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 therapies for on-label use 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. Acts as a liaison between LTC stakeholders, payers, and hub resources to help ensure 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 process
- Proactively work with assigned LTC facilities to build and maintain product and access-related knowledge
- Coordinate with Acadia customer support, LTC pharmacies, and other field teams to support patient access
- Escalate local payer issues to regional account managers
- Condense 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
- In-service LTC facilities on all aspects of the prescription process, including coverage pathways, prior authorization, specialty pharmacies, financial assistance programs, and patient resources
- Partner with cross-functional colleagues to address individual LTC facility needs
- Drive completion, submission, and follow-through of LTC-specific forms and related documentation
- Maintain a consistent on-site presence in LTC facilities
- Coordinate with hub resources to minimize therapy gaps
- Serve as a liaison with LTC pharmacies to coordinate dispensing, benefit investigations, and troubleshoot adjudication/distribution issues
- Track, synthesize, 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 in Patient Access, Market Access, Specialty Pharmacy, Nursing, or related areas, with 2+ years in Long-Term Care preferred
- Strong knowledge of payer dynamics, Medicare Part A and Part D access preferred
- Equivalent combination of relevant education and experience considered
Required Skills
- Track record of increased responsibilities
- Cross-functional collaboration
- Proven ability to lead without authority
- Patient-centric and service-oriented mindset
- Interpersonal excellence, high emotional intelligence and empathy
- Exceptional organizational and time management skills
- Understanding of HIPAA rules
- Strong written and verbal communication and presentation skills
- Proficient in Microsoft Office (Outlook, Excel, Word, PowerPoint)
- Budget management capabilities
- Adaptable in a changing environment
- Team-driven with a drive to succeed
- Ability to travel up to 60% for LTC facility engagement and pharmacy collaboration
Physical Requirements
Regular standing, walking, sitting, and use of hands; ability to reach, climb, balance, stoop, kneel, crouch; ability to travel overnight as required; ability to lift up to 20 pounds.