathy

ability to reach common goals in collaboration with multiple therapeutic

specialists, sales leadership, market access, and patient support services

colleagues