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Regional Associate Director, Access & Reimbursement CV - PacificNovartis • Los Angeles, CA, United States
Regional Associate Director, Access & Reimbursement CV - Pacific

Regional Associate Director, Access & Reimbursement CV - Pacific

Novartis • Los Angeles, CA, United States
13 days ago
Salary
$160,300.00–$297,700.00 yearly
Job type
  • Full-time
Job description

Summary This is a field-based and remote opportunity. Novartis is unable to offer relocation support for this role. Please only apply if this location is accessible for you. The expectation of working hours and travel (domestic and/or international) will be defined by the hiring manager. About The Role 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. 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. RADARs continually 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 also 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). 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 to support integration of those products into office processes and workflows. Work with key members of therapeutic area offices (executives, providers, administrators, billing and coding staff, claims departments, revenue cycle managers) to appropriately support patient access to products. Analyze problems, 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. Support pull‑through on local coverage decisions to enable meaningful patient access within the system and proactively communicate policy changes or issues that could affect other departments. Maintain expertise in 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 appropriate office staff education. Collaborate with aligned cross‑functional associates within NPC to share insights on customer needs and barriers for the aligned therapeutic area product(s) related to access and reimbursement. Educate 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. Minimum Requirements Education: Bachelor’s Degree required. Business and/or biological science education preferred, advanced degree preferred. 5+ years of experience in the pharmaceuticals/biotech industry focused on Patient Services, Market Access, Sales, and/or account management; with at least 2 years 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% across a broad geography required, with ability to drive and/or fly within the territory; must have a valid driver’s license. Preferred Qualification Experience working within Buy and Bill environments, including reimbursement and access support for provider‑administered therapies. 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 such as relevant skills and experience, and will be reviewed periodically upon joining. Novartis may adjust 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. Employees also receive a generous time‑off package including vacation, personal days, holidays, and other leaves. Driving is an Essential Function of this Role Driving is a fundamental element of this job and cannot be eliminated. Applicants must have a fully valid and unrestricted driver’s license. 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. COVID-19 Vaccine Policy (customer-facing roles only) Novartis does not require vaccination for COVID-19 or proof of a recent negative test. Employees in customer-facing roles must comply with customers’ credentialing guidelines, which may require vaccination. Novartis will consider requests for reasonable accommodation for those unable to be vaccinated, subject to applicable state and local laws. Please send accommodation requests to Eh.occupationalhealth@novartis.com. For Field Roles With a Dedicated Training Period The individual hired for this role will be required to successfully complete initial training, including home study, eight (8) or fewer hours per day and forty (40) or fewer hours per week. 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 & 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 [email protected] or call +1(877)395-2339 and let us know the nature of your request and your contact information. Please include the job requisition number in your message. #J-18808-Ljbffr

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Regional Associate Director, Access & Reimbursement CV - Pacific • Los Angeles, CA, United States

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