AD, Access & Reimbursement Radioligand Therapy- Remote - Washington DC
Company: Novartis Group Companies
Location: Washington
Posted on: May 3, 2024
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Job Description:
391164BR
AD, Access & Reimbursement Radioligand Therapy- Remote - Washington
DC
USA
About the role
Location: Remote
About the Role:
The Associate Director, Access & Reimbursement, Radioligand Therapy
(RLT) is a remote/field-based role that covers the following states
but not limited to, Baltimore, MD, Wilmington, DE, Bethesda, MD &
Washington, DC. The Associate must reside within territory, or
within a reasonable daily commuting distance of 60 miles from
territory border. Ability to travel and cover geography, at least
50% travel required.
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).
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.
* Address customer questions for issues related to NPC policies on
therapeutic area products ordering, payment, inventorying, and
product returns & replacement in offices.
* 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. Analyze account re-imbursement
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.
* 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.
* Accountable for informing customers on NVS-sponsored patient
support programs to enable patients starting and staying on therapy
(i.e., Co-pay).
* 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).
* 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; 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.
* 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 in-ternal Company compliance
guidelines).
Buy and Bill Specific
* Assess access situation within the assigned geography and develop
appropriate Plan of Action (POA). Communicate POA to appropriate
personnel.
* Responsible for establishing preferred acquisition pathways.
Educate on and support 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.
* Educates relevant stakeholders on logistics related to ordering,
payment, inventory, and product returns & replacement.
* Analyze reimbursement issues & opportunities, anticipating
changes in the healthcare landscape, and act as the designated
reimbursement expert for offices and field teams.
* Accountable for engagement with non-prescribers, for example
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
(NPS) customer engagement team on supply capacity, site procurement
eligibility, as well 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 appropriate
organizations' level of readiness for procurement of nuclear
medicines and billing to facilitate orders for products and so that
they can engage and educate on procurement systems and processes,
access, and reimbursement. Be able to understand where gaps in
procurement exist and work with Cross-Functional partners to
resolve.
* Partner with the customer engagement teams to assist the
communication and facilitation of procurement and logistics with
both the site and the local field teams. (e.g., procurement,
logistics processes and timing) as well as patient-specific support
(benefit verification, PA and appeals and copay programs)
* Major accountabilities apply to therapy, diagnostic and
theragnostic treatment centers.
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.
EEO Statement
We are Equal Opportunity Employers and take pride in maintaining a
diverse environment. We do not discriminate in recruitment, hiring,
training, promotion or other employment practices for reasons of
race, color, religion, gender, national origin, age, sexual
orientation, gender identity or expression, marital or veteran
status, disability, or any other legally protected status. We are
committed to building diverse teams, representative of the patients
and communities we serve, and we strive to create an inclusive
workplace that cultivates bold innovation through collaboration and
empowers our people to unleash their full potential.
Accessibility and Reasonable Accommodations: Individuals in need of
a reasonable accommodation due to a medical condition or disability
for any part of the application process, or to perform the
essential functions of a position, please let us know the nature of
your request, your contact information and the job requisition
number in your message:
Role Requirements
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 pharmaceuticals / biotech industry
focused in Patient Services, Market Access, Sales, and/or account
management. With 2 of those years being 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)
* Possess a strong understanding of Commercial payers, Medicare
plans and state Medicaid in geographic region.
Desirable Requirements:
* Expertise in therapeutic area such as Oncology, Prostate Cancer
or Nuclear Medicines
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
You'll Receive: You can find everything you need to know about our
benefits and rewards in the Novartis Life Handbook.
https://www.novartis.com/careers/benefits-rewards
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
$174,400 and $261,600/year; however, while salary ranges are
effective from 1/1/24 through 12/31/24, 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
Driving is an essential function of this role, meaning it is
fundamental to the purpose of this job and cannot be eliminated.
Because driving is an essential function of the role, you must have
a fully valid and unrestricted driver's license to be qualified for
this role. 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.
Division
US
Business Unit
Novartis Patient Support
Work Location
Washington, D.C.
Company/Legal Entity
Novartis Pharmaceuticals
Functional Area
Market Access
Job Type
Full Time
Employment Type
Regular
Shift Work
No
Early Talent
No
Keywords: Novartis Group Companies, Arlington , AD, Access & Reimbursement Radioligand Therapy- Remote - Washington DC, Healthcare , Washington, Virginia
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