Field Access Manager, Central California

Insmed IncorporatedSan Jose, CA
31dRemote

About The Position

At Insmed, every moment and every patient counts — and so does every person who joins in. As a global biopharmaceutical company dedicated to transforming the lives of patients with serious and rare diseases, you’ll be part of a community that prioritizes the human experience, celebrates curiosity, and values every person’s contributions to meaningful progress. That commitment has earned us recognition as Science magazine’s No. 1 Top Employer for five consecutive years, certification as a Great Place to Work® in the U.S., and a place on The Sunday Times Best Places to Work list in the UK. For patients, for each other, and for the future of science, we’re in. Are you? About the Role: We’re looking for a Field Access Manager on the Patient Services team to help us expand what’s possible for patients with serious diseases. Reporting to the Director, Field Access Managers you will have a unique opportunity to support patient access to prescribed treatment and deliver upon an industry leading patient experience for patients battling serious and rare diseases. In this role you will cover: Fresno, San Francisco, San Jose and Santa Barbara California.

Requirements

  • Bachelor’s Degree along with 5+ years’ hands-on experience in reimbursement and patient access, market access, specialty pharmacy, or physician/system account management
  • Experience navigating payer reimbursement process, preferably Medicare Part D (pharmacy benefit design and coverage policy)
  • Experience with specialty products acquired through specialty pharmacy networks and experience working with HCP offices
  • Proven record of success through cross functional collaboration and execution
  • 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
  • Understanding of patient privacy laws including HIPAA and similar state laws
  • 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 a strong attention to detail
  • Highly proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook)

Nice To Haves

  • Product launch experience preferred

Responsibilities

  • Assist in resolution of patient-specific access barriers to Insmed’s products as prescribed by HCP
  • Educate HCP office staff about prior authorization & appeals process, how to access related forms, and high-level information about submission procedures and reauthorization requirements. This may require travel to identified HCP offices to address patient specific issues
  • 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
  • Monitor patient start trends in assigned geographies/plans, and collaborate with Market Access team to proactively address emerging patient access challenge
  • Maintain up-to-date repository of plan-specific reimbursement criteria, forms, and submission procedures
  • Comply with Insmed’s reimbursement support policy and rules of engagement

Benefits

  • Comprehensive medical, dental, and vision coverage and mental health support, annual wellbeing reimbursement, and access to our Employee Assistance Program (EAP)
  • Generous paid time off policies, fertility and family-forming benefits, caregiver support, and flexible work schedules with purposeful in-person collaboration
  • 401(k) plan with a competitive company match, annual equity awards, and participation in our Employee Stock Purchase Plan (ESPP), and company-paid life and disability insurance
  • Company Learning Institute providing access to LinkedIn Learning, skill building workshops, leadership programs, mentorship connections, and networking opportunities
  • Employee resource groups, service and recognition programs, and meaningful opportunities to connect, volunteer, and give back
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