Role Summary
Long-Term Care Patient Access Manager (LTC PAM) at Acadia, a field-based role supporting healthcare providers and facilities in navigating access to on-label therapies in long-term care settings. This non-promotional position serves as a dedicated point of contact for LTC providers, facilities, and pharmacies, delivering expert guidance on access-related questions and solutions. The role acts as a strategic liaison between LTC stakeholders, payers, and hub resources to help ensure patients receive timely and appropriate treatment.
Responsibilities
- Subject matter expert in preventing and addressing access and reimbursement issues through education and problem-solving
- Educate healthcare providers when appropriate to navigate and clarify access processes
- Proactively work with assigned LTC facilities to build and maintain product access knowledge
- Coordinate with Acadia customer support, LTC pharmacies, and other field teams to support patient access
- Escalate local payer issues to regional account managers
- Translate complex issues into simple solutions with cross-functional peers to improve customer experience, educate providers on access and reimbursement requirements, coverage status, and payer appeals requirements, processes and timelines
- Demonstrate deep knowledge of Acadia Customer Support Programs and serve as the expert in the assigned territory
- Provide in-service to LTC facilities on prescription process aspects, including Medicare coverage pathways, prior authorization requirements, specialty pharmacies, financial assistance, and patient resources
- Partner with cross-functional colleagues to address LTC facility needs
- Drive completion and submission of LTC-specific forms and related documentation
- Maintain a consistent on-site presence in LTC facilities
- Coordinate with hub resources to minimize therapy gaps
- Coordinate with LTC pharmacies to manage dispensing, benefit investigations, and adjudication/distribution issues
- Track and communicate field insights to inform training and distribution strategies
Education & Experience
- Bachelorβs degree required; life sciences concentration preferred. Advanced degrees (RN, MSN, MBA) are a plus
- Minimum of 5 years of relevant experience in Patient Access, Market Access, Specialty Pharmacy, Nursing, or related areas; 2+ years in Long-Term Care strongly preferred
- Strong knowledge of payer dynamics; Medicare Part A and Part D access is preferred
- Equivalent combination of education and experience considered
Required Skills
- Track record of increasing responsibilities
- Strong cross-functional collaboration
- Ability to lead without formal authority
- Patient-centric service mindset
- Exemplary interpersonal skills
- High emotional intelligence and empathy
- Strong organization and time management
- Understanding of HIPAA rules
- Excellent written and verbal communication and presentation skills
- Proficiency with Microsoft Office (Outlook, Excel, Word, PowerPoint)
- Ability to manage expenses within budgets
- Adaptable to change and team-driven
- Willingness to travel up to 60% to support LTC facility engagement and pharmacy collaboration
Education
- As listed in Education & Experience
Additional Requirements
- Regular on-site presence in LTC facilities; travel as required by business needs