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. Associate must reside within territory or within a reasonable daily commuting distance of 60 miles from 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 (see below) 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).

Job Description

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 in order to support integration of those 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 (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 is-sues with third party payers at the provider-level. Analyze account reimbursement issues (as needed). Identifies trends at a local regional and national level and partner with purpose internally and externally to support patient access to Novartis medicines

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.

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 (see above) 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 (under-stand and ensure compliance with HIPAA and other privacy laws and regulations and in-ternal Company compliance guidelines).

Responsible for identifying and reporting adverse events via the established Novartis systems as per applicable processes.

Buy and Bill Specific

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 path-ways 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 bag-ging 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 reve-nue cycle managers etc.

Key Performance Indicators

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 order to assist with therapeutic area products integration and improve patient access in a manner consistent and compliant with company policies and requirements.

Ensure customers on assigned target list and within assigned geography are aware of and know how to utilize available programs to support therapeutic area products access for patients.

Adherence with NPC policies laws and regulations.

Education

Bachelors Degree required. Business and/or biological science education preferred. Advanced degree preferred.

Minimum Requirements

5 Years of experience in pharmaceuticals / biotech industry focused in Patient Services Market Access Sales and/or account management. With 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 pro-grams.

Experience with specialty products acquired through Specialty Pharmacy networks

Knowledge of reimbursement pathways (specialty pharmacy buy-and-bill retail)

Possess a strong understanding of Commercial payers Medicare plans and state Medicaid in geographic region.

Must live within assigned territory.

Ability to travel and cover geography at least 50% travel required based on geography and territory / targeting make up.

Driving is an essential function of this role meaning it is fundamental to the purpose of this job and cannot be eliminated.

Because driving is an essential function of the role you must have a fully valid and unre-stricted drivers license to be qualified for this role.

The company provides reasonable accommodations for otherwise qualified individuals with medical restrictions if an accommodation can be provided without eliminating the essential function of driving.

Preferred Qualifications:

Experience leading and delivering presentations to C-level account executives.

Strong ability to work cross functionally with such functions as Field Sales Marketing Market Access Public Affairs State & Government Affairs Trade Specialty Pharmacy Account Management and applicable third-party affiliates.

Expertise in therapeutic area practice dynamics and common reimbursement and product program support-related needs.

Strong capabilities in the areas of customer focus collaboration business acumen commu-nication and presentation skills.

This position requires significant use of a company provided vehicle and maintaining good driving record

This is a field-based customer engaging position

Control business expenses related to field activities (i.e. travel customer meetings) and pro-vide timely expense reports to manager.

Novartis Compensation and Benefit Summary: The pay range for this position at commencement of employment is expected to be between $160300.00 and $297700.00/year; however while salary ranges are effective from 1/1/25 through 12/31/25 fluctuations in the job market may necessitate adjustments to pay ranges during this period. Further final pay determinations will depend on various factors including but not limited to geographical location experience level knowledge skills and abilities. The total compensation package for this position may also include other elements including a sign-on bonus restricted stock units and discretionary awards in addition to a full range of medical financial and/or other benefits (including 401(k) eligibility and various paid time off benefits such as vacation sick time and parental leave) dependent on the position offered. Details of participation in these benefit plans will be provided if an employee receives an offer of employment. If hired employee will be in an at-will position and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time including for reasons related to individual performance Company or individual department/team performance and market factors.

Field roles with a dedicated training period only:

The individual hired for this role will be required to successfully complete certain initial training including home study in eight (8) or fewer hours per day and forty (40) or fewer hours per week.

Driving is an essential function of this role meaning it is fundamental to the purpose of this job and cannot be eliminated. Because driving is an essential function of the role you must have a fully valid and unrestricted drivers license to be qualified for this role. The company provides reasonable accommodations for otherwise qualified individuals with medical restrictions if an accommodation can be provided without eliminating the essential function of driving.

EEO Statement:

The Novartis Group of Companies are Equal Opportunity Employers. We do not discriminate in recruitment hiring training promotion or other employment practices for reasons of race color religion sex national origin age sexual orientation gender identity or expression marital or veteran status disability or any other legally protected status.

Accessibility and reasonable accommodations

The Novartis Group of Companies are committed to working with and providing reasonable accommodation to individuals with disabilities. If because of a medical condition or disability you need a reasonable accommodation for any part of the application process or to perform the essential functions of a position please send an e-mail to or call 1 and let us know the nature of your request and your contact information. Please include the job requisition number in your message.

Salary Range

$160300.00 - $297700.00

Skills Desired

Access And Reimbursement Strategy Analytical Skill Analytical Thinking Cross-Functional Work Customer-Centric Mindset Employee Development Finance Go-to-Market Strategies Healthcare Policies Healthcare Sector Understanding Health Economics Health Technology Assessment (HTA) Innovation Inspirational Leadership Market Access Strategies Negotiation People Management Process Management Public Affairs Real World Evidence (RWE) Regulatory Compliance Risk Management Speed and Agility Training (Inactive) Value Propositions Waterfall Model