AD, Access & Reimbursement Oncology - OH-W.VA-Western Pennsylvania - Remote
Field Non-Sales (USA)
Job Description Summary
Location: RemoteThe Associate Director, Access & Reimbursement, Oncology s a remote/field-based role that covers the following states but not limited to, Columbus, Cleveland, Cincinnati and Akron Ohio, West Virginia Pittsburgh & Western Pennsylvania. The 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 (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 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).
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 coordinate on reimbursement issues with third party payers at the provider-level. …
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Must have a fully valid and unrestricted driver’s license Must reside within territory Travel required
Benefits/Perks401k eligibility Flexible schedule Paid Time Off Professional development opportunities Remote work Restricted Stock Units
Tasks- Analyze reimbursement issues
- Collaborate with cross functional teams
- Ensure compliance
Access and Reimbursement Account management Analytical Billing Billing and Coding BioTech Claims processing Coding Collaboration Compliance Cross-functional Collaboration Customer Engagement Education Finance Healthcare Healthcare policy Integrated delivery networks Leadership Management Market Access Market Access Strategies Medical Negotiation Oncology Operations Patient Support Patient Support Programs People Management Pharmaceuticals Pharmacy Project Management Recruitment Regulatory Compliance Risk Management Sales Technology Training
Experience5 years
EducationAdvanced degree Business DO Economics Pharmacy
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9