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Associate Director, Access & Reimbursement (ADAR) Immunology - Phoenix, Arizona- Remote

Novartis Farmacéutica

United States

Remote

USD 160,000 - 298,000

Full time

30 days ago

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Job summary

An established industry player is seeking an Associate Director for Access & Reimbursement in Immunology. This remote role involves educating healthcare providers about access and reimbursement processes for specialty products. The ideal candidate will possess extensive experience in the pharmaceutical industry, particularly in patient support and market access. You will engage with complex healthcare systems, analyze reimbursement pathways, and collaborate cross-functionally to ensure patient access. Join a mission-driven team dedicated to improving patient outcomes and making a significant impact in the healthcare landscape.

Benefits

401(k) eligibility
Paid time off
Sign-on bonus
Discretionary awards
Health insurance
Flexible working hours

Qualifications

  • 5+ years in pharmaceuticals/biotech with focus on Market Access and Sales.
  • Experience with complex health systems and reimbursement pathways.

Responsibilities

  • Support patient access through education and integration of products.
  • Analyze reimbursement issues and coordinate with third-party payers.

Skills

Account Management
Problem Solving
Communication Skills
Strategic Thinking
Patient Support Programs

Education

Bachelor’s Degree
Advanced Degree

Tools

CRM Software

Job description

Associate Director, Access & Reimbursement (ADAR) Immunology - Phoenix, Arizona- Remote

Job ID REQ-10045704

Apr 07, 2025

USA

Summary

Location:

The Associate Director, Access & Reimbursement, NPS (Novartis Patient Support) Immunology, Phoenix, AZ is a remote & field-based role that covers the following, but not limited to: Colorado, Utah, New Mexico and part of El Paso, TX. 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 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 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 (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).

About the Role

Major Accountabilities

  1. 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.
  2. Address customer questions for issues related to NPC policies on therapeutic area products ordering, payment, inventorying, and product returns & replacement in offices.
  3. 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.
  4. Ability to analyze problems and offer solutions. Understand specifics and support questions associated with patient reimbursement and coordinate on reimbursement issues with third party payers at the provider-level. Analyze account reimbursement issues & opportunities (as needed). Identifies trends at a local, regional and national level and partner with purpose internally and externally to support patient pull-through.
  5. 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.
  6. Accountable for standing up NVS-sponsored patient support programs to enable patients starting and staying on therapy (i.e., Co-pay).
  7. 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).
  8. 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.
  9. 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.
  10. 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 (understand and ensure compliance with HIPPA and other privacy laws and regulations and internal Company compliance guidelines).
Education

Bachelor’s Degree required. Business and/or biological science education preferred. Advanced degree preferred.

Minimum Requirements
  1. 5+ Years of experience in pharmaceuticals / biotech industry focused in PSS, Market Access, Sales, and/or account management. With 2 of those years being in a PSS practice support role for a specialty product(s).
  2. Experience working with highly complex practices and/or health systems to establish access and acquisition pathways.
  3. Strategic account management experience using a proactive approach to anticipate access hurdles impacting accounts and patient access.
  4. Deep expertise and experience integrating manufacturer-sponsored patient support programs.
  5. Experience with specialty products acquired through Specialty Pharmacy networks.
  6. Knowledge of reimbursement pathways (specialty pharmacy, buy-and-bill, retail).
  7. Possess a strong understanding of Commercial payers, Medicare plans and state Medicaid in geographic region.
  8. Must live within assigned territory.
  9. Ability to travel and cover geography, at least 50% travel required, based on geography and territory / targeting make up.
Other Competencies

Indicate any other key job requirements necessary for this role.

Preferred Qualifications
  1. Experience leading and delivering presentations to C-level account executives.
  2. 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.
  3. Expertise in therapeutic area practice dynamics and common reimbursement and product program support-related needs.
  4. Strong capabilities in the areas of customer focus, collaboration, business acumen, communication, and presentation skills.
  5. This position requires significant use of a company provided vehicle and maintaining good driving record.
  6. This is a field-based customer engaging position.
  7. Control business expenses related to field activities (i.e. travel, customer meetings) and provide timely expense reports to manager.

Why Novartis: Our purpose is to reimagine medicine to improve and extend people’s lives and our vision is to become the most valued and trusted medicines company in the world. How can we achieve this? With our people. It is our associates that drive us each day to reach our ambitions. Be a part of this mission and join us! Learn more here: https://www.novartis.com/about/strategy/people-and-culture

Commitment to Diversity & Inclusion: Novartis is committed to building an outstanding, inclusive work environment and diverse teams representative of the patients and communities we serve.

Novartis Compensation and Benefit Summary: The pay range for this position at commencement of employment is expected to be between $160,300.00 and 297,700.00/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.

Join our Novartis Network: If this role is not suitable to your experience or career goals but you wish to stay connected to hear more about Novartis and our career opportunities, join the Novartis Network here: https://talentnetwork.novartis.com/network

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 us.reasonableaccommodations@novartis.com 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.

Division US

Business Unit Innovative Medicines

Location USA

State Field, US

Site Field Non-Sales (USA)

Company / Legal Entity U014 (FCRS = US014) Novartis Pharmaceuticals Corporation

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