Patient Navigator at Acadia Pharmaceuticals

Charlotte, North Carolina, United States

Acadia Pharmaceuticals Logo
Not SpecifiedCompensation
Mid-level (3 to 4 years)Experience Level
Full TimeJob Type
UnknownVisa
Biopharmaceuticals, 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
  • Thorough understanding of disease state and Mirum product profiles
  • Ability to provide non-clinical guidance and emotional support
  • Knowledge of eligibility requirements, program enrollment, reimbursement process, affordability support, and general access for therapies
  • Expertise on reimbursement, co-pay, foundation assistance, patient assistance program (PAP) issues, and other forms of support
  • Ability to serve as an expert on insurance benefit investigations, prior authorization, appeal requirements, and payer types (private/commercial, government including Medicare, Medicaid, VA, and DOD)
  • Ability to handle patient and healthcare provider interactions regionally in collaboration with Regional Access Leads and Regional Account Managers

Responsibilities

  • Serve as the main point of contact for patients, caregivers, and healthcare providers, providing inbound and outbound phone support, non-clinical guidance, and emotional support throughout the treatment journey
  • Provide patients and HCPs with 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
  • Communicate insurance benefit investigations, prior authorization and appeal requirements, and triage cases according to procedures

Skills

Patient Navigation
Case Management
Nursing
Customer Service
Healthcare Coordination
Reimbursement Support
Specialty Pharmacy
Phone Support
Emotional Support
Rare Disease 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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