Director, PSS Reimbursement

Oct 14, 2021

Job Description

By 2023, Patient Specialty Services [PSS] is projected to support over 1.4 Million patients and impact nearly $4B of Novartis’s US Pharma revenue. PSS provides mission critical support to Novartis brands by helping patients access medications needed to improve their health.

The creation of an internal Engagement Center is a strategic priority for US Pharma. We have an incredible opportunity to formulate exciting new partnerships to deliver transformative patient services. The PSS team is uniquely positioned to help support our goal of providing appropriate medications to twice as many patients twice as fast.

Your key responsibilities:
• Direct responsibilities for a team of 30-50 Reimbursement Specialists, and 1 or more Associate Directors to ensure operational excellence and to address access and affordability needs of patients
• Coordinate the selection, onboarding and training of an in-house team of Reimbursement Specialists
• Manage patient benefits verification and prior authorization operations
• Collaborate with the PSS & brand teams to organize, design and implement programs and services that best meet the patient needs and offer best in class services
• Monitor and manage the day-to-day relationship, operations, and performance of highly customer-focused patient access call center
• Ensure that the Reimbursement team follows processes and maintain proper documentation, required to meet customer expectations and regulatory / compliance needs.
• Manage customer experience by monitoring customer feedback, generate insights and execute experience recovery processes
• Participate and prepare for product team meetings as requested or needed

Diversity & Inclusion / EEO

The Novartis Group of Companies 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.

Minimum Requirements

What you’ll bring to the role:
Education: 4-Year degree or actively pursuing. Focus in Business or Mathematics preferred Travel requirements: Travel as needed

Minimum Requirements:
• 8+ years' pharmaceutical experience, 2+ years of people management experience
• Comprehensive knowledge of Patient Specialty Services, Patient Access Management
• Experience working in a Patient Services contact center
• Expertise in commercial and government insured patient reimbursement including prior authorization, benefit investigation and verification, appeals, and payer policies and procedures with both pharmacy and medical benefit products

Desirable requirements:
• Successful leadership skills managing a team across multiple locations (both remotely and onsite)
• Specialty Pharma plus Buy- and -Bill experience in a reimbursement role preferred

What you’ll receive:
Competitive salary, annual bonus, long term incentive for select levels, health insurance, paid vacation/holidays, potential flexible working arrangements, employee recognition scheme.

Why consider Novartis?
769 million. That’s how many lives our products touch. And while we’re proud of that fact, in this world of digital and technological transformation, we must also ask ourselves this: how can we continue to improve and extend even more people’s lives?

We believe the answers are found when curious, courageous and collaborative people like you are brought together in an inspiring environment. Where you’re given opportunities to explore the power of digital and data. Where you’re empowered to risk failure by taking smart risks, and where you’re surrounded by people who share your determination to tackle the world’s toughest medical challenges.

Commitment to Diversity & Inclusion:
Novartis embraces diversity, equal opportunity and inclusion. 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.

Join our Novartis Network: If this role is not suitable to your experience or career goals but you wish to stay connected to learn more about Novartis and our career opportunities, join the Novartis Network here:
We are Novartis. Join us and help us re-imagine medicine.
East Hanover, NJ
Market Access
Full Time
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Director, PSS Reimbursement

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