Patient Access Manager

This is a fully remote position, open to applicants in Tennessee.

📋 Description

• Actively guide healthcare providers in navigating programs, processes, and access-related requirements to enhance patient access to ACADIA products through both in-person and virtual engagements.

• Function as the subject matter expert in preventing and resolving access and reimbursement challenges by offering education, problem-solving, and issue resolution, ensuring that solutions are tailored to enhance the patient’s access journey and provide an outstanding customer experience.

• Proactively establish and nurture access-related relationships with healthcare provider accounts and their support staff.

• Exhibit extensive market knowledge and utilize this to navigate the patient access process, cultivate and sustain access-related knowledge, and support coverage and reimbursement prerequisites.

• Conduct proactive educational in-services with healthcare providers regarding all facets of the access journey, which include but are not limited to coverage pathways, prior authorization, specialty pharmacy coordination, appeals, hub resources, and patient support services.

• Report local payer issues to National Account Managers and PAM Leads.

• Simplify complex issues into manageable solutions by collaborating across functions to enhance customer experience and educate healthcare providers and office staff on coverage status, prior authorization, and appeals.

• Demonstrate extensive knowledge of ACADIA customer support programs and act as the authority in the designated territory.

• Provide proactive pre-referral educational in-services to eliminate coverage barriers prior to referral.

• Offer post-referral assistance to healthcare provider offices by addressing educational requirements, facilitating access and coverage for patients, and coordinating with ACADIA customer support programs and specialty pharmacies to track referral status.

• Ensure continuity of patient access by proactively educating healthcare provider offices on reauthorization requirements, aiding with payer transitions, and providing program services to reduce therapy interruptions.

• Assist in patient reimbursement and affordability by guiding offices through prior authorizations, appeals, and financial support alternatives.

• Cultivate relationships with pharmacy staff and share valuable insights.

• Provide expertise on regional and national payer plans to team members and PAM Leads.

• Assist in the development and execution of national-level initiatives aimed at enhancing access and reimbursement strategies across brands.

• Advocate for and manage the appropriate use of patient support services while ensuring adherence to legal and regulatory standards.

⛳️ Requirements

• Bachelor’s degree is mandatory; a concentration in life sciences is preferred. Advanced degrees (RN, MSN, MBA) are advantageous.

• A minimum of 4+ years of pertinent experience in pharmaceutical sales, market access, national accounts, or specialty pharmacy, with in-depth expertise in access and reimbursement strategies.

• Strong Medicare expertise is highly preferred, along with a solid understanding of the field environment within the healthcare industry.

• An equivalent combination of relevant education and applicable job experience may be taken into account.

🏝️ Benefits

• Competitive base salary, bonus structure, and equity packages for new hires and ongoing employees.

• Comprehensive medical, dental, and vision insurance options.

• Employer-covered life, disability, business travel, and Employee Assistance Program (EAP) benefits.

• 401(k) Plan featuring a fully vested company match of 1:1 up to 5%.

• Employee Stock Purchase Plan with a 2-year purchase price lock-in.

• Over 15 vacation days.

• 13 to 15 paid holidays, including an office closure from December 24th to January 1st.

• 10 days of paid sick leave.

• Paid parental leave benefit.

• Tuition assistance program.