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

Role Summary

The Associate Director, Access & Reimbursement (ADAR) is a remote and field-based role focused on education and support to defined accounts across a multi-site geography. The ADAR leads patient access and reimbursement efforts, influences local payer policy coverage, and integrates manufacturer programs into account workflows. The role requires collaboration with cross-functional NPC teams and travel within the assigned territory (approximately 50% travel) to support access and reimbursement objectives.

Responsibilities

• Interact with large, complex accounts to support patient access, providing face-to-face education to providers and staff to integrate products into office processes.
• Address questions related to NPC policies on product ordering, payment, inventory, and returns in offices.
• Collaborate with executives, providers, administrators, billing/coding staff, claims departments, and revenue cycle managers to support patient access.
• Analyze reimbursement issues, identify trends, and partner to support patient access to Novartis medicines.
• Support pull-through on local coverage decisions and communicate policy changes across departments.
• Inform customers about NVS-sponsored patient support programs (e.g., Co-pay) to aid patient adherence.
• Maintain expertise in regional/local access landscape and act as reimbursement expert for aligned products as needed.
• Interface with the Patient Support Center and Access & Reimbursement Managers on patient case management, tracking, and education.
• Collaborate cross-functionally within NPC to address customer needs and barriers related to access and reimbursement.
• Adhere to NPC policies and compliance guidelines, handle PII per HIPAA and privacy laws.
• Identify and report adverse events per established Novartis processes.
• Buy and Bill: assess access situations, develop Plans of Action, educate HCPs on acquisition pathways and buy-and-bill processes, and coordinate logistics for ordering, payment, inventory, and returns.
• Engage non-prescribers (pharmacy, financial staff, administrators, revenue cycle managers) regarding Novartis medicines.

Qualifications

• Required: 5+ years in pharmaceuticals/biotech focused on Patient Services, Market Access, Sales, or account management; at least 2 years in a Patient Services practice support role for a specialty product.
• Experience with highly complex practices or health systems to establish access pathways; strategic account management with proactive access planning.
• Deep expertise integrating manufacturer-sponsored patient support programs; experience with specialty products via Specialty Pharmacy networks.
• Knowledge of reimbursement pathways (specialty pharmacy, buy-and-bill, retail); strong understanding of Commercial payers, Medicare, and state Medicaid in the geographic region.
• Must reside within the assigned territory and be able to travel at least 50% of the time.
• Driving is an essential function with a fully valid, unrestricted driver's license required.

Education

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

Desirable

• Experience presenting to C-level account executives; strong cross-functional collaboration across Sales, Marketing, Market Access, Public Affairs, and other affiliates.
• Therapeutic area expertise and reimbursement program understanding; strong communication and presentation skills.
• Field-based engagement with a company-provided vehicle; ability to manage field expenses and maintain a good driving record.