AD, Access & Reimbursement RLT - Los Angeles, CA - Remote
National Black MBA Association, Los Angeles, California, United States, 90079
Job Description Summary
The Associate Director, Access & Reimbursement, RLT (Radioligand Therapy) is a remote/field-based role that covers the following states but is not limited to: Los Angeles, Orange, Thousand Oaks, Santa Clarita & Ridgecrest, CA. Candidates must reside within the territory or within a reasonable daily commuting distance of 60 miles from the territory border.
The Associate Director, Access & Reimbursement (ADAR) 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. ADARs 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 serve as the patient access and reimbursement lead in business‑to‑business conversations with account executives, managing the pull‑through of access and reimbursement strategy and downstream operations within aligned accounts. They must be able to communicate requirements and address barriers related to local payer policy coverage, multi‑channel acquisition pathways, billing and coding education, claims processing, reimbursement, and integration of manufacturer support programs into account workflows, while consistently demonstrating problem‑solving and multitasking skills.
ADARs partner closely with other Novartis Pharmaceuticals Corporation field associates, including Customer Engagement (Sales) and Market Access, representing Novartis with the highest integrity in accordance with Novartis Values and Behaviors. They also coordinate and communicate cross‑functionally within Novartis (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 providing face‑to‑face education on programs to providers and staff to integrate products into office processes and workflows.
Address customer questions related to Novartis policies on therapeutic area product ordering, payment, inventorying, and product returns & replacement.
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, offer solutions, and address reimbursement questions with third‑party payers at the provider level. Analyze account reimbursement issues as needed and identify trends at local, regional, and national levels to support patient access to Novartis medicines.
Support pull‑through of local coverage decisions to enable patient access within the system, proactively communicating policy changes or issues that could affect other departments.
Inform customers about Novartis‑sponsored patient support programs to help enable patients starting and staying on therapy (e.g., Co‑pay).
Maintain expertise in regional and local access landscapes, anticipating changes in the healthcare environment and acting as the designated reimbursement expert for products as needed.
Interface with Patient Support Center and Access & Reimbursement Managers regarding patient case management, including tracking cases, issue resolution, reimbursement support, and appropriate office staff education.
Collaborate with aligned cross‑functional associates to share insights on customer needs and barriers related to access and reimbursement.
Maintain a deep understanding of Novartis policies 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 internal company protocols.
Identify and report adverse events via the established Novartis systems as per applicable processes.
Buy and Bill Specific
Assess access situations within the assigned geography and develop an appropriate Plan of Action (POA). Communicate 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, and the 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 & replacement.
Analyze reimbursement issues, anticipate changes in the healthcare landscape, and act as the designated reimbursement expert for offices and field teams.
Engage with non‑prescribers in regard to Novartis medicines (pharmacy, system leadership, financial counselors, office administrators, revenue cycle managers, etc.).
Radioligand Therapies Specific The ADAR will be a critical partner to the Novartis Patient Support customer engagement team on supply capacity, site procurement eligibility, and as a customer‑facing resource for communications on orders and logistics.
Understand RLT key priorities in core disease areas, financial goals, and site initiatives to influence overall account and regional business strategies.
Assess and understand site and/or other organizations’ readiness for procurement of nuclear medicines and billing to facilitate orders, identify gaps, and resolve them with cross‑functional partners.
Partner with the customer engagement teams to facilitate procurement and logistics with sites and local field teams, including timing, education on available rebate offerings, and patient‑specific support such as benefit verification, PA, appeals, copay programs, and rebate offerings.
Partner with Market Access to support follow‑up and ensure completion of purchase agreements & GPO forms, acting as liaison for RLT Access Lead for new site onboarding.
Support treatment site onboarding to include RAM license, W9, & PRD preferences.
Apply major accountabilities to therapy, diagnostic, and theragnostic treatment centers.
What You’ll Bring to the Role Education:
Bachelor’s degree required; Business and/or biological science education preferred. Advanced degree preferred.
Essential Requirements
5+ years of experience in the pharmaceutical/biotech industry focused on Patient Services, Market Access, Sales, and/or account management, with 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 based on geography and territory.
Driving is an essential function of this role. You must hold 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.
Desirable Requirements
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 needs.
Strong capabilities in customer focus, collaboration, business acumen, communication, and presentation skills.
Experience operating a company‑provided vehicle and maintaining a good driving record.
Field‑based customer‑engaging position.
Control business expenses related to field activities and provide 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 $160,300.00 and $297,700.00 per year. 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. Final pay determinations will depend on factors such as geographic location, experience level, knowledge, skills, and abilities. The total compensation package may include 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 and paid time off 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, the employee will be in an "at‑will" position and the Company reserves the right to modify base salary and other compensation at any time for reasons related to individual performance, company or department 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. You 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.
EEO Statement The Novartis Group of Companies is an Equal Opportunity Employer. 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 is committed to working with and providing reasonable accommodations 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 email 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
Agility
Analytical Skill
Analytical Thinking
Cross‑Functional Collaboration
Customer‑Centric Mindset
Employee Development
Finance
Go‑To‑Market Strategy
Healthcare Sector Understanding
Health Economics
Health Policy
Health Technology Assessment (HTA)
Innovation
Inspirational Leadership
Market Access Strategy
Negotiation Skills
People Management
Process Management
Public Affairs
Real World Evidence (RWE)
Regulatory Compliance
Risk Management
Value Propositions
Waterfall Model
#J-18808-Ljbffr
The Associate Director, Access & Reimbursement (ADAR) 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. ADARs 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 serve as the patient access and reimbursement lead in business‑to‑business conversations with account executives, managing the pull‑through of access and reimbursement strategy and downstream operations within aligned accounts. They must be able to communicate requirements and address barriers related to local payer policy coverage, multi‑channel acquisition pathways, billing and coding education, claims processing, reimbursement, and integration of manufacturer support programs into account workflows, while consistently demonstrating problem‑solving and multitasking skills.
ADARs partner closely with other Novartis Pharmaceuticals Corporation field associates, including Customer Engagement (Sales) and Market Access, representing Novartis with the highest integrity in accordance with Novartis Values and Behaviors. They also coordinate and communicate cross‑functionally within Novartis (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 providing face‑to‑face education on programs to providers and staff to integrate products into office processes and workflows.
Address customer questions related to Novartis policies on therapeutic area product ordering, payment, inventorying, and product returns & replacement.
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, offer solutions, and address reimbursement questions with third‑party payers at the provider level. Analyze account reimbursement issues as needed and identify trends at local, regional, and national levels to support patient access to Novartis medicines.
Support pull‑through of local coverage decisions to enable patient access within the system, proactively communicating policy changes or issues that could affect other departments.
Inform customers about Novartis‑sponsored patient support programs to help enable patients starting and staying on therapy (e.g., Co‑pay).
Maintain expertise in regional and local access landscapes, anticipating changes in the healthcare environment and acting as the designated reimbursement expert for products as needed.
Interface with Patient Support Center and Access & Reimbursement Managers regarding patient case management, including tracking cases, issue resolution, reimbursement support, and appropriate office staff education.
Collaborate with aligned cross‑functional associates to share insights on customer needs and barriers related to access and reimbursement.
Maintain a deep understanding of Novartis policies 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 internal company protocols.
Identify and report adverse events via the established Novartis systems as per applicable processes.
Buy and Bill Specific
Assess access situations within the assigned geography and develop an appropriate Plan of Action (POA). Communicate 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, and the 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 & replacement.
Analyze reimbursement issues, anticipate changes in the healthcare landscape, and act as the designated reimbursement expert for offices and field teams.
Engage with non‑prescribers in regard to Novartis medicines (pharmacy, system leadership, financial counselors, office administrators, revenue cycle managers, etc.).
Radioligand Therapies Specific The ADAR will be a critical partner to the Novartis Patient Support customer engagement team on supply capacity, site procurement eligibility, and as a customer‑facing resource for communications on orders and logistics.
Understand RLT key priorities in core disease areas, financial goals, and site initiatives to influence overall account and regional business strategies.
Assess and understand site and/or other organizations’ readiness for procurement of nuclear medicines and billing to facilitate orders, identify gaps, and resolve them with cross‑functional partners.
Partner with the customer engagement teams to facilitate procurement and logistics with sites and local field teams, including timing, education on available rebate offerings, and patient‑specific support such as benefit verification, PA, appeals, copay programs, and rebate offerings.
Partner with Market Access to support follow‑up and ensure completion of purchase agreements & GPO forms, acting as liaison for RLT Access Lead for new site onboarding.
Support treatment site onboarding to include RAM license, W9, & PRD preferences.
Apply major accountabilities to therapy, diagnostic, and theragnostic treatment centers.
What You’ll Bring to the Role Education:
Bachelor’s degree required; Business and/or biological science education preferred. Advanced degree preferred.
Essential Requirements
5+ years of experience in the pharmaceutical/biotech industry focused on Patient Services, Market Access, Sales, and/or account management, with 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 based on geography and territory.
Driving is an essential function of this role. You must hold 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.
Desirable Requirements
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 needs.
Strong capabilities in customer focus, collaboration, business acumen, communication, and presentation skills.
Experience operating a company‑provided vehicle and maintaining a good driving record.
Field‑based customer‑engaging position.
Control business expenses related to field activities and provide 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 $160,300.00 and $297,700.00 per year. 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. Final pay determinations will depend on factors such as geographic location, experience level, knowledge, skills, and abilities. The total compensation package may include 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 and paid time off 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, the employee will be in an "at‑will" position and the Company reserves the right to modify base salary and other compensation at any time for reasons related to individual performance, company or department 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. You 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.
EEO Statement The Novartis Group of Companies is an Equal Opportunity Employer. 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 is committed to working with and providing reasonable accommodations 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 email 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
Agility
Analytical Skill
Analytical Thinking
Cross‑Functional Collaboration
Customer‑Centric Mindset
Employee Development
Finance
Go‑To‑Market Strategy
Healthcare Sector Understanding
Health Economics
Health Policy
Health Technology Assessment (HTA)
Innovation
Inspirational Leadership
Market Access Strategy
Negotiation Skills
People Management
Process Management
Public Affairs
Real World Evidence (RWE)
Regulatory Compliance
Risk Management
Value Propositions
Waterfall Model
#J-18808-Ljbffr