AD, Access & Reimbursement, Oncology – South Texas - Remote

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.

• 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.

• 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.

• Bachelor’s Degree required; business and/or biological science background preferred. Advanced degree preferred.