Associate Director, Access & Reimbursement - Colorado
Core
Field-based Associate Director providing in-person or virtual education to complex healthcare accounts on patient access, reimbursement, and product integration strategies.
Role type
Senior field-based market access and reimbursement lead
Builds
Patient access workflows and reimbursement processes for large healthcare systems and specialty practices
Domain
Healthcare / Pharmaceutical Market Access
Deliverable
client delivery
Required skills
Healthcare reimbursement expertise, payer policy navigation, billing and coding knowledge, project management, problem-solving, cross-functional collaboration, stakeholder education
Preferred skills
Experience with centralized/decentralized systems of care, integrated delivery networks, academic medical institutions, radioligand therapies (RLT), buy-and-bill processes
Technologies
Novartis systems, HIPAA compliance tools, patient support program platforms
Responsibilities
Provide face-to-face education to providers and staff on product integration and reimbursement workflows; Address customer questions regarding NPC policies on ordering, payment, inventory, and returns; Analyze and resolve reimbursement issues with third-party payers at the provider level; Support pull-through of local coverage decisions and policy changes; Inform customers on patient support programs (e.g., co-pay assistance); Interface with Patient Support Center for case management and issue resolution; Collaborate with cross-functional teams to share insights on customer barriers; Assess access situations and develop Plans of Action for assigned geographies; Educate stakeholders on buy-and-bill end-to-end processes and logistics; Support treatment site onboarding for radioligand therapies including license and preference setup.
Seniority
Senior, hands-on IC
