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 educating defined accounts about access and reimbursement topics, managing pull-through of access strategies, and serving as the reimbursement expert for aligned therapeutic area products. The role involves collaboration across NPC functions and coordination with cross-functional teams to support patient access and program integration within complex health care settings. Travel within the territory is required.

Responsibilities

• Interact with large, complex accounts to support patient access and provide face-to-face education to providers and staff to integrate products into office workflows.
• Address questions related to NPC policies on ordering, payment, inventory, and returns.
• Collaborate with executives, providers, administrators, billing and coding staff, claims departments, and revenue cycle managers to support patient access.
• Analyze problems and provide solutions for patient reimbursement; track local, regional, and national reimbursement trends and coordinate internal/external actions to support access.
• Support pull-through on local coverage decisions and communicate policy changes that affect departments.
• Inform customers about NVS-sponsored patient support programs (e.g., Co-pay) to enable patients starting/staying on therapy.
• 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 case tracking, issue resolution, and staff education.
• Collaborate cross-functionally within NPC to share insights on customer needs and barriers for access and reimbursement.
• Maintain understanding of NPC policies, handle PII in compliance with HIPAA and internal guidelines, and identify/report adverse events per established processes.
• Buy and Bill: assess access situations, develop Plans of Action, educate on buy-and-bill processes, and manage complex account workflows including centralized/decentralized acquisition and alternative care sites.
• Educate stakeholders on logistics of ordering, payment, inventory, and returns; act as reimbursement expert for offices and field teams.
• Engage with non-prescribers (pharmacy, system leadership, financial counselors, etc.) regarding Novartis medicines.

Qualifications

• Required: 5+ years 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.
• Required: Experience with highly complex practices/health systems to establish access and acquisition pathways.
• Required: Strategic account management with proactive access hurdle anticipation.
• Required: Deep experience integrating manufacturer-sponsored patient support programs.
• Required: Experience with specialty products via Specialty Pharmacy networks.
• Required: Knowledge of reimbursement pathways (specialty pharmacy, buy-and-bill, retail).
• Required: Strong understanding of Commercial payers, Medicare plans, and state Medicaid in the region.
• Required: Must live within the assigned territory and be able to travel at least 50% of the time.
• Required: Driving is an essential function; must have a fully valid, unrestricted driver‚Äôs license.
• Required: Willingness to be accommodated for driving-related restrictions if accommodation does not eliminate essential function.
• Desirable: Experience leading presentations to C-level account executives.
• Desirable: Strong cross-functional collaboration across Sales, Marketing, Market Access, Public Affairs, State & Government Affairs, Trade, and third-party affiliates.
• Desirable: Therapeutic-area expertise and strong communication, collaboration, and business acumen.
• Desirable: Field-based role with significant driving and expense management responsibilities.

Education

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

Additional Requirements

• Travel up to 50% of the time within territory; driving is essential.
• Must maintain a valid driver's license and good driving record.