LTC PAM Great Lakes

Seeking talent near: Minneapolis MN; Chicago IL; Nashville TN; Milwaukee WI

As aLong-Term Care Patient Access Manager (LTC PAM) at Acadia you will play a vital field-based role supporting healthcare providers and facilities in navigating access to our therapies for on-label use in long-term care this non-promotional position youll serve as a dedicated and trusted point of contact for LTC providers facilities and pharmaciesdelivering expert guidance on access-related questions and solutions. Youll act as a strategic liaison between LTC stakeholders payers and hub resources to help ensure patients receive timely and appropriate role offers the opportunity to make a meaningful impact in the LTC community by removing barriers to care and supporting better patient outcomes through collaboration and access expertise.

Key Responsibilities:

• Subject matter expert in preventing and addressing access and reimbursement issues through education and problem-solving
• Educate healthcare providers when appropriate to navigate and clarify access process
• Proactively work with assigned LTC facilities to build and maintain company products access related knowledge
• Work seamlessly and in coordination with Acadia customer support services LTC pharmacies and other field teams while supporting patient access
• Escalate local payer issues to regional account managers
• Condense complex issues into simple solutions by working with cross-functional peers to improve customer experience educating providers on access and reimbursement requirements coverage status and payer appeals requirements processes and timelines
• Demonstrate deep knowledge of Acadia Customer Support Programs and serve as the expert in assigned territory
• In-service to LTC facilities on all aspects of the prescription process including but not limited to coverage pathways for Medicare Part A vs Part D prior authorization requirements specialty pharmacies financial assistance programs and patient resources
• Provide partnership with cross-functional colleagues to address individual LTC facility needs
• Drive completion submission and follow-through of LTC-specific forms (e.g. Treatment Forms Service Request Forms) and related documentation
• Maintain a consistent on-site presence in LTC facilities
• Coordinate with hub resources to minimize therapy gaps
• Serve as a liaison with LTC pharmacies to coordinate dispensing benefit investigations and troubleshoot adjudication/distribution issues
• Track synthesize and communicate field insights (payer trends workflow gaps pharmacy issues) to inform training and distribution strategies

Education & Experience:

• Bachelors degree required; concentration in life sciences preferred. Advanced degrees (RN MSN MBA) are a plus.
• Minimum of 5 years of relevant experience in Patient Access Market Access Specialty Pharmacy Nursing or related areas with 2 years of experience strongly preferred in Long-Term Care.
• Strong knowledge of payer dynamics Medicare Part A and Part D access is preferred.
• Equivalent combination of relevant education and applicable job experience may be considered.

Required Skills:

• Track record of increased responsibilities
• Strong history of cross-functional collaboration
• Demonstrated success leading without authority
• Patient-centric and service-oriented mindset
• Exemplary interpersonal skills
• High emotional intelligence and empathy
• Exceptional organizational and time management skills
• Understanding of HIPAA rules
• Strong written and verbal communications as well as presentation skills
• Excellent computer skills including knowledge of Microsoft Office products including Outlook Excel Word and Power Point
• Ability to manage expenses within allocated budgets
• Adaptable and open to an environment of change
• Strong enthusiasm with a drive to succeed within a team
• Ability to travel up to 60% to support LTC facility engagement and pharmacy collaboration

Physical Requirements:

This role involves regular standing walking sitting and the use of hands for handling or operating equipment. The employee may also need to reach climb balance stoop kneel crouch and maintain visual verbal and auditory communication both in a standard office environment and while working independently from remote locations. Employee must occasionally lift and/or move up to 20 pounds. This position requires the ability to travel independently overnight and/or work after hours as required by travel schedule or business needs.

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