Regional Director, Access & Reimbursement- West Territory

Band

Level 6

 

Job Description Summary

#LI-Remote

Location: Remote: This position can be based remotely in US. Please note that this role would not provide relocation as a result. The expectation of working hours and travel (domestic and/or international) will be defined by the hiring manager.

 

Job Description

The Regional Director (RD), Access & Reimbursement is a field-based role that serves as the regional lead for Novartis Disease Area Novartis Patient Support (NPS) Access & Reimbursement field teams. RDs lead a team of diverse field access & reimbursement roles focused on supporting customers on all matters related to patient access to our evolving disease area portfolio. The RD will provide leadership, management and coaching, operations, compliance, and budget oversight for their aligned regions in support of aligned product(s) strategy and pre-specified business goals. The RD must maintain a national perspective in their decision-making, collaborate with other NPS and cross-functional RDs, and lead projects/initiatives at a national- and regional-level. RDs are responsible for linking business strategy with exquisite and compliant execution within their regions to deliver pre-specified impact for the Novartis Pharmaceutical Corporation (NPC).

Major accountabilities:

• Attract, coach, and retain team of high performing Access & Reimbursement professionals.

• Pull through national strategy at a regional level to enable exquisite execution. Under the advisement of their manager, RDs also may be responsible for leading specific national strategies and tactic development.

• Proactively anticipate and coach teams on how to address access hurdles impacting key customers and patients.

• Ensures team delivers effective education with customers to support appropriate patients starting and staying on therapy safely (educating across: REMS requirements where applicable, services, forms, PA process, etc.)

• Integrate with NPC leadership and collaborate across multi-functional teams (NPS, Customer Engagement, Marketing, Market Access, Operations, Training, Legal, ERC, etc.) to ensure a collaborative and compliant approach to support regional field success.

• Understand specifics of, and resolve questions associated with, practice and/or patient reimbursement to support on any issues with third party payers.

• Identify opportunities to complement NPC capabilities to strengthen the ability for patients to have access to therapy.

• Maintain a deep understanding of NPC policies and requirements and perform all responsibilities with integrity and in a manner consistent with company guidance and policies, relevant state and federal laws and regulations, 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). This comes with the added accountability of ensuring your team is also adhering to NPC guidance and policies and relevant state and federal laws and regulations.

• Responsible for identifying and reporting adverse events via the established Novartis systems as per applicable processes.

Minimum Requirements:

Work Experience:

• Minimum of 8 years in reimbursement, contract strategy), managed care, sales/marketing or related field roles. At least 2 years leading a regional or local team and managing and collaborating across multiple stakeholders.

• 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

• General knowledge of reimbursement pathways (specialty pharmacy, buy-and-bill, retail)

• Experience with specialty products acquired through specialty pharmacy networks and through buy-and-bill process, including expertise in acquisition, billing and coding, claims processing, and reimbursement

• Possess a strong understanding of Commercial payers, Medicare plans and state Medicaid in geographic region.

• Proven track record of building, and motivating teams

• Past success in execution of launch strategies and plans

Education:

• Minimum of a bachelor’s degree; advanced degree preferred (Majors preferred: Sciences, Business, Pharmacy, and Healthcare)

Novartis Compensation and Benefit Summary: