Patient Navigator

About the role

Mission Mirum Pharmaceuticals is a biopharmaceutical company dedicated to transforming the treatment of rare diseases. We are passionate about advancing scientific discoveries to become important medicines for rare disease patients. We are collaborative, creative, and experienced professionals and we’re looking to augment our team with other individuals who embody our values: care, be real, get it done, and have fun, seriously.

Job Functions/Responsibilities

• Serve as the main point of contact for patients and caregivers, providing non-clinical guidance and emotional support throughout their treatment journey.
• Demonstrate a thorough understanding of the disease state and Mirum product profiles.
• 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 while serving as a brand advocate and program representative; understand the importance of achieving quality outcomes and commit to the appropriate use of resources.
• Carefully 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.
• Serve as a resource for patients and healthcare professionals to verify insurance coverage, reimbursement process, and general access for complex pharmaceuticals and ability to understand and explain benefits offered by all payer types including private/commercial and government (i.e., Medicare, Medicaid, VA and DOD).
• Work closely with the specialty pharmacy, reimbursement specialists, and internal partners to make sure patients receive their medications on time, every time.

Qualifications

• Education / Experience: BA/BS Highly Desired. Registered Nurse (RN), Licensed Practical Nurse (LPN/LVN), Social Worker (BSW), PharmD, RPh, or equivalent pharmacist credential, Pharmacy Technician certification (CPhT) or Case Manager (CCM) preferred.
• Minimum 5+ years of experience in patient navigation, specialty pharmacy, case management, or patient access (biotech or rare disease experience highly preferred) preferably in rare disease, oncology or cell/gene therapy.
• Strong understanding and experience in working through benefits verification, prior authorization, and reimbursement processes.
• Exceptional communication, organization, and problem-solving skills that have been demonstrating in producing improved patient experiences and outcomes.
• Proven ability to work independently in a high-volume, fast paced and patient-focused environment.
• Empathetic and patient-centered mindset with a commitment to improving rare disease care.
• Ability to multitask and balance multiple priorities at once.
• Demonstrated ability to deliver meaningful & concise conversations with integrity and empathy directly to patients and health care providers.
• Experience using CRM or case tracking systems (Salesforce Health Cloud preferred).
• In-depth understanding of health insurance benefits, relevant state and federal laws and insurance regulations.
• Excellent written and oral communication, and problem-solving skills, including the ability to connect with patients, caregivers, and providers.
• Experience and demonstrated success working in a complex matrix to accomplish goals with a patient centric approach.
• Strong people skills that demonstrate flexibility, persistence, creativity, empathy, and trust.
• Robust computer literacy skills including data entry and MS Office-based software programs.
• Possesses strong business acumen and strategic thinking skills.
• Able to identify and handle sensitive issues, working independently and collaboratively within teams.
• Able to travel required, ~10%, possibly weekends.

Benefits

The salary range for this position is $125,000 to $140,000USD. Compensation will be determined based on several factors including, but not limited to; skill set, years of experience, and the employee’s geographic location.