Novartis is recruiting for a Patient Reimbursement / Co-Pay Strategy & Operations role. This position will be located in East Hanover, New Jersey.
A global healthcare leader, Novartis has one of the most exciting product pipelines in the industry today. A pipeline of innovative medicines brought to life by diverse, talented, performance driven people. All of which makes us one of the most rewarding employers in our field. We're committed to peak performance, improving the quality of life, and embracing and leveraging diverse backgrounds, cultures and talents to achieve competitive advantage.
The Patient Reimbursement / Co-Pay Strategy & Operations will be part of the Patient & Specialty Services organization. The core responsibilities for this role include the following:
Consult with all areas of the business as required to identify co-pay needs and operational requirements for program design and development including access models, pricing tactics and business rules
Develop, in partnership with Analytics, reporting needs and review program reports to establish, track and analyze co-pay utilization
- Develop and present persuasive and comprehensive business cases
- Develop pricing recommendation for co-pay initiatives
- Work with Marketing, PA&HP and Analytics to determine co-pay investment models pricing tactics and business rules
- Develop key metrics to track and modify ongoing tactical implementation
Ensure compliance with legal and regulatory requirements and guidelines for co-pay offers, including Government pricing standards and attestations on programs
Update and ongoing adherence to Fair Market Value pricing
Lead program performance with rigorous KPI standards in regards to program execution
Ensure optimal customer experience and satisfaction through seamless co-pay activation and adjudication at pharmacy
Design co-pay platform(s) to support emerging channels
Proactively manage Co-pay support performance to help meet financial objectives. Ensure compliance, legal oversight and operational excellence
Design and maintain early warning systems for financial tracking, ensuring accurate advance warning for all program results. Draw on best practices to embody a high performance, cross-functional culture throughout supported functions.
Strategy & Communication
Cultivate detailed knowledge of patient reimbursement dynamics and co-pay burden forecasts. Leverage expertise to provide input into the organization s broader strategic patient services offerings and decisions. Clearly convey analysis of reimbursement and co-pay considerations to senior leaders within Novartis.
Leverage knowledge of the business challenges, industry best practices and the external environment to proactively identify opportunities and formulate workable, innovative solutions
Embody high performance culture, characterized by results orientation, team work, transparency, senior level impact and strong skills. Exercise influencing skills across the organization as needed and appropriate to ensure alignment and focus on supporting business initiatives and delivering results.
Ethics & Compliance
Actively develop knowledge of compliance policies and how it impacts job responsibilities and apply it appropriately to activities.
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 any other employment practices for reasons of race, color, religion, gender, national origin, age, sexual orientation, marital or veteran status, disability, or any other legally protected status.
Position will be filled commensurate with experience.
Minimum: Education BA or BS
5 years minimum experience in the healthcare industry in the area of operations
Proven ability to document business requirements
Strong team facilitation skills
5 Years minimum experience with retail and specialty pharmacy, preferred
2 years minimum experience working with Managed Markets and Government Pricing and patient service programs, preferred
Proven ability to think strategically to anticipate and plan for critical needs to support co-pay strategies, patient support & reimbursement and alternatives in patient financial assistance
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