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

Job Description Summary

Location:

Remote - Las Vegas, NV

The Associate Director, Access & Reimbursement, NPS (Novartis Patient Support) Cardiovascular, Las Vegas, NV is a remote & field-based role that covers the following, but not limited to:
Las Vegas, NV;
Salt Lake City, UT;
Flagstaff, AZ. The Associate must reside within territory, or within a reasonable daily commuting distance of 60 miles from the territory border.

The Associate Director, Access & Reimbursement (ADAR) 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. ADARs 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.

ADARs will serve as the patient access and reimbursement lead in business-to-business conversations with account executives. The ADAR role is responsible for managing the pull-through of access and reimbursement strategy and downstream operations within their aligned accounts. ADARs 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.

ADAR will continually need to demonstrate a keen ability to problem solve and manage multiple projects.

ADARs 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. ADARs 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).

• Interact with large, complex accounts to support patient access within their aligned therapeutic area product(s), proactively providing 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 & replacements in offices.
• Work with key members of therapeutic area offices (executives, providers, administrators, billing and coding staff, claims departments, revenue cycle managers) to support patient access to products.
• Analyze problems and offer solutions, support questions associated with patient reimbursement, and assist third‑party payers at the provider level. Analyze account reimbursement issues as needed, identify trends at local, regional and national levels, and partner 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 and proactively communicate policy changes that could affect other departments.
• Inform customers on NVS‑sponsored patient support programs to help enable patients starting and staying on therapy (e.g., Co‑pay).
• Maintain expertise in the regional and local access landscape, anticipate changes in the healthcare landscape, and act as the 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 office staff education.
• Collaborate with aligned cross‑functional associates within NPC to share insights on customer needs and barriers for their aligned therapeutic area product(s) related to access and…