Role Summary
Patient Access Manager (PAM) at Acadia, a field-based role supporting healthcare providers in navigating access and reimbursement for therapies. Serves as a liaison among healthcare providers, specialty pharmacies, payers, patients, hub services, and internal teams to remove barriers to care across the assigned geographic territory. Non-promotional role with 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 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 in-services with HCPs on 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 simplify complex issues, educate on coverage status, prior authorization, and appeals.
- Demonstrate knowledge of ACADIA customer support programs and serve as the territory expert.
- Provide pre-referral educational in-services to prevent coverage barriers before referral.
- Provide post-referral support to HCP offices by addressing education needs and coordinating with support programs and specialty pharmacies to monitor referral status.
- Support continuity of patient access by educating on reauthorization requirements, payer transitions, and 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 insights.
- Provide expertise on regional and national payer plans to team members and PAM Leads.
- Support development and implementation of national 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
- 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 and reimbursement expertise.
- Medicare expertise strongly preferred with understanding of field environment in healthcare.
- Equivalent combination of education and experience considered.
Skills
- Track record of increased responsibilities and cross-functional collaboration.
- Experience leading without authority; patient-centric mindset.
- Strong interpersonal, written and verbal communications, and presentation skills.
- HIPAA knowledge; proficient with Microsoft Office (Outlook, Excel, Word, PowerPoint).
- Ability to manage expenses within budgets; adaptable to change; team-driven.
- Ability to travel up to 60%.
Education
- Bachelor’s degree required; concentration in life sciences preferred. Advanced degrees (RN, MSN, MBA) are a plus.
Additional Requirements
- Physical requirements: standard office work; ability to lift up to 20 pounds occasionally.