Associate Director, Access & Reimbursement

The Role:

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), helping 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.

This role will support the patient access strategy and operations, working closely with the Patient Support (PS) team on patient cases and program oversight. We are seeking an innovative leader with deep expertise in new launches, specialty oncology access, healthcare staff engagement, and patient services.

Responsibilities:

• 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.
• Educate HCP staff on patient support (PS) programs, resources, enrollment processes, and application updates so that they are informed on how to use our PS offerings & status of their patients.
• Proactively identify and help to resolve payer, account, and patient access barriers using data-driven insights, dashboards, and cross-functional collaboration.
• As the PS & payer landscape subject matter expert, 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 internal and external access tools & training materials.
• 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. Coordinate regularly with PS operations teams on patient case updates and escalate as required.

Competencies Include:

• Demonstrated passion for improving patient access and outcomes.
• Problem-Solving: Proactive approach to resolving complex access issues.
• Analytical Skills: Ability to interpret coverage trends & payer policies to identify barriers and implement solution-oriented strategies to optimize patient access.
• Business Acumen: In-depth understanding prior authorization, coding, billing, patient services, and specialty pharmacy processes.
• Provider Engagement: Building strong relationships with healthcare providers and office Highly responsive; ability to support escalations outside of local time zone working hours, as needed.
• Cross-Functional Collaboration: Partnering with sales, market access, patient services, and medical affairs. Foster a culture of empowerment, collaboration, and a focus on patient impact.
• Team Leadership: Proven leadership and conflict resolution skills. Encourage collaboration, innovation, and new ideas while integrating information from various sources.
• Clear Communication: Highly effective presentation, communication, emotional intelligence, and facilitation & interpersonal skills.Ability to explain complex reimbursement processes in simple terms.
• Process Improvement: Identifying opportunities to streamline reimbursement workflows.
• Adaptability: Managing evolving payer landscapes and policy changes.

Qualifications:

• 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.
• Prior Authorization Certified Specialist preferred.
• Willingness to travel domestically up to 20% (customer engagements, internal & vendor meetings).

Additional Information:

Nuvalent is committed to fair and equitable compensation practices, aiming to provide employees with competitive total rewards packages.

The targeted salary range below reflects what Nuvalent reasonably and in good faith expects to offer for this position at the time of posting, but the final salary determination may be within or outside this range based on various factors, including, but not limited to, experience, skills, education, and market factors. The range will be reviewed regularly and is subject to change.

Nuvalent also offers a comprehensive benefit package to support our employees at each stage of their career, financial, health, and well-being journey, including medical, dental, and vision insurance, 401(k) retirement savings plan, generous paid time off (including a summer and winter company shutdown), and much more.