AD, Access & Reimbursement (ADAR) NPS CV -Remote- Las Vegas, NV
Novartis Group Companies, Las Vegas, Nevada, us, 89105
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).
Major Accountabilities
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 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) in compliance with HIPAA and other privacy laws and regulations.
Identify and report adverse events via the established Novartis systems as per applicable processes.
Assess access situations within the assigned geography, develop and communicate a Plan of Action (POA) to appropriate personnel.
Educate HCPs using approved materials regarding acquisition pathways for Novartis products, including buy‑and‑bill end‑to‑end processes, workflows, and facility pull‑through in complex accounts. Cover scenarios of centralized and decentralized acquisition, and use of alternative channels such as white‑bagging, clear‑bagging, brown‑bagging, and alternate sites of care for administration.
Educate relevant stakeholders on logistics related to ordering, payment, inventory, and product returns & replacements.
Analyze reimbursement issues, anticipate changes, and act as the designated reimbursement expert for offices and field teams.
Engage with non‑prescribers in regards to Novartis medicines, e.g., pharmacy, system leadership, financial counselors, office administrators, revenue cycle managers.
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) to assist with product integration and improve patient access in compliance with company policies.
Ensure customers on assigned target list and within assigned geography are aware of and know how to utilize available programs to support patient access.
Adherence to NPC policies, laws, and regulations.
Education Bachelor's Degree required. Business and/or biological science education preferred. Advanced degree preferred.
Minimum Requirements
5+ years’ experience in pharmaceuticals/biotech focused in Patient Services, Market Access, Sales, and/or account management. At least 2 of those 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).
Strong understanding of Commercial payers, Medicare plans and state Medicaid in the geographic region.
Must live within assigned territory.
Ability to travel and cover geography, at least 50% travel required.
Driving is an essential function of this role; a fully valid and unrestricted driver’s license is required.
Reasonable accommodations for otherwise qualified individuals with medical restrictions are available if they can perform the essential function of driving.
Preferred Qualifications
Experience leading and delivering presentations to C‑level account executives.
Strong ability to work cross‑functionally with 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 customer focus, collaboration, business acumen, communication, and presentation skills.
Significant use of a company‑provided vehicle and maintaining a good driving record.
Field‑based customer engaging position.
Control business expenses related to field activities (travel, customer meetings) and provide timely expense reports to manager.
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.
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 per year. Salary ranges are effective from 1/1/25 through 12/31/25; fluctuations may necessitate adjustments. Final pay determinations will depend on various factors including, but not limited to, geographic location, experience level, knowledge, skills and abilities.
The total compensation package 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 other benefits (including 401(k) eligibility, paid time off, vacation, sick time, and parental leave), dependent on the position offered. Details of participation will be provided if an employee receives an offer. If hired, the employee will be in an "at‑will" position and the Company reserves the right to modify base salary and any other discretionary payment or compensation program at any time.
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 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.
Salary Range $160,300.00 - $297,700.00
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
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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).
Major Accountabilities
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 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) in compliance with HIPAA and other privacy laws and regulations.
Identify and report adverse events via the established Novartis systems as per applicable processes.
Assess access situations within the assigned geography, develop and communicate a Plan of Action (POA) to appropriate personnel.
Educate HCPs using approved materials regarding acquisition pathways for Novartis products, including buy‑and‑bill end‑to‑end processes, workflows, and facility pull‑through in complex accounts. Cover scenarios of centralized and decentralized acquisition, and use of alternative channels such as white‑bagging, clear‑bagging, brown‑bagging, and alternate sites of care for administration.
Educate relevant stakeholders on logistics related to ordering, payment, inventory, and product returns & replacements.
Analyze reimbursement issues, anticipate changes, and act as the designated reimbursement expert for offices and field teams.
Engage with non‑prescribers in regards to Novartis medicines, e.g., pharmacy, system leadership, financial counselors, office administrators, revenue cycle managers.
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) to assist with product integration and improve patient access in compliance with company policies.
Ensure customers on assigned target list and within assigned geography are aware of and know how to utilize available programs to support patient access.
Adherence to NPC policies, laws, and regulations.
Education Bachelor's Degree required. Business and/or biological science education preferred. Advanced degree preferred.
Minimum Requirements
5+ years’ experience in pharmaceuticals/biotech focused in Patient Services, Market Access, Sales, and/or account management. At least 2 of those 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).
Strong understanding of Commercial payers, Medicare plans and state Medicaid in the geographic region.
Must live within assigned territory.
Ability to travel and cover geography, at least 50% travel required.
Driving is an essential function of this role; a fully valid and unrestricted driver’s license is required.
Reasonable accommodations for otherwise qualified individuals with medical restrictions are available if they can perform the essential function of driving.
Preferred Qualifications
Experience leading and delivering presentations to C‑level account executives.
Strong ability to work cross‑functionally with 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 customer focus, collaboration, business acumen, communication, and presentation skills.
Significant use of a company‑provided vehicle and maintaining a good driving record.
Field‑based customer engaging position.
Control business expenses related to field activities (travel, customer meetings) and provide timely expense reports to manager.
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.
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 per year. Salary ranges are effective from 1/1/25 through 12/31/25; fluctuations may necessitate adjustments. Final pay determinations will depend on various factors including, but not limited to, geographic location, experience level, knowledge, skills and abilities.
The total compensation package 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 other benefits (including 401(k) eligibility, paid time off, vacation, sick time, and parental leave), dependent on the position offered. Details of participation will be provided if an employee receives an offer. If hired, the employee will be in an "at‑will" position and the Company reserves the right to modify base salary and any other discretionary payment or compensation program at any time.
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 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.
Salary Range $160,300.00 - $297,700.00
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
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