Associate Director, Access & Reimbursement – Oncology/Neuro

This is a fully remote position, open to applicants in Texas.

📋 Description

• Deliver in-person or virtual education on access and reimbursement topics to specified accounts within designated regions.

• Support the aligned product strategy and oversee the execution of access and reimbursement strategies along with downstream operations.

• Act as the lead on patient access and reimbursement during business-to-business discussions with account executives.

• Engage with large, complex accounts to facilitate patient access and educate providers and their staff on relevant programs.

• Respond to customer inquiries about product ordering, payments, inventory management, returns, and replacements.

• Manage Patient Identifiable Information while adhering to HIPAA, privacy regulations, and company policies.

• Identify and report adverse events using established Novartis systems.

• Assist with provider-level reimbursement challenges with third-party payers while analyzing account reimbursement matters.

• Recognize local, regional, and national trends to enhance patient access to Novartis medications.

• Relay coverage policy changes and related issues to internal teams.

• Educate customers about Novartis-sponsored patient support initiatives.

• Collaborate with the Patient Support Center and Access & Reimbursement Managers for patient case management and problem-solving.

• Work with cross-functional Novartis teams to convey customer requirements and access obstacles.

• Evaluate access circumstances within the assigned area and formulate Plans of Action.

• Train healthcare professionals on acquisition pathways and buy-and-bill procedures.

• Inform stakeholders about ordering, payment, inventory, returns, replacements, and alternative acquisition methods.

• Engage non-prescribers such as pharmacists, system leaders, financial counselors, office administrators, and revenue cycle managers.

⛳️ Requirements

• A Bachelor’s Degree is mandatory.

• A minimum of 5 years of experience in the pharmaceuticals or biotech sectors, focusing on Patient Services, Market Access, Sales, and/or account management.

• At least 2 years of experience in a Patient Services support role for specialty products.

• Experience working with highly intricate practices and/or health systems to create access and acquisition pathways.

• Proven strategic account management experience, with a proactive approach to foresee access challenges.

• In-depth expertise in integrating manufacturer-sponsored patient support programs.

• Experience with specialty products accessed through Specialty Pharmacy networks.

• Familiarity with specialty pharmacy, buy-and-bill, and retail reimbursement channels.

• Strong knowledge of Commercial payers, Medicare plans, and state Medicaid within the geographical area.

• Must reside within the designated territory.

• Willingness to travel and cover the area; a minimum of 50% travel is required.

• A valid and unrestricted driver’s license is essential, as driving is a key aspect of the role.

• Capability to comply with customer credentialing guidelines for roles involving customer interaction.

• Ability to complete initial field-role training, including home study, in eight or fewer hours per day and forty or fewer hours per week.

🏝️ Benefits

• Performance-based cash incentives.

• Potential eligibility for annual equity awards depending on the role level.

• Comprehensive health benefits.

• Life insurance benefits.

• Disability insurance coverage.

• 401(k) plan with company contributions and matching.

• Paid vacation time.

• Personal days off.

• Paid holidays and other types of leave.

• Reasonable accommodations for disabilities.

• Customer-facing employees may receive reasonable accommodations concerning customer credentialing and vaccination requirements.