Regional Associate Director, Access & Reimbursement CV - Pacific

Novartis • San Diego, CA

4d • $160,300 - $297,700 • Remote

About The Position

This is a field-based and remote opportunity. The Regional Associate Director, Access & Reimbursement (RADAR) is a field-based role that proactively provides in person (or virtual as needed) education to defined accounts within their assigned geographies on a wide range of access and reimbursement topics and needs in support of aligned product(s) strategy. RADARs primarily focus on accounts with increased process and workflow complexity, typically including centralized and decentralized systems of care, integrated delivery networks, academic medical institutions, large multi-provider specialty practices, and alternate sites of care. RADARs will serve as the patient access and reimbursement lead in business-to-business conversations with account executives. The RADAR role is responsible for managing the pull-through of access and reimbursement strategy and downstream operations within their aligned accounts. RADARs are expected to have deep expertise in communicating requirements and addressing barriers associated with local payer policy coverage, multi-channel acquisition pathways, billing and coding education (as needed), claims processing, reimbursement, and integration of manufacturer support programs into a range of account workflows. RADAR will continually need to demonstrate a keen ability to problem solve and manage multiple projects. RADARs partner closely with other Novartis Pharmaceuticals Corporation (NPC) field associates, including Customer Engagement (Sales) and Market Access, representing NPC with the highest integrity in accordance with NPC Values and Behaviors. RADARs will also be required to coordinate and communicate cross-functionally within NPC (e.g., Patient Support Center, Customer Engagement, Marketing, Market Access, Public Affairs, State & Government Affairs, Trade, Specialty Pharmacy Account Management, and other applicable third-party affiliates).

Requirements

• Bachelor’s Degree required. Business and/or biological science education preferred.
• 5+ Years of experience in pharmaceuticals / biotech industry focused in Patient Services, Market Access, Sales, and/or account management.
• 2 of those years being in a Patient Services practice support role for a specialty product(s).
• Experience working with highly complex practices and/or health systems to establish access and acquisition pathways.
• Strategic account management experience using a proactive approach to anticipate access hurdles impacting accounts and patient access.
• Deep expertise and experience integrating manufacturer-sponsored patient support programs.
• Experience with specialty products acquired through Specialty Pharmacy networks.
• Knowledge of reimbursement pathways (specialty pharmacy, buy-and-bill, retail).
• Candidate must reside within territory, or within a reasonable daily commuting distance of 60 miles from the territory border.
• Ability to travel 60-80% over a broad geography is required, with the ability to drive and/or fly within the territory.
• Must have a valid driver’s license.

Nice To Haves

• Advanced degree preferred.
• Experience working within Buy and Bill environments, including reimbursement and access support for provider-administered therapies.

Responsibilities

• 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 in order to support integration of those products into office processes and workflows.
• Work with key members of therapeutic area offices (e.g., executives, providers, administrators, billing and coding staff, claims departments, revenue cycle managers) in order to appropriately support patient access to products.
• Ability to analyze problems and offer solutions.
• Understand specifics and support questions associated with patient reimbursement and provide support on reimbursement issues with third party payers at the provider-level.
• Analyze account reimbursement issues (as needed).
• Supports 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.
• 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 (see above) to share insights on customer needs and barriers for their aligned therapeutic area product(s) related to access and reimbursement.
• 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 decentralized acquisition, and use of alternative channels such as white bagging, clear bagging, brown bagging, and alternate site of care for administration.

Benefits

• health, life and disability benefits
• a 401(k) with company contribution and match
• a variety of other benefits
• a generous time off package including vacation, personal days, holidays and other leaves

What This Job Offers

• Job Type: Full-time
• Career Level: Senior