Patient Access Manager - Allentown
Acadia Pharmaceuticals Inc.About the role
Seeking talent near: Allentown, PA; Harrisburgh, PA; Lancaster, PA
As a Patient Access Manager (PAM) at Acadia, you’ll be a key field-based expert supporting healthcare providers in navigating access and reimbursement for our therapies. You’ll serve as a dedicated, trusted resource for on-label access-related questions, helping ensure patients receive timely and appropriate treatment. In this highly collaborative role, you’ll act as a critical liaison among healthcare providers, specialty pharmacies, payers, patients, hub services, and internal cross-functional teams. Your expertise in coverage and access will be instrumental in removing barriers to care across your assigned geographic territory. This is a non-promotional role that adheres to Acadia’s compliance guidelines, including role-specific Rules of Engagement. Frequent travel is required to support the evolving needs of key stakeholders and drive meaningful impact in the patient journey.
Key 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 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.
Education & Experience:
- Bachelor’s degree required; concentration in life sciences 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 a strong background and understanding of field environment in healthcare industry.
- Equivalent combination of relevant education and applicable
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