Patient Navigator at Acadia Pharmaceuticals

Foster City, California, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Biopharmaceutical, HealthcareIndustries

Requirements

Proven ability to thrive in a dynamic, evolving environment and contribute to building new capabilities in healthcare
Empathetic and detail-driven
Nursing or case management background preferred
Passionate about helping patients with rare diseases navigate complex access barriers
Ability to provide inbound and outbound phone support
Thorough understanding of disease state and Mirum product profiles
Knowledge of eligibility requirements, program enrollment, reimbursement process, affordability support, and general access for therapies
Understanding of insurance coverage, reimbursement processes, and benefits offered by all payer types (private/commercial, Medicare, Medicaid, VA, DOD)
Expertise on reimbursement, co-pay, foundation assistance, patient assistance program (PAP) issues, and other forms of support

Responsibilities

Serve as the main point of contact for patients, caregivers, and healthcare providers, providing non-clinical guidance and emotional support throughout the treatment journey
Provide patients and HCPs a clear understanding of eligibility requirements, program enrollment, reimbursement process, affordability support, and general access for Mirum prescribed therapies
Deliver unparalleled customer service as a brand advocate and program representative, committing to quality outcomes and appropriate use of resources
Coordinate care between prescribers, specialty pharmacies, and insurance providers to ensure timely drug access and refills
Monitor patient cases to identify potential delays or issues (e.g., prior authorizations, benefit revalidations, prescription renewals) and proactively resolve them
Educate patients and families about program resources, refill schedules, and financial assistance options
Elevate the patient experience by partnering with Mirum’s market access, reimbursement, and specialty pharmacy teams to resolve coverage and dispensing challenges
Support patient onboarding, therapy continuation, and adherence initiatives in alignment with program KPIs
Serve as a resource for patients and healthcare professionals to verify insurance coverage, reimbursement process, and general access for complex pharmaceuticals
Regionally aligned to handle patient and healthcare provider interactions related to reimbursement, co-pay, foundation assistance, PAP issues, and other support in collaboration with Regional Access Leads and Regional Account Managers
Communicate insurance benefit investigations, prior authorization and appeal requirements, and triage cases according to procedures

Skills

Patient Navigation

Case Management

Nursing Background

Customer Service

Phone Support

Reimbursement Coordination

Specialty Pharmacy Coordination

Emotional Support

Acadia Pharmaceuticals

Develops therapies for neurological disorders

About Acadia Pharmaceuticals

Acadia Pharmaceuticals develops therapies for neurological disorders, focusing on conditions like Parkinson's disease, schizophrenia, and Rett syndrome. The company conducts extensive research and clinical trials to create drugs that are safe and effective, seeking approval from regulatory bodies like the FDA before bringing them to market. Acadia differentiates itself by targeting areas with significant unmet medical needs, ensuring that their products address critical health challenges. Their goal is to improve the quality of life for patients suffering from these disorders while also promoting diversity, equity, and inclusion within their operations.

Dallas, TexasHeadquarters

1993Year Founded

$813.4MTotal Funding

ACQUISITIONCompany Stage

Biotechnology, HealthcareIndustries

501-1,000Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

401(k) Retirement Plan

401(k) Company Match

Employee Stock Purchase Plan

Paid Vacation

Paid Holidays

Paid Sick Leave

Paid Parental Leave

Tuition Reimbursement

Risks

Increased competition in CNS drug market may impact Acadia's market share.

Potential clinical trial delays could affect drug approval timelines.

Dependence on partnerships poses risks if collaborations face challenges or dissolve.

Differentiation

Acadia focuses on CNS disorders with unmet medical needs, like Parkinson's and Rett syndrome.

The company has a strong R&D foundation, developing innovative small molecule drugs.

Acadia's strategic partnerships enhance its research capabilities and market reach.

Upsides

Acadia's collaboration with Saniona expands its portfolio with SAN711 for neurological disorders.

Health Canada's approval of Daybue boosts Acadia's presence in the Canadian market.

The rise of personalized medicine aligns with Acadia's targeted therapy approach.

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