Role Summary
Patient Access Manager (PAM) at Acadia is a field-based role supporting healthcare providers in navigating access and reimbursement for Acadia therapies. The PAM acts as a dedicated resource for on-label access-related questions, collaborating with healthcare providers, specialty pharmacies, payers, patients, hub services, and internal teams to remove barriers to care within the assigned territory. This non-promotional role requires frequent travel and adheres to compliance guidelines.
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, 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 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
- 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 expertise in access and reimbursement strategies.
- Medicare expertise strongly preferred with strong field environment understanding.
- Equivalent combination of relevant education and experience may be considered.
Skills
- Track record of increased responsibilities.
- Strong cross-functional collaboration and ability to lead without authority.
- Experience with provider offices or patient assistance programs preferred.
- Patient-centric service orientation with strong interpersonal skills and empathy.
- Excellent organizational, time management, verbal and written communication, and presentation skills.
- HIPAA knowledge related to patient privacy.
- Proficiency with Microsoft Office (Outlook, Excel, Word, PowerPoint).
- Budget management and adaptability in a changing environment.
- Travel readiness up to 60%.
Education
- Bachelor’s degree; life sciences preferred. Advanced degrees (RN, MSN, MBA) are a plus.
Additional Requirements
- Regular travel up to 60% as part of the role.