Stephen Maylie
Associate Director Access and Reimbursement at Novartis
- Role
- Associate Director of Access and Reimbursement at Novartis
- Location
- Mt. Laurel, NJ, US
- LinkedIn followers
- 500 followers
About Stephen Maylie
Doctor of Pharmacy working as a Field Reimbursement Manager with Novartis- New specialty buy/bill drug launch with temporary J-code (Evenity)-CRM experience (regional and national) with experience launching 2 different platforms, educating an entire team, and serving as a go-to asset for problem resolution/guidance for my team- Proven track record with implementing proper process for audit prevention/resolution, obtaining proper diagnostic criteria, and pull/push through for specialty biologics via buy and bill and specialty pharmacy- Talent for creating relationships with key players (physicians, billing managers, office staff, and sales team members) to assure smooth acquisition and administration of high cost specialty medications- 3+ year experience in being an in-person problem resolution expert with prior authorization assistance and reversing denial of payment utilizing due process, clinical knowledge, and local payer expertise- Ability to attain and maintain access via company preferred method (buy and bill), offering assured assistance in the entire process from the writing of a script, obtaining prior authorization, and appropriate billing strategies for small and large office settings- Experience with Medicare/Medicaid/Commercial medical and pharmacy benefit audits, appeals, and peer to peer problem resolution- 5 year experience in retail pharmacy (Target/CVS) serving as a floating pharmacist and manager- Pharmacy manager for 3 years, managing 2 pharmacists and a team of 8 technicians in a high volume pharmacy- Experience in pharmacy audit resolution, vaccination billing, and Medicare STAR rating criteria- Served six months traveling the East coast for 3-5 days at a time to roll out and educate over 15 pharmacy teams on implementing and utilizing new prescription processing software.
Experience
Associate Director of Access and Reimbursement
Jun 2023 — Present · Philadelphia, PA, US
Associate Director of Access and Reimbursement. Responsible for developing relationships with KOLs, major hospital systems, and local infusion networks. Charged with helping large systems develop internal protocols to handle the patient buy-and-bill journey from physician order to proper reimbursement. I assist with identifying and training key personnel in systems to handle orders, scheduling, billing, and reimbursement for a cardiovascular subcutaneous medication (Leqvio) while also maintaining contact with C-suite individuals to assure purchasing and contracting excellence. Annual business reviews, consistent re-evaluation of process and protocols, and developing quick and easy access to our medication for increased patient well-being.
Education
Springfield High School
High School Diploma
2004 — 2007
University of the Sciences in Philadelphia
Pharm. D, Pharmacy
2007 — 2013
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