Patient Navigator

Mirum Pharmaceuticals • Foster City, CA

6h • $125,000 - $140,000 • Hybrid

About The Position

Mirum Pharmaceuticals is seeking an empathetic, detail-driven Patient Navigator to join their growing rare disease team. This role serves as the primary liaison for patients, caregivers, and healthcare providers, ensuring a seamless experience from prescription to ongoing therapy. The Patient Navigator will provide inbound and outbound phone support and serve as the primary contact for patients, caregivers, and providers. They will facilitate a collaborative process to coordinate and monitor patient needs, guiding patients through the services offered by the Patient Support Program on behalf of Mirum and in coordination with their specialty pharmacy partner. The role involves close collaboration with the specialty pharmacy, reimbursement specialists, and internal partners to ensure patients receive their medications on time. The ultimate goal is to provide unparalleled customer service to patients, caregivers, and providers. This opportunity is ideal for individuals with a nursing or case management background who can thrive in a fast-paced biotech environment and are passionate about helping patients with rare diseases navigate complex access barriers.

Requirements

• 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.
• 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 Foster City, CA. Applicants must reside in a location which would allow them to comply with Mirum’s hybrid work policy.

Nice To Haves

• Biotech or rare disease experience highly preferred.
• Experience in rare disease, oncology or cell/gene therapy.
• Salesforce Health Cloud preferred.

Responsibilities

• Serve as the main point of contact for patients and caregivers, providing non-clinical guidance and emotional support throughout their treatment journey demonstrating 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; understands the importance of achieving quality outcomes and commit to the 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 and ability to understand and explain benefits offered by all payer types including private/commercial and government (i.e., Medicare, Medicaid, VA and DOD).
• Patient Navigators will be regionally aligned and will serve as an expert on reimbursement, co-pay, foundation assistance, patient assistance program (PAP) issues, and other forms of available support and will be responsible for handling patient and healthcare provider interactions related to these topics in collaboration with the Regional Access Leads and Regional Account Managers.
• Responsible for communicating insurance benefit investigations, prior authorization and appeal requirements, and triage cases according to program standard operating procedures.
• Serve as direct point of contact to health care providers for ongoing support and relationship development by acquiring and delivering detailed information regarding a program and/or a patient.
• Evaluate program enrollment forms for data integrity and missing information.
• Follow program guidelines and escalate complex cases according to program policy, SOPs, Call Guides, and other program materials.
• Working in a case management system, documenting status/background in case notes, communicating patient benefits, assisting in the PA/Appeals process and like responsibilities.
• Act as an assigned liaison to customer contacts (e.g., regional contact for sales representatives), Market Access colleagues, other internal stakeholders and healthcare providers.
• Works 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.
• Maintains a high level of ethical conduct regarding confidentiality and privacy.
• Help maintain team morale by consistently demonstrating positive attitude.
• Maintain accurate, compliant documentation within CRM and case management systems.
• Conducts miscellaneous tasks or projects as assigned identify and report pharmacovigilance information as required, i.e., Adverse Events, and Product Quality Complaints.

Benefits

• Compensation will be determined based on several factors including, but not limited to; skill set, years of experience, and the employee’s geographic location.
• Please note that the required compensation details listed in US role postings reflect the base salary only, and do not include bonus, equity, or benefits unless otherwise provided.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level