Associate Director, Payer Specialist

**382624BR** **Job ID:** 382624BR **About the role:** Location: East Hanover, New Jersey OR Tempe, Arizona This position will be located at either site and will not have the ability to be located remotely. This position will require travel as defined by the business (domestic and/ or international). Please note that this role would not provide relocation and only local candidates will be considered. In 2023, Novartis Patient Services [NPS] is projected to support over 1.4 Million patients and impact nearly $4B of Novartis’s US Pharma revenue. NPS provides mission critical support to Novartis brands by helping patients prescribed Novartis products with assistance to address any access challenges and get on medications needed to improve their health. About the Role: The creation of an internal Patient Support Center is a strategic priority for US Pharma. We have an incredible opportunity to formulate exciting new partnerships to deliver transformative patient services. The NPS team is uniquely positioned to help support our goal of providing appropriate medications to twice as many patients twice as fast. The Patient Support Center’s Payer Specialist will provide support to business that impacts the products and patients that we support. The Payer Specialist will monitor payer trends and communicate results with the appropriate internal stake holders, while also maintaining the various libraries of pay-er, pharmacy and other critical MDM within Salesforce. This role is committed to helping our Patient Support Center teams to assist customers by improving delivery of medication access information. •If you are customer-obsessed. •If you are energized by leading teams of people through change. •If you are motivated by measured outcomes. You should consider joining the NPS Patient Support Center. Working under the Director of Central Operations, the Payer Specialist is responsible for monitoring and communicating all aspects of payer impacts for the PSC Reimbursement Team. This role collaborates closely with the Reimbursement and Care Navigator leadership team to support patient access. Additional collaboration is expected with others such as analytics, Field Reimbursement, and other account-focused market access partners. Key Responsibilities: •Responsible for understanding payment policies along with possessing strong analytical skills to communicate coverage changes, payer trends and deliver payer performance reports for the Reimbursement Team •Responsible for development and maintenance of library of information/tools related to documentation guidelines and communicates this information to applicable team. Libraries may include Payer, Pharmacy and Patient MDM. This will require close collaboration with the various Data Insights & Analytics teams within NPS. •Leads the effort with payer specific training of new hires and continuing payer specific education of existing Reimbursement Team •Collaborates to develop and maintain effective quality control processes to ensure data integrity •Reviews, analyzes and approves agent generated payer intelligence •Participates in activities that improve department operations and/or support to the department for quality improvements •Partner with NPS Analytics lead to create insights relating to any of the above and special projects as requested •Participate in and contributing to the continuous process improvement efforts and standardization of reimbursement processes and methods **Position Title:** Associate Director, Payer Specialist **Role Requirements:** What you’ll bring to the role: Education: Bachelor’s degree (business, healthcare, or related program) required, master’s in business administration, preferred. Essential Requirements: •3 years of related payer analyst experience •Comprehensive knowledge of patient coverage and access in healthcare or payer industries •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 •Highly proficient in Excel, experience with Tableau a plus with attention to detail and strong analytical and critical thinking skills •Strong strategic thinking and ability to drive results, and grow with the evolving NPS landscape Desirable Requirements: •Experience working in Pharma or hub services Patient Services or Market Access •Experience supporting a Patient Services contact center •Working knowledge of Salesforce or similar CRM supporting patient services 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. 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 send an e-mail to tas.nacomms@novartis.com or call +1 (877)395-2339 and let us know the nature of your request and your contact information. Please include the job requisition number in your message. The pay range for this position at commencement of employment is expected to be between $144,000.00 and $216,000.00; however, while salary ranges are effective from 1/1/23 through 12/31/23, 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 **Job Type:** Full Time **Country:** USA **Work Location:** East Hanover, NJ **Functional Area:** Marketing **Division:** Innovative Medicines US **Business Unit:** Novartis Patient Support **Employment Type:** Regular **Company/Legal Entity:** Novartis Pharmaceuticals **Commitment to Diversity & Inclusion::** _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._ **Shift Work:** No **Early Talent:** No