Role Summary
Patient Access Manager (PAM) at Acadia, a field-based role supporting healthcare providers in navigating access and reimbursement for therapies. Acts as a liaison among healthcare providers, specialty pharmacies, payers, patients, hub services, and internal teams to remove barriers to care across the geographic territory. This is a non-promotional role with frequent travel required to support stakeholder needs.
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 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.
- Build and maintain access-related relationships with HCP accounts and their office staff.
- Demonstrate deep market knowledge to navigate the patient access process and support coverage and reimbursement requirements.
- Conduct in-services with HCPs 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 regarding coverage status, prior authorization, and appeals.
- Demonstrate deep knowledge of ACADIA customer support programs and serve as the territory expert.
- Provide pre-referral education to prevent coverage barriers and post-referral support to address education needs and monitor referral status.
- Support continuity of patient access by educating offices on reauthorization requirements and managing payer transitions.
- Guide offices through prior authorizations, appeals, and financial support options to facilitate reimbursement and affordability.
- 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 of national initiatives to improve access and reimbursement strategies across brands.
- Champion appropriate utilization of patient support services and ensure regulatory compliance.
Qualifications
- 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; deep expertise in access and reimbursement strategies.
- Medicare expertise strongly preferred with understanding of field environment in healthcare.
- Equivalent combination of education and experience considered.
Skills
- Track record of increased responsibilities.
- Strong cross-functional collaboration skills.
- Ability to influence without formal authority.
- Experience with provider offices or pharmaceutical support programs preferred.
- Patient-centric mindset with high emotional intelligence and empathy.
- Excellent interpersonal, written, and verbal communication and presentation skills.
- Strong organizational and time management skills; HIPAA knowledge.
- Proficiency with Microsoft Office (Outlook, Excel, Word, PowerPoint).
- Ability to manage expenses within budgets; adaptable to change; team-oriented.
- Ability to travel up to 60%.
Education
- Bachelor’s degree; life sciences concentration preferred. Advanced degrees (RN, MSN, MBA) a plus.
Additional Requirements
- Physical ability to perform standard office tasks; lifts up to 20 pounds occasionally.