Role Summary
Associate Director, Access & Reimbursement, NPS CV (Novartis Patient Support) Cardiovascular, Las Vegas, NV. This is a remote and field-based role serving defined accounts within the assigned geographies. Travel is expected up to 50% depending on geography.
Responsibilities
- Interact with large, complex accounts to support patient access; provide face-to-face education to providers and staff to integrate products into office processes and workflows.
- Address customer questions related to NPC policies on product ordering, payment, inventory, and returns in offices.
- Collaborate with executives, providers, administrators, billing and coding staff, claims departments, and revenue cycle managers to support patient access.
- Analyze problems and offer solutions related to patient reimbursement; identify trends and partner internally and externally to support patient access to Novartis medicines.
- Support pull-through on local coverage decisions to enable meaningful patient access; communicate policy changes that may affect other departments.
- Inform customers about NPC-sponsored patient support programs (e.g., Co-pay) to help patients start and stay on therapy.
- Maintain expertise in regional and local access landscape and act as reimbursement expert for aligned products.
- Interface with Patient Support Center and Access & Reimbursement Managers on patient case management, tracking, issue resolution, and staff education.
- Collaborate cross-functionally within NPC to share insights on customer needs and barriers related to access and reimbursement.
- Maintain understanding of NPC policies and handle patient information in compliance with HIPAA and internal guidelines.
- Identify and report adverse events via established Novartis systems.
Buy and Bill Specific
- Educate stakeholders on logistics for ordering, payment, inventory, and returns/replacements.
- Analyze reimbursement issues and serve as the designated reimbursement expert for offices and field teams.
- Engage with non-prescribers (pharmacy, system leadership, financial counselors, office administrators, revenue cycle managers, etc.).
Key Performance Indicators
- Overall customer satisfaction and awareness of programs and reimbursement support.
- Education of key customers in offices to assist product integration and improve patient access in compliance with company policies.
- Ensure target customers are aware of and can utilize available programs to support patient access.
- Adherence with NPC policies, laws, and regulations.
Education
- Bachelorโs Degree required. Business and/or biological science education preferred. Advanced degree preferred.
Minimum Requirements
- 5+ years of experience in pharmaceuticals/biotech focused in Patient Services, Market Access, Sales, and/or account management; at least 2 years in a Patient Services practice support role for a specialty product.
- Experience with highly complex practices and/or health systems to establish access and acquisition pathways.
- Strategic account management experience with proactive approaches to anticipate access hurdles.
- Deep expertise in integrating manufacturer-sponsored patient support programs.
- Experience with specialty products acquired through Specialty Pharmacy networks.
- Knowledge of reimbursement pathways (specialty pharmacy, buy-and-bill, retail).
- Strong understanding of Commercial payers, Medicare plans, and state Medicaid in the region.
- Must live within the assigned territory.
- Ability to travel and cover geography; travel requirement up to 50% (based on geography).
- Driving is an essential function; must have a valid, unrestricted driverโs license.
- Reasonable accommodations available for medically restricted individuals if it does not eliminate driving.
Preferred Qualifications
- Experience presenting to C-level account executives.
- Ability to work cross-functionally with Field Sales, Marketing, Market Access, Public Affairs, State & Government Affairs, Trade, Specialty Pharmacy Account Management, and third-party affiliates.
- Expertise in therapeutic area practice dynamics and reimbursement needs.
- Strong customer focus, collaboration, business acumen, communication, and presentation skills.
- Field roles with a dedicated vehicle; maintaining a good driving record.
- Field-based, customer-engaging position; ability to manage field expenses and submit timely reports.