Patient Access Manager - Cincinnati

Role Summary

Patient Access Manager (PAM) at Acadia, a field-based expert supporting healthcare providers in navigating access and reimbursement for our 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 territory. This is a non-promotional role with frequent travel to support stakeholders and patient journey.

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 ensuring solutions support the patient’s access journey and 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, 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.
• Collaborate cross-functionally to condense complex issues into simple solutions and 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 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.

Education & Experience

• Bachelor’s degree required; life sciences concentration preferred. Advanced degrees (RN, MSN, MBA) are a plus.
• Minimum of 4+ years of relevant experience in pharmaceutical sales, market access, national accounts, or specialty pharmacy with deep expertise in access and reimbursement strategies.
• Medicare expertise strongly preferred with strong understanding of field environment in healthcare.
• Equivalent combination of relevant education and experience may be considered.

Required Skills

• Track record of increased responsibilities; strong cross-functional collaboration; ability to lead without authority.
• Experience with provider offices such as physician practice or patient assistance programs; patient-centric mindset and exceptional interpersonal skills.
• High emotional intelligence and empathy; strong organizational and time management skills.
• Understanding of HIPAA rules; strong written and verbal communication and presentation skills.
• Proficiency with Microsoft Office (Outlook, Excel, Word, PowerPoint).
• Ability to manage expenses within budgets; adaptable to change; team-oriented and driven.
• Ability to travel up to 60%.

Physical Requirements

Standing, walking, sitting; using hands to finger, handle, or feel; reaching; climbing or balancing; stooping, kneeling, crouching; vision, hearing; occasional lifting up to 20 pounds.