AD, Access & Reimbursement RLT - Los Angeles, CA - Remote

Role Summary

The Associate Director, Access & Reimbursement, RLT (Radioligand Therapy) is a remote/field-based role supporting patient access and reimbursement within assigned geographies. The role involves educating accounts on access and reimbursement topics, managing pull-through of strategies, and collaborating with cross-functional NPC teams to enable patient access to Novartis medicines.

Responsibilities

• Interact with large, complex accounts to support patient access and provide education to providers and staff to integrate products into office workflows.
• Address questions related to NPC policies on product ordering, payment, inventory, and returns.
• Collaborate with executives, providers, administrators, billing staff, claims departments, and revenue cycle managers to support patient access.
• Analyze problems and provide solutions related to patient reimbursement; identify trends and support access at local, regional, and national levels.
• Support pull-through on local coverage decisions and communicate policy changes that affect other departments.
• Inform customers about NPC-sponsored patient support programs (e.g., Co-pay).
• Maintain expertise in regional/local access landscape and act as reimbursement expert for aligned products.
• Interface with the 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, handle PIIs per privacy laws, and report adverse events per established processes.

Buy and Bill Specific

• Assess access in the geography and develop a Plan of Action; communicate POA to relevant personnel.
• Educate HCPs on acquisition pathways, buy-and-bill processes, and facility pull-through in complex accounts (centralized/decentralized acquisition, white bagging, clear bagging, brown bagging, alternate care sites).
• Educate stakeholders on logistics of ordering, payment, inventory, and returns/replacements.
• Analyze reimbursement issues and act as the reimbursement expert for offices and field teams.
• Engage with non-prescribers (pharmacy, system leadership, financial counselors, administrators, revenue cycle managers) as appropriate.

Radioligand Therapies Specific

• Partner with the NPC Patient Support team on supply capacity and site eligibility; serve as a resource for orders and logistics communications.
• Understand RLT priorities, site readiness for procurement of nuclear medicines, and educate on procurement systems, access, and reimbursement; identify gaps and work with cross-functional partners to resolve.
• Coordinate with customer engagement teams to facilitate procurement and logistics, as well as patient-specific support (benefit verification, prior authorization, appeals, copay programs, rebates).
• Collaborate with Market Access to support onboarding of new sites (purchase agreements, GPO forms) as liaison for RLT Access Lead.
• Support treatment site onboarding to include RAM license, W9, and PRD preferences; apply to therapy, diagnostic, and theragnostic centers.

What You’ll Bring To The Role

Education: Bachelor’s degree required; Business and/or biological science education preferred. Advanced degree preferred.

Essential Requirements

• 5+ years in pharmaceuticals/biotech focusing on Patient Services, Market Access, Sales, and/or account management, with 2 years in a Patient Services practice support role for a specialty product.
• Experience with highly complex practices or health systems to establish access/acquisition pathways.
• Strategic account management experience addressing access hurdles impacting accounts and patient access.
• 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 plans, and state Medicaid in the geographic region.
• Must live within the assigned territory.
• Ability to travel and cover geography; at least 50% travel required.
• Driving is an essential function; must have a valid, unrestricted driver‚Äôs license.
• Company provides reasonable accommodations if an accommodation does not eliminate driving‚Äôs essential function.

Desirable Requirements

• Experience presenting to C-level account executives.
• Ability to work cross-functionally with Field Sales, Marketing, Market Access, Public Affairs, State & Government Affairs, Trade, and third-party affiliates.
• Therapeutic area practice dynamics and common reimbursement/program support expertise.
• Strong customer focus, collaboration, business acumen, communication, and presentation skills.
• Field-based role with significant use of company-provided vehicle and good driving record.
• Ability to manage field expenses and submit timely expense reports.