Field-Based Patient Access & Reimbursement Lead

Acadia Pharmaceuticals Inc.; Town of Florida (NY); On-site; USD 90,000 - 130,000; Full time

Job summary

Acadia Pharmaceuticals Inc. in the United States is seeking a Patient Access Manager (PAM) to provide field-based access and reimbursement support, acting as a primary contact for HCPs regarding on-label access questions for Acadia products.

This non-promotional role collaborates with payers, SPs, patients, hub services, and internal teams to ensure timely access, requiring frequent travel within the assigned territory and strict adherence to compliance guidelines.

Qualifications

• Experience in provider education on access and reimbursement processes.
• Strong communication and problem-solving skills for cross-functional teams.
• Willingness to travel frequently within assigned territory.

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 are optimized 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, building and maintaining access-related knowledge, and supporting coverage and reimbursement requirements.
• Conduct proactive in-services with HCPs on all aspects of the access journey, including but not limited to 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.
• Condense complex issues into simple solutions by collaborating 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 proactively 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

Job description

Acadia Pharmaceuticals Inc. in the United States is seeking a Patient Access Manager (PAM) to provide field-based access and reimbursement support, acting as a primary contact for HCPs regarding on-label access questions for Acadia products.

This non-promotional role collaborates with payers, SPs, patients, hub services, and internal teams to ensure timely access, requiring frequent travel within the assigned territory and strict adherence to compliance guidelines.