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AD, Access & Reimbursement (ADAR) NPS CV -Remote- Las Vegas, NV

Novartis
Full-time
Remote friendly (Las Vegas, NV)
United States
$160,300 - $297,700 USD yearly
Market Access

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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

  • Bachelorโ€™s 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 driverโ€™s 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.
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