AD, Access & Reimbursement; ADAR NPS CV -Remote- Las Vegas, NV

Job Description Summary

Location:

Remote – Las Vegas, NV
Role covers remote & field-based activities across Las Vegas, NV;
Salt Lake City, UT;
Flagstaff, AZ. Associate must reside within territory or within a reasonable daily commuting distance of 60 miles from territory border.

Major Accountabilities

• 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 for issues related to NPC policies on therapeutic area products ordering, payment, inventorying, and product returns & replacement in offices.
• Work with key members of therapeutic area offices (executives, providers, administrators, billing and coding staff, claims departments, revenue cycle managers) to appropriately support patient access to products.
• Analyze problems and offer solutions. Understand specifics and support questions associated with patient reimbursement and provide support on reimbursement is‑sues with third‑party payers at the provider‑level. Analyze account reimbursement issues (as needed). Identify trends at a local, regional and national level and partner with purpose internally and externally to support patient access to Novartis medicines.
• Support pull through on local coverage decisions to enable meaningful patient access within the system. Proactively communicate policy changes or issues that could potentially affect other departments.
• Accountable for informing customers on NVS‑sponsored patient support programs to help enable patients starting and staying on therapy (i.e., Co‑pay).
• Maintain expertise in regional and local access landscape, anticipating changes in the healthcare landscape, and act as their aligned therapeutic area product(s) reimbursement expert (as needed).
• Interface with Patient Support Center (hub) and Access & Reimbursement Managers on important matters related to patient case management, including tracking cases, issue resolution, reimbursement support, and appropriate office staff education.
• Collaborate with aligned cross‑functional associates within NPC to share in‑sights on customer needs and barriers for their aligned therapeutic area product(s) related to access and reimbursement.
• Maintain a deep understanding of NPC policies and requirements and perform all responsibilities with integrity and in a manner consistent with company guidance and prescribed Values and Behaviors. Handle Patient Identifiable Information (PII) appropriately (understand and ensure compliance with HIPAA and other privacy laws and regulations and internal Company compliance guidelines).
• Responsible for identifying and reporting adverse events via the established Novartis systems as per applicable processes.

• Assess access situation within the assigned geography and develop appropriate Plan of Action (POA). Communicate POA to appropriate personnel.
• Responsible for educating HCPs using approved materials regarding acquisition pathways for Novartis products. Educate on buy‑and‑bill end‑to‑end processes, workflows, and facility pull‑through in complex accounts, including scenarios of centralized and de‑centralized acquisition, and use of alternative channels such as white bagging, clear bagging, brown bagging, and alternate site of care for administration.
• Educates relevant stakeholders on logistics related to ordering, payment, inventory, and product returns & replacement.
• Analyze reimbursement issues, anticipating changes in the healthcare landscape, and act as the designated reimbursement expert for offices and field teams.
• Accountable for engagement with non‑prescribers in regards to Novartis medicines, for example pharmacy, system leadership, financial counselors, office administrators, revenue cycle managers, etc.

• Overall customer satisfaction and awareness related to designated therapeutic area products programs and reimbursement support.
• Education of key customers in therapeutic area offices (i.e., specialists, billing staff, reimbursement staff) in…