AD, Access & Reimbursement, CV - San Jose, CA - Remote

Role Summary

The Associate Director, Access & Reimbursement (ADAR) is a remote and field-based role that supports patient access and reimbursement within assigned geographies. The role provides education on access and reimbursement topics to defined accounts, collaborates with cross-functional NPC teams, and leads pull-through of access strategies in complex accounts. The position requires frequent travel within the territory and adherence to applicable privacy and compliance guidelines.

Responsibilities

• Interact with large, complex accounts to support patient access within their aligned therapeutic area product(s), providing 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, inventorying, and returns.
• Collaborate with executives, administrators, billing and coding staff, claims departments, and revenue cycle managers to support patient access to products.
• Analyze problems and provide solutions on patient reimbursement; identify local, regional, and national trends and partner to support patient access.
• Support pull-through on local coverage decisions and communicate policy changes affecting other departments.
• Inform customers about NVS-sponsored patient support programs (e.g., Co-pay) to enable patients starting and staying on therapy.
• Maintain expertise in regional and local access landscape and act as reimbursement expert for aligned products as needed.
• Interface with Patient Support Center and Access & Reimbursement Managers on patient case management, tracking, 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 company guidelines.
• Identify and report adverse events via established Novartis systems as required.
• Buy and Bill specific: assess access situations, develop and communicate Plans of Action, educate on buy-and-bill processes, and coordinate logistics for ordering, payment, inventory, and returns.

Qualifications

• Required: 5+ years in pharmaceuticals/biotech focused on Patient Services, Market Access, Sales, and/or account management; at least 2 years in a Patient Services practice support role for a specialty product.
• Required: Experience with highly complex practices or health systems to establish access and acquisition pathways.
• Required: Strategic account management experience with proactive access planning to mitigate hurdles.
• Required: Deep expertise integrating manufacturer-sponsored patient support programs; experience with specialty products via Specialty Pharmacy networks.
• Required: Knowledge of reimbursement pathways (specialty pharmacy, buy-and-bill, retail) and understanding of Commercial payers, Medicare plans, and state Medicaid in the geographic region.
• Required: Residency within the assigned territory; ability to travel at least 50% of the time within geography.
• Required: Driving is an essential function; must hold a fully valid, unrestricted driver‚Äôs license.
• Desirable: Experience presenting to C-level account executives; strong cross-functional collaboration across Field Sales, Marketing, Market Access, Public Affairs, State & Government Affairs, Trade, and third-party affiliates.
• Desirable: Therapeutic area expertise, strong customer focus, collaboration, business acumen, communication, and presentation skills; experience with field-based, client-facing roles.

Education

• Bachelor‚Äôs Degree required. Business and/or biological science education preferred. Advanced degree preferred.

Skills

• Excellent communication and presentation skills with the ability to educate diverse stakeholders.
• Analytical and problem-solving abilities to address reimbursement challenges.
• Strong cross-functional collaboration and stakeholder management.
• Knowledge of healthcare reimbursement landscapes and payer policies.