Patient Access Manager - New Jersey
Acadia Pharmaceuticals
6 hours ago
On-site
Jersey City, NJ
Market Access
Position Summary:
- Serve as a field-based access and reimbursement expert providing end-to-end support to healthcare providers (HCPs) for on-label patient access to ACADIA therapies. Act as the point of contact for access-related inquiries, partnering with HCPs, specialty pharmacies, payers, patients, hub services, and internal cross-functional teams. Non-promotional; conducted in compliance with ACADIA policies and role-specific rules.
Key Responsibilities:
- Proactively educate HCPs on navigating programs, processes, and access requirements (in-person and virtual).
- Prevent and resolve access and reimbursement issues through education, problem-solving, and issue resolution.
- Build and maintain access-related relationships with HCPs and office support staff.
- Apply market knowledge to guide the patient access process and support coverage/reimbursement requirements.
- Conduct proactive in-services on 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 and improve customer experience.
- Serve as territory expert on ACADIA customer support programs.
- Provide pre-referral education to prevent coverage barriers.
- Provide post-referral support by coordinating with customer support and specialty pharmacies to monitor referral status.
- Support continuity of access via reauthorization education, payer transition support, and program services to minimize interruptions.
- Facilitate patient reimbursement/affordability through prior authorizations, appeals, and financial support options.
- Build relationships with pharmacy staff and share insights.
- Provide expertise on regional/national payer plans.
- Support national initiatives to improve access and reimbursement strategies.
- Manage utilization of patient support services and ensure compliance with legal/regulatory requirements.
Education & Experience:
- Bachelor’s degree required (life sciences preferred); RN/MSN/MBA a plus.
- 4+ years of relevant experience in pharmaceutical sales, market access, national accounts, or specialty pharmacy.
- Medicare expertise strongly preferred.
Required/Preferred Skills:
- Track record of increased responsibilities.
- Proven cross-functional collaboration; leading without authority.
- Strong patient-centric/service mindset; empathy and emotional intelligence.
- Experience working with provider offices and/or patient assistance/similar pharmaceutical support programs (strongly preferred).
- Excellent interpersonal, organization/time management, written/verbal communication, and presentation skills.
- Understanding of HIPAA and patient privacy.
- Strong computer skills (Microsoft Office: Outlook, Excel, Word, PowerPoint).
- Ability to manage expenses within budgets; adaptable to change.
- Travel up to 60%.
Physical Requirements:
- Regularly stand/walk/sit; use hands; reach; climb/balance; stoop/kneel/crouch; see/talk/hear in an office environment; occasionally lift/move up to 20 lbs.
Benefits (as stated):
- Discretionary bonus and equity awards; $128,000–$160,000 salary range.
- Medical/dental/vision, employer-paid life/disability/business travel/EAP; 401(k) match (1:1 up to 5%); Employee Stock Purchase Plan (2-year lock-in).
- 15+ vacation days; 13–15 paid holidays; 10 paid sick time; paid parental leave; tuition assistance.
- Serve as a field-based access and reimbursement expert providing end-to-end support to healthcare providers (HCPs) for on-label patient access to ACADIA therapies. Act as the point of contact for access-related inquiries, partnering with HCPs, specialty pharmacies, payers, patients, hub services, and internal cross-functional teams. Non-promotional; conducted in compliance with ACADIA policies and role-specific rules.
Key Responsibilities:
- Proactively educate HCPs on navigating programs, processes, and access requirements (in-person and virtual).
- Prevent and resolve access and reimbursement issues through education, problem-solving, and issue resolution.
- Build and maintain access-related relationships with HCPs and office support staff.
- Apply market knowledge to guide the patient access process and support coverage/reimbursement requirements.
- Conduct proactive in-services on 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 and improve customer experience.
- Serve as territory expert on ACADIA customer support programs.
- Provide pre-referral education to prevent coverage barriers.
- Provide post-referral support by coordinating with customer support and specialty pharmacies to monitor referral status.
- Support continuity of access via reauthorization education, payer transition support, and program services to minimize interruptions.
- Facilitate patient reimbursement/affordability through prior authorizations, appeals, and financial support options.
- Build relationships with pharmacy staff and share insights.
- Provide expertise on regional/national payer plans.
- Support national initiatives to improve access and reimbursement strategies.
- Manage utilization of patient support services and ensure compliance with legal/regulatory requirements.
Education & Experience:
- Bachelor’s degree required (life sciences preferred); RN/MSN/MBA a plus.
- 4+ years of relevant experience in pharmaceutical sales, market access, national accounts, or specialty pharmacy.
- Medicare expertise strongly preferred.
Required/Preferred Skills:
- Track record of increased responsibilities.
- Proven cross-functional collaboration; leading without authority.
- Strong patient-centric/service mindset; empathy and emotional intelligence.
- Experience working with provider offices and/or patient assistance/similar pharmaceutical support programs (strongly preferred).
- Excellent interpersonal, organization/time management, written/verbal communication, and presentation skills.
- Understanding of HIPAA and patient privacy.
- Strong computer skills (Microsoft Office: Outlook, Excel, Word, PowerPoint).
- Ability to manage expenses within budgets; adaptable to change.
- Travel up to 60%.
Physical Requirements:
- Regularly stand/walk/sit; use hands; reach; climb/balance; stoop/kneel/crouch; see/talk/hear in an office environment; occasionally lift/move up to 20 lbs.
Benefits (as stated):
- Discretionary bonus and equity awards; $128,000–$160,000 salary range.
- Medical/dental/vision, employer-paid life/disability/business travel/EAP; 401(k) match (1:1 up to 5%); Employee Stock Purchase Plan (2-year lock-in).
- 15+ vacation days; 13–15 paid holidays; 10 paid sick time; paid parental leave; tuition assistance.