Reporting to the Director, Patient Access Services, the Associate Director, Access & Reimbursement (ADAR) will be a critical member of the Market Access team to create patient impact by providing field access support and education to healthcare professionals (HCPs)
Helps to maximize patient access to products
This role will be an empowered and confident subject matter expert in supporting complex patient cases through understanding the payer landscape, customer engagement, and internal cross-functional collaboration
Support the patient access strategy and operations, working closely with the Patient Support (PS) team on patient cases and program oversight
Provides education to HCPs and their staff on payer-specific coverage criteria and documentation requirements to help address access and reimbursement barriers for prescriptions already in progress
Delivers guidance on access support, including processes, forms, payer-related coverage challenges, and the Nuvalent patient financial support programs
Proactively identify and help to resolve payer, account, and patient access barriers using data-driven insights, dashboards, and cross-functional collaboration
Coordinate with specialty pharmacy, PS operations, payer, market access, medical affairs, and other cross-functional colleagues to support patient access
Triage and resolve patient support related questions and access concerns escalated from field teams, ensuring timely and compliant resolution
Educate and inform regional field facing teams on PS programs, geographical payer nuances, access challenge trends, and program insights
Develop patient access and reimbursement strategies with cross-functional teams, while monitoring regulatory, payer & industry trends, to proactively & compliantly address access challenges
Support oversight of patient support programs (financial assistance & non-commercial specialty pharmacy); ensuring accountability for positive customer impact & excellence
Requirements
Bachelor's degree is required
8+ years of biopharma experience, including 3+ years of oncology field reimbursement manager (FRM) / or access reimbursement manager (ARM) experience with established relationships at major oncology centers across the country
Extensive experience in oral / specialty oncology access, rare disease launch, program implementation, and payer navigation
Demonstrated excellence in customer engagement
Previous experience supporting HCP staff through complex reimbursement barriers, prior authorizations, appeals, and providing education
Knowledge of all national health insurers (commercial & government) including billing/coding
Highly organized, team player, excellent communicator, problem solver, and presenter
Able to work effectively & autonomously through ambiguity
All activities must comply with HIPAA, OIG, FDA regulations, and Nuvalent policies. This is a non-promotional role
Previous experience in a clinical role, NSCLC, Patient Services program oversight, & vendor management preferred