Associate Director, Access & Reimbursement (ADAR) CV- West Texas

Job Description Summary #LI-Remote The AD, Access & Reimbursement, NPS CV is in West Texas geography. This is a remote & field-based role that covers the following, but not limited to: San Antonio, Corpus Christi, and Lubbock, TX. Associate must reside within territory, or within a reasonable daily commuting distance of 60 miles from territory. 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 Key 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.     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 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.   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.       Minimum   Requirements :      Education:   Bachelor’s Degree   required .    Business and/or biological science education preferred. Advanced degree preferred.     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 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.       Novartis Compensation Summary:   The salary for this position is expected to range between $ 160 ,300 ,   and $ 297,700   per year.     The final salary offered is   determined   based on factors like, but not limited to, relevant skills and experience, and upon joining Novartis will be reviewed periodically. Novartis may change the published salary range based on company and market factors.     Your compensation will include a performance-based cash incentive and, depending on the level of the role, eligibility to be considered for annual equity awards.     US-based eligible employees will receive a comprehensive benefits package that includes health,   life   and disability benefits, a 401(k) with company contribution and match, and a variety of other benefits. In addition, employees are eligible for a generous time off package including vacation, personal days,   holidays   and other leaves.     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   driver’s   license to be qualified for this role. The company provides reasonable   accommodations   for otherwise qualified indi