Role Summary
Patient Access Manager (PAM) at Acadia, a field-based role supporting healthcare providers in navigating access and reimbursement for Acadia therapies. Acts as a liaison among healthcare providers, specialty pharmacies, payers, patients, hub services, and internal teams to remove barriers to care within the assigned geographic territory. Travel required.
Responsibilities
- Proactively educate healthcare providers on navigating programs, processes, and access-related requirements to facilitate patient access to Acadia products via in-person and virtual interactions.
- Serve as the subject matter expert in preventing and addressing access and reimbursement issues through education, problem-solving, and issue resolution to support the patient’s access journey and deliver excellent customer experience.
- Proactively build and maintain access-related relationships with HCP accounts and their office support staff.
- Demonstrate deep market knowledge and apply this to navigating the patient access process, building and maintaining access-related knowledge, and supporting coverage and reimbursement requirements.
- Conduct proactive in-services with HCPs on all aspects of the access journey, including coverage pathways, prior authorization, specialty pharmacy coordination, appeals, hub resources, and patient support services.
- Escalate local payer issues to National Account Managers and PAM Leads.
- Condense complex issues into simple solutions by collaborating cross-functionally to improve customer experience, educate HCPs/Office Staff on coverage status, prior authorization, and appeals.
- Demonstrate deep knowledge of ACADIA customer support programs and serve as the expert in the assigned territory.
- Provide proactive pre-referral educational in-services to prevent coverage barriers before referral.
- Provide post-referral support to HCP offices by addressing education needs, pulling through access and coverage for patients, and coordinating with ACADIA customer support programs and specialty pharmacies to monitor referral status.
- Support continuity of patient access by educating HCP offices on reauthorization requirements, assisting with payer transitions, and offering program services to minimize therapy interruptions.
- Facilitate patient reimbursement and affordability by guiding offices through prior authorizations, appeals, and financial support options.
- Build relationships with pharmacy staff and share key insights.
- Provide expertise on regional and national payer plans to team members and PAM Leads.
- Support development and implementation of national-level initiatives to improve access and reimbursement strategies across brands.
- Champion and manage appropriate utilization of patient support services and ensure compliance with legal/regulatory requirements.
Qualifications
- Education & Experience: Bachelor’s degree required; life sciences concentration preferred. Advanced degrees (RN, MSN, MBA) are a plus. Minimum of 4+ years in pharmaceutical sales, market access, national accounts, or specialty pharmacy with deep access/reimbursement expertise. Medicare expertise strongly preferred.
- Required Skills: Track record of increased responsibilities; strong cross-functional collaboration; demonstrated ability to lead without authority; experience with provider offices or patient assistance programs; patient-centric mindset; excellent interpersonal and communication skills; HIPAA knowledge; strong MS Office skills; budget management; adaptable to change; travel up to 60%.
Education
- Bachelor’s degree required; concentration in life sciences preferred. Advanced degrees (RN, MSN, MBA) are a plus.
Skills
- Strong written and verbal communication; presentation skills
- Excellent organizational and time management
- Emotional intelligence and empathy
- Ability to educate and influence HCPs and office staff
Additional Requirements
- Physical requirements: Standard office environment; occasional lifting up to 20 pounds.
- Travel expectation: Up to 60% travel.