AD, Access & Reimbursement, Oncology – Plains - Remote

Role Summary

The Associate Director, Access & Reimbursement, Oncology – Central Plains is a remote and field-based role covering Colorado, New Mexico, Wyoming, Montana, North Dakota, and South Dakota. The role provides in-person or virtual education to defined accounts on access and reimbursement topics to support aligned product strategy. It serves as the patient access and reimbursement lead in business-to-business conversations with account executives, managing pull-through of strategy and downstream operations within aligned accounts.

• Interact with large, complex accounts to support patient access within their aligned therapeutic area product(s), proactively provide face-to-face education on programs to providers and staff to integrate products into office processes and workflows.
• Address customer questions on NPC policies regarding ordering, payment, inventorying, and returns/replacements in offices.
• Collaborate with executives, providers, administrators, billing and coding staff, claims departments, and revenue cycle managers to support patient access to products.
• Analyze problems and provide solutions related to patient reimbursement; support on reimbursement with third-party payers; identify trends and partner internally/externally to support patient access to Novartis medicines.
• Support pull-through on local coverage decisions and proactively communicate policy changes that affect other departments.
• Inform customers about NVS-sponsored patient support programs (e.g., Co-pay) to enable patients to start and stay on therapy.
• Maintain expertise in regional/local access landscape and act as the reimbursement expert for aligned products as needed.
• Interface with the Patient Support Center and Access & Reimbursement Managers on patient case management, tracking, issue resolution, and education of office staff.
• Collaborate cross-functionally within NPC to share insights on customer needs and barriers for access and reimbursement.
• Maintain understanding of NPC policies and handle PII in compliance with HIPAA and internal guidelines.
• Identify and report adverse events through established Novartis systems as per processes.

• Required:
  
  Bachelor’s Degree. Business and/or biological science education preferred. Advanced degree preferred.
• Required:
  
  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.
• Required:
  
  Experience with highly complex practices and/or health systems to establish access and acquisition pathways.
• Required:
  
  Strategic account management experience with proactive approach to anticipate access hurdles.
• Required:
  
  Deep expertise 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 geographic region.
• Required:
  
  Must live within assigned territory.
• Required:
  
  Ability to travel and cover geography; at least 50% travel required, depending on geography/territory.
• Required:
  
  Driving is an essential function; must have a fully valid, unrestricted driver’s license.
• Required:
  
  Company provides accommodations for medical restrictions if an accommodation does not eliminate driving’s essential function.

• Extensive driving and field-based engagement; ability to travel up to 50% or more as required by territory.