Novartis is a leading global pharmaceutical and healthcare research and solutions company dedicated to improving patient lives by uncovering solutions to curren
Access & Reimbursement Manager
Location
Alaska + 2 moreAll locations: Alaska | Oregon | Washington
Posted
8 hours ago
Salary
$138.6K - $257.4K / year
Seniority
Senior
Job Description
Access & Reimbursement Manager
Novartis
• 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 in order to support integration of those programs into office processes and workflows. • 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). • Identifies 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 (see above) 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 HIPPA and other privacy laws and regulations and internal Company compliance guidelines).
Job Requirements
- 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.
Benefits
- health, life and disability benefits
- 401(k) with company contribution and match
- variety of other benefits
- generous time off package including vacation, personal days, holidays and other leaves
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