James Pridgen
Raleigh,NC
Summary
CNPR certified professional with expertise in pharmaceutical sales, compliance, and pharmacology. Proficient in case management, sales support, and prescription digital therapies (PDTs) with a background in healthcare services. Skilled in client relations, cross-functional coordination, and supporting sales operations.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Senior Patient Navigator
Supernus Pharmaceuticals
Remote
08.2025 - Current
- Serve as the primary support resource for patients, caregivers, providers, and specialty pharmacies throughout the medication access process
- Lead onboarding and training for new case managers; provide real-time process coaching and serve as a subject matter expert for complex reimbursement scenarios.
- Assign and delegate case workloads to team members to ensure balanced distribution and timely resolution of patient support activities.
- Coordinate benefits investigations, prior authorizations, appeals, and financial assistance to ensure patients receive therapy as quickly as possible.
- Educate patients and providers on product access pathways, insurance processes, and available support programs to remove barriers to treatment
- Demonstrate empathy, professionalism, and problem-solving skills when supporting patients navigating complex insurance or financial challenges.
Senior Case Manager
Sage Therapeutics
Raleigh, NC
11.2023 - 08.2025
- Coordinated care efforts among multidisciplinary teams to ensure seamless patient management and communication.
- Formulated detailed treatment plans based on patient assessments and collaboration with healthcare providers.
- Executed crisis intervention strategies to effectively address and stabilize acute patient situations.
- Managed resources efficiently to optimize patient care delivery and service utilization.
- Performed comprehensive client assessments to gather critical information for tailored care strategies.
- Analyzed data to identify trends and improve operational efficiencies in patient care processes.
Customer Implementation Manager
Pear Therapeutics
Raleigh, NC
09.2020 - 04.2023
- Travel to other states, 50% of time, to visit clinic locations, to onboard patients and providers to Pear products.
- Monitored progress regularly to ensure alignment with care plans and adapt interventions as necessary.
- Developed individualized care plans to provide structured support that addressed client goals and needs.
- Documented outcomes effectively to track patient progress and inform future care decisions.
- Coordinated services among multidisciplinary teams to enhance care continuity and optimize patient outcomes.
- Advocated for clients' rights and needs, ensuring access to necessary resources and support systems.
Education
Bachelor of Science - Mass Communications
Virginia Union University
Richmond, VA05.2017
Skills
- Benefits Investigation (BI)
- Prior Authorization Coordination
- Appeals & Exception Support
- Specialty Pharmacy Coordination
- Patient & Caregiver Support Counseling
- Provider & Clinic Relationship Management
- Cross-Functional Team
- Microsoft Office Suite (Excel, Teams, Outlook, Word)
- Time Management & Multi-Case Prioritization
Certification
- Certified National Pharmaceutical Representative (CNPR)
- Salesforce CRM Certification
- HIPPAA Compliance & Patient Privacy Certified
Timeline
Senior Patient Navigator
Supernus Pharmaceuticals
08.2025 - Current
Senior Case Manager
Sage Therapeutics
11.2023 - 08.2025
Customer Implementation Manager
Pear Therapeutics
09.2020 - 04.2023
Bachelor of Science - Mass Communications
Virginia Union University