Field Access Manager

November 21

🐊 Florida – Remote

Although this job is listed in Florida, this company may be open to hiring remote in other states.

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Stratis Group

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Healthcare Insurance • Pharmaceuticals • Consulting

Stratis Group is a strategic consulting firm that specializes in accelerating product growth and ensuring relevance in the healthcare market. They provide comprehensive services across the commercialization lifecycle, from early commercialization and market entry to maintaining product maturity and strategic defense against competitive threats. By leveraging data-driven strategies and innovative tactics, Stratis Group empowers clients to optimize their product offerings and navigate market complexities for sustained success and growth.

11 - 50 employees

⚕️ Healthcare Insurance

💊 Pharmaceuticals

📋 Description

• Manage daily activities virtually that support appropriate patient access to our client’s products in the provider offices • Work as a liaison to other patient assistance and access support services offered by our clients (i.e. HUB, Call Center, Specialty Pharmacy Services) • Participate in client meetings as appropriate • Participate in regularly scheduled team meetings and calls • Input call activity into customer relation management tool (CRM), as appropriate • Serve as payer expert for defined geography and able to communicate payer changes to key stakeholders in a timely manner • Provide office education and awareness during the entire access process which may include formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution • Educate offices using approved educational materials provided by the client • Review specific patient case information, in a compliant manner, defined by the client • Educate physician office staff on the use of our client’s patient support services, including web-based provider portals

🎯 Requirements

• 3+ years of experience in one or more of the following areas: Managed Care, Field Reimbursement, Patient Services, and/or Sales (Specialty or Biologics), or healthcare provider office practice management • 4-year degree in related field or equivalent experience • Solution oriented mindset, strong business acumen, & strong analytic capabilities • Experience with specialty/biologic products and/or complex reimbursement process • Demonstrated ability to educate offices on access processes and issue resolution • Experience educating HCPs on client specific Patient Service programs (i.e. copay, nurse education, bridge, patient assistance, etc.) • Experience delivering educational presentations in person and/or via technology platforms such as Zoom, Webex, and/or Teams • Advanced knowledge of medical insurance terminology • Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare (Part B – for buy & bill products and Part D for Pharmacy products) • Ability to manage ambiguity & problem solve • Prepare and submit appropriate expense reports in a timely fashion • Valid Driver’s License

🏖️ Benefits

• Virtual role with limited to no travel