Novartis · 19 hours ago
AD, Access & Reimbursement, Oncology – South Texas - Remote
United States
Full-time
Remote
Lead/Staff, Director/Executive
$160K/yr - $298K/yr
5+ years expNovartis is a global healthcare company that is seeking an Associate Director, Access & Reimbursement, Oncology for a remote and field-based role covering South Texas. The role involves providing education on access and reimbursement topics to accounts, managing strategies to improve patient access, and collaborating with various teams to ensure effective integration of products into healthcare workflows.
BiotechnologyHealth CareMedicalPharmaceuticalPrecision Medicine
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 provide support on reimbursement issues with third party payers at the provider-level. Analyze account reimbursement issues (as needed). Identifies trends at a local, regional and national level and partner with purpose internally and externally to support patient access to Novartis medicines
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 help 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)
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
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
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 HIPAA and other privacy laws and regulations and internal Company compliance guidelines)
Responsible for identifying and reporting adverse events via the established Novartis systems as per applicable processes
Assess access situation within the assigned geography and develop appropriate Plan of Action (POA). Communicate POA to appropriate personnel
Responsible for educating HCPs using approved materials regarding acquisition pathways for Novartis products. Educate on 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, anticipating changes in the healthcare landscape, and act as the designated reimbursement expert for offices and field teams
Accountable for engagement with non-prescribers in regards to Novartis medicines, for example pharmacy, system leadership, financial counselors, office administrators, revenue cycle managers, etc
Qualification
Required
Bachelor's Degree required
5+ Years of experience in pharmaceuticals / biotech industry focused in Patient Services, Market Access, Sales, and/or account management
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
Must live within assigned territory
Ability to travel and cover geography, at least 50% travel required
Driving is an essential function of this role, meaning it is fundamental to the purpose of this job and cannot be eliminated
You must have a fully valid and unrestricted driver's license to be qualified for this role
Preferred
Business and/or biological science education preferred
Advanced degree preferred
Experience leading and delivering presentations to C-level account executives
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
Expertise in therapeutic area practice dynamics and common reimbursement and product program support-related needs
Strong capabilities in the areas of customer focus, collaboration, business acumen, communication, and presentation skills
Benefits
Health, life and disability benefits
A 401(k) with company contribution and match
Generous time off package including vacation, personal days, holidays and other leaves
Company
Novartis
Novartis is a pharmaceutical company that researches and develops medicines for serious diseases to improve and extend people's lives.
10001+ employees
H1B Sponsorship
Novartis has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (14)
2024 (27)
2023 (23)
2022 (27)
2021 (31)
2020 (25)
Funding
Current Stage
Public CompanyTotal Funding
$2.49BKey Investors
Bill & Melinda Gates Foundation
2024-06-19Post Ipo Debt· $2.49B
2018-02-14Grant· $6.5M
2000-05-19IPO
Leadership Team
Daniel Grant
Vice President & Global Program Head
John von Brachel
VP, Head of Content Lab
Recent News
South China Morning Post
2026-01-14
Pharmaceutical Technology
2026-01-13
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