Patient Navigator - Bilingual
Job Summary
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.
- 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; understands the importance of achieving quality outcomes and commit to the appropriate use of resources.
- Career coordination 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.
- Support patient and healthcare professional interactions related to insurance coverage, reimbursement process, and available support.
- Communicate insurance benefit investigations, prior authorization and appeal requirements, and triage cases according to program standard operating procedures.
- Work with the Program Supervisor, on a day-to-day basis to maintain open lines of communication and share awareness regarding patient status, prescriber feedback/satisfaction and program effectiveness.
- Conduct miscellaneous tasks or projects as assigned.
Qualifications
- Education / Experience:
- - BA/BS Highly Desired.
- - Bilingual in English & Spanish required.
- - 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.
- - Ability to identify and handle sensitive issues, working independently and collaboratively within teams.
- - Ability to travel required, ~10%, possibly weekends.
- - This position is based in Charlotte, NC. Applicants must reside in a location which would allow them to comply with Mirum’s hybrid work policy.
Equal Opportunity Employer
Mirim Pharmaceuticals is committed to Equal Employment Opportunity (EEO) and to compliance with all Federal, State and Local laws that prohibit employment discrimination on the basis of race, age, national origin, ethnicity, religion, gender, gender identity, pregnancy, marital status, sexual orientation, citizenship, genetic disposition or characteristics, disability, veteran’s status or any other classification protected by applicable State/Federal/Local laws.
Reasonable Accommodation
Mirim Pharmaceuticals provides reasonable accommodation for qualified individuals with disabilities and disabled veterans in job application procedures.