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Virtual Field Access Manager

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
•  Knowledge of private/commercial payers and processes.
•  Strong problem-solving skills, detail oriented.
•  Strong communication skills allowing exceptional engagement with both healthcare providers, and their staff.
•  Case management and relationship building skills.
•  Skilled at productive and effective collaboration.
Requirements
•  BS/BA Degree e.
•  Proven success operating in a virtual environment***

 

•  3+ years of relevant experience in – reimbursement and patient access,
     market access, specialty pharmacy, or physician/system
     account management

 

•  Experience engaging HCP staff in a support role to educate on access pathways and product requirements.

 

•  Experience navigating payer reimbursement process,
     preferably Medicare Part D (pharmacy benefit design and coverage policy)

 

•  Product launch experience preferred

 

•  Experience navigating payer reimbursement process,
     preferably Medicare Part D (pharmacy benefit design and coverage
     policy)

 

•  Experience with specialty products acquired through specialty pharmacy
     networks

 

•  Patient-centric and service-oriented mindset, with a high degree of
     emotional intelligence and empathy

 

•  Exemplary interpersonal and listening skills

 

•  Strong communication (written and verbal), and presentation skills

 

•  Strong business acumen

 

•  High enthusiasm with a drive to success within a team – demonstrated
     ability to reach common goals in collaboration with multiple therapeutic
     specialists, sales leadership, market access, and patient support services
     colleagues 
•  Highly organized with excellent attention to detail and the ability to multi-task in engaging both patients and providers.

 

•  Highly proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook) 
•  Language requirements: English required and Spanish highly preferred

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Average salary estimate

$80000 / YEARLY (est.)
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$70000K
$90000K

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What You Should Know About Virtual Field Access Manager, Inizio

If you’re passionate about healthcare and enjoy working in a virtual setting, then the Virtual Field Access Manager role at an innovative healthcare company based in Los Angeles, CA might be the perfect fit for you! In this exciting position, you’ll primarily focus on providing access education to healthcare providers (HCPs) for insured patients enrolled in the program who have been prescribed one of our client’s well-regarded brands. Your role involves engaging with HCPs and their staff to offer valuable insights on pharmacy benefit coverage, navigating prior authorization processes, understanding payer policy criteria, and exploring affordability programs. The ideal candidate will possess a comprehensive understanding of the local, regional, and national payer landscape while showcasing exceptional customer service and patient engagement skills. You’ll collaborate effectively with healthcare provider offices, ensuring they are well-informed about access to specialty pharmacy treatments, and assist them in handling initial access and insurance approvals. On a day-to-day basis, you’ll be documenting vital call details, maintaining data integrity, and navigating various internal processes to ensure compliance with policies and business rules. This role requires strong communication and interpersonal skills, a detail-oriented approach, and the ability to manage multiple tasks efficiently. If you’re ready to make a difference in the world of healthcare while thriving in a supportive and collaborative virtual team environment, we can’t wait to see your application!

Frequently Asked Questions (FAQs) for Virtual Field Access Manager Role at Inizio
What are the main responsibilities of a Virtual Field Access Manager at this company?

As a Virtual Field Access Manager at our company, you will engage with healthcare providers and their staff to educate them on patient access to prescribed treatments. Your responsibilities will involve addressing questions about insurance approvals, guiding HCPs through the prior authorization and appeals processes, and working proactively to resolve patient access issues. Additionally, you will be responsible for documenting call details, maintaining compliance with program policies, and contributing insights on payer policies to both Field Access Managers and our leadership team.

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What qualifications do I need to become a Virtual Field Access Manager with your company?

To qualify for the Virtual Field Access Manager position at our company, candidates should hold a BS/BA degree and have a minimum of 3 years of relevant experience in reimbursement and patient access, market access, specialty pharmacy, or physician/system account management. Experience navigating payer reimbursement processes, particularly Medicare Part D, is preferred. Moreover, strong communication skills, problem-solving abilities, and a patient-centric mindset are essential for success in this role.

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How will my performance as a Virtual Field Access Manager be evaluated?

Performance as a Virtual Field Access Manager will be evaluated based on a combination of factors including your ability to effectively engage with healthcare providers and their staff, the resolution of patient access and reimbursement issues, adherence to compliance protocols, and the overall impact you have on improving access to prescribed treatments. Regular assessments may include feedback from HCPs and internal evaluations regarding documentation accuracy and compliance with company policies.

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What skills are essential for success as a Virtual Field Access Manager at your company?

Success as a Virtual Field Access Manager hinges on strong communication and interpersonal skills, exceptional detail orientation, and the ability to multitask. Candidates need to demonstrate a high level of emotional intelligence and empathy while collaborating closely with various stakeholders, including healthcare providers and internal teams. Moreover, having a solid understanding of payer policies and a problem-solving mindset are critical skills that will help you thrive in this role.

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Is previous experience in a virtual role important for the Virtual Field Access Manager position?

Yes, having prior experience operating in a virtual environment is essential for the Virtual Field Access Manager role. This experience ensures you are familiar with the tools and processes needed for remote work, and that you understand the dynamics of engaging with healthcare professionals from a distance. Successful candidates will adapt quickly to virtual collaboration, making it easier to connect with HCPs and provide them with the necessary access education efficiently.

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Common Interview Questions for Virtual Field Access Manager
Can you explain your experience with patient access and reimbursement processes?

In responding to this question, you should elaborate on your specific roles in patient access and reimbursement over the years. Highlight your familiarity with prior authorization procedures, your experience navigating complex payer policies, and any direct interactions you’ve had with healthcare providers. Providing concrete examples of challenges you’ve faced or projects you’ve managed will showcase your skills effectively.

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How do you maintain compliance with patient health information regulations?

Discuss your understanding of HIPAA and other regulations that protect patient health information. Mention the procedures you've followed in previous roles to maintain confidentiality, such as proper documentation and data management practices, training you have undergone, and the importance of patient consent in your work.

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What strategies would you use to engage a healthcare provider's office effectively?

Here, you should outline the methods you employ to build rapport and trust with HCPs. This could include active listening skills, personalizing your approach based on the provider's needs, providing clear and concise information, and following up to demonstrate continued support and dedication to their access concerns.

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Describe a time you faced a challenging situation related to patient access. How did you resolve it?

Provide a specific example from your past experiences, detailing the issue, your approach to problem-solving, the parties involved, and the outcome. Emphasize your analytical skills and ability to stay calm under pressure while working towards a solution that benefits the patient and provider.

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How do you ensure that you stay updated on payer policies and changes?

Explain the methods you utilize to keep up with the fast-evolving landscape of payer policies, which may include attending industry webinars, reading healthcare blogs, subscribing to relevant newsletters, and networking with colleagues. Mention your proactive approach to implementing new knowledge into your practice.

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What role does teamwork play in your approach to the Virtual Field Access Manager position?

Emphasize the importance of collaboration in the healthcare industry, particularly in providing seamless patient access. Discuss your experiences collaborating with cross-functional teams, including specialty pharmacy, sales leadership, and patient support services, and how these interactions drive common goals.

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What technologies are you familiar with that can assist in managing remote communication and documentation?

Detail the various technologies you've used in previous roles, such as CRM systems for documentation, communication tools like Zoom or Microsoft Teams, and knowledge management platforms. Highlight how leveraging these technologies enhances your efficiency and ability to engage with healthcare providers effectively.

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How would you prioritize your tasks when managing multiple healthcare provider accounts?

Discuss your organizational skills and methods for prioritizing work, such as developing a task matrix, setting deadlines, and utilizing digital planning tools. Illustrate your approach with examples that showcase your ability to manage time effectively while delivering quality support.

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Can you provide an example of a successful educational initiative you've implemented?

This is an opportunity to describe a specific program or initiative that you led or contributed to. Focus on its goals, the strategies you utilized, and the measurable outcomes that demonstrated its success. Show how this experience makes you a valuable candidate for the Virtual Field Access Manager role.

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What motivates you to work in patient access and reimbursement support?

Discuss your passion for ensuring patients receive the care they need and how access to medications plays a crucial role in patient outcomes. Share any personal experiences or interests that drive you to excel in a role that supports both patients and healthcare providers.

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Full-time, remote
DATE POSTED
April 15, 2025

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