Role Summary
The Associate Director, Access & Reimbursement, Oncology – South Texas is a remote and field-based role servicing San Antonio, Houston, and Austin, TX. The role provides education on access and reimbursement topics to defined accounts, leads patient access and reimbursement efforts in business-to-business discussions, and integrates manufacturer support programs into account workflows. Travel within the territory is required (approximately 50% or more) and driving is an essential function.
Responsibilities
- Interact with large, complex accounts to support patient access within their aligned therapeutic area products, providing face-to-face education on programs 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 in offices.
- Collaborate with executives, providers, administrators, billing staff, claims departments, and revenue cycle managers to support patient access to products.
- Analyze problems and provide solutions related to patient reimbursement; support reimbursement questions with third-party payers; identify reimbursement trends locally, regionally, and nationally to enhance patient access.
- Support pull-through on local coverage decisions to enable meaningful patient access; communicate policy changes or issues affecting other departments.
- Inform customers about NVS-sponsored patient support programs (e.g., Co-pay) to help patients start and stay on therapy.
- Maintain expertise in regional/local access landscapes and serve as the reimbursement expert for aligned products as needed.
- Interface with Patient Support Center and Access & Reimbursement Managers on patient case management, tracking, issue resolution, reimbursement support, 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 ensure HIPAA/privacy compliance; handle Patient Identifiable Information appropriately.
- Identify and report adverse events via established Novartis systems as per applicable processes.
Qualifications
- Essential Requirements
- Education: Bachelor’s Degree required; business or biological science preferred; advanced degree preferred.
- 5+ years of experience in pharmaceuticals/biotech focused on Patient Services, Market Access, Sales, and/or account management, including 2+ years in a Patient Services practice support role for a specialty product.
- Experience with highly complex practices or health systems to establish access and acquisition pathways.
- Strategic account management experience with proactive anticipation of access hurdles.
- Deep expertise in integrating manufacturer-sponsored patient support programs.
- Experience with specialty products via Specialty Pharmacy networks.
- Knowledge of reimbursement pathways (specialty pharmacy, buy-and-bill, retail) and understanding of Commercial payers, Medicare, and state Medicaid in the region.
- Must reside in the assigned territory and be able to travel across geography (approximately 50% travel or more).
- Driving is an essential function; must have a valid, unrestricted driver’s license.
- Ability to accommodate driving in accordance with company policy and applicable laws.
- Preferred Qualifications
- Experience presenting to C-level account executives; strong cross-functional collaboration with 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/program support needs.
- Strong customer focus, collaboration, business acumen, communication, and presentation skills.
- Field-based, customer-engaging experience and ability to manage field expenses and provide timely reports.
Education
- Bachelor’s Degree required; business and/or biological science background preferred. Advanced degree preferred.