The Novartis Group of Companies are Equal Opportunity Employers. We do not discriminate in recruitment, hiring, training, promotion or other employment practices for reasons of race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, marital or veteran status, disability, or any other legally protected status. The Novartis Group of Companies are committed to working with and providing reasonable accommodation to individuals with disabilities.
Access & Reimbursement Manager
Location
United States
Posted
3 days ago
Salary
$138.6K - $257.4K / year
Seniority
Lead
No structured requirement data.
Job Description
Access & Reimbursement Manager
Novartis
Role Description The Access & Reimbursement Manager, NPS- South New Jersey geography. This is a remote & field-based role. Associate must reside within territory, or within a reasonable daily commuting distance of 60 miles from territory. ARM will serve as the key contact and lead for access and reimbursement support-related matters and is responsible for being the local market access expert on: - Payer policy coverage - Multi-channel acquisition pathways - Billing and coding - Claims processing - Reimbursement - Integration of manufacturer support programs into a range of account workflows Additionally, the ARM will continually need to demonstrate a keen ability to problem solve, analyze access and reimbursement issues and opportunities, and proactively communicate changes in the healthcare landscape. ARM will partner closely with other Novartis Pharmaceuticals Corporation (NPC) field associates, including Customer Engagement (Sales) and Market Access, representing NPC with the highest integrity in accordance with NPC Values and Behaviors. ARM will also be required to coordinate and communicate cross-functionally within NPC (e.g., Patient Support Center, Customer Engagement, Marketing, Market Access, Public Affairs, State & Government Affairs, Trade, Specialty Pharmacy Account Management, and other applicable third-party affiliates). Qualifications - Minimum three to five years’ experience in public or private third-party Reimbursement arena or pharmaceutical industry in managed care, clinical support, or sales. - Experience with specialty pharmacy products acquired through Specialty Pharmacy networks or specialty distributors (buy and bill). - Experience with coding, billing and office support programs. - Prior account management experience or prior experience with complex accounts (Payer landscape, high patient volume, large systems). - Knowledge of Managed Care, Government, and Federal payer sectors, as well as Integrated Delivery Network/Integrated Health Systems. - Ability to operate as a “team player” in collaborating with multiple sales representatives, sales leadership, and internal colleagues to reach common goals. - Candidate must reside within territory, or within a reasonable daily commuting distance of X miles from the territory border. - Ability to travel 60-80% over a broad geography is required, with the ability to drive and/or fly within the territory. Must have a valid driver’s license. Requirements - Interact within assigned accounts to support patient access within their therapeutic area product(s) providing proactive face-to-face education on product-specific programs to providers and staff. - Ability to analyze problems and offer solutions. - Understand specifics and support questions associated with payer policies (e.g., utilization management, denial, and appeals), drug acquisition and inventory management, and patient/practice reimbursement (e.g., Co-pay, administration, drug claims). - Analyze account reimbursement issues & opportunities (as needed). - Identify trends at a local, regional and national level and partner with purpose internally and externally to support patient pull-through. - Interface with Patient Support Center (hub) on important matters related to patient case management, including tracking cases, issue resolution, reimbursement support, and appropriate office staff education. - Review patient-specific information in cases where the site has specifically requested assistance and patient health information is available in resolving any issues or coverage challenges. - Collaborate with aligned cross-functional associates within NPC to share insights on customer needs and barriers for their aligned therapeutic area product(s) related to access and reimbursement. - Maintain a deep understanding of NPC policies and requirements and perform all responsibilities with integrity and in a manner consistent with company guidance and prescribed Values and Behaviors. - Handle Patient Identifiable Information (PII) appropriately (understand and ensure compliance with HIPAA and other privacy laws and regulations and internal Company compliance guidelines). Benefits - The salary for this position is expected to range between $138,600, and $257,400 per year. - Your compensation will include a performance-based cash incentive and, depending on the level of the role, eligibility to be considered for annual equity awards. - US-based eligible employees will receive a comprehensive benefits package that includes health, life and disability benefits, a 401(k) with company contribution and match, and a variety of other benefits. - Employees are eligible for a generous time off package including vacation, personal days, holidays and other leaves. Company Description The Novartis Group of Companies are Equal Opportunity Employers. We do not discriminate in recruitment, hiring, training, promotion or other employment practices for reasons of race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, marital or veteran status, disability, or any other legally protected status.
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