Regional Access Director, Southwest

Role Summary

The Regional Access Director (RAD) will play a critical role in ensuring appropriate patient access by leading a team of Field Access Managers within a region, who will be responsible for supporting providers and key office staff with access needs. This position will serve as subject matter expert on payer/reimbursement matters, patient services and pharmacy processes and requirements. The individual must have deep experience in reimbursement, patient access, and healthcare provider support services, and leadership experience that includes driving the execution of complex operations while developing a high performing team of Field Access Managers.

• Identify, recruit, onboard, and develop a high-performing team of Field Access Managers (FAMs) in various geographies.
• Support FAMs in their efforts to enhance customer awareness and understanding of payer requirements, patient support offerings and specialty pharmacy (SP) processes
• Serve as a strategic liaison between internal stakeholders, Regional Executive Directors and Field Access Managers to provide insights and ensure excellent patient and provider experience throughout the patient journey
• Collaborate with Regional Executive Directors to ensure aligned customer engagement, compliant delineation of Sales and Access responsibilities, and joint problem solving at the regional level.
• Provide field-based insights to inform leadership decisions on payer strategy, patient affordability programs, and other access-related initiatives.
• Analyze access barriers and help team address them with available tools and resources.
• Assist in development of metrics and reporting tools to evaluate and optimize the effectiveness of the Field Access Managers.
• Drive continuous improvement initiatives to ensure the highest standards of patient access and compliance.
• Monitor and assess reimbursement trends, payer coverage, and changes in access environment

• Minimum 15 years in the healthcare/pharmaceutical industry.
• Prior leadership experience managing field access managers.
• Prior reimbursement or case management experience required (prior field access/reimbursement experience preferred).
• Proven ability to build collaborative partnerships with commercial field leaders and compliantly drive joint execution in a matrix environment.
• Experience with pharmacy benefit reimbursement/access and specialty pharmacy required
• Strong prioritization skills aligned with good decision-making capabilities
• CPC or similar coding certification preferred
• Experience working in the cardiometabolic area preferred
• Knowledge of key Medicare policies such as Part D design and IRA
• Proven teamwork and collaboration skills with a demonstrated track record of working in highly matrixed and cross-functional work teams.
• Ability to travel to meetings/trainings/programs as necessary - additional travel will be required within the assigned geography (~50% travel required depending on territory)
• Must live within assigned geography.
• Valid driver’s license required as driving is fundamental to the purpose of this job and cannot be eliminated.

• Bachelor’s Degree required. Advanced degree preferred.

• Southwest

• ~50% Travel required