Access & Reimbursement Manager (ARM) - Renal - Long Beach, CA (Remote)

National Black MBA Association; United States; Remote; USD 138,000 - 258,000; Full time

Job summary

A leading healthcare company is seeking an Access and Reimbursement Manager. This field-based role requires expertise in patient access processes and collaboration with various stakeholders to enhance patient support within assigned territories. The ideal candidate will have 3-5 years of relevant experience and a Bachelor's degree. The position provides a competitive salary range from $138,600 to $257,400, along with benefits and a sign-on bonus.

Benefits

Sign-on bonus

Restricted stock units

401(k)

Paid time off

Qualifications

• Minimum three to five years' experience in public or private third-party reimbursement or pharmaceutical industry.
• Experience with specialty pharmacy products via Specialty Pharmacy networks.
• Prior account management experience or experience with complex accounts.

Responsibilities

• Interact within assigned accounts to support patient access.
• Collaborate with key members of therapeutic area offices.
• Support pull-through on local coverage decisions.

Skills

Accountability

Account Management

Commercial Excellence

Problem Solving Skills

Team Collaboration

Education

Bachelor’s Degree

Tools

Salesforce

PowerPoint

Excel

Word

Job description

Overview

Access and Reimbursement Manager (ARM) is a field-based role that proactively provides in person (or virtual as needed) education to defined accounts within their assigned geographies on a wide range of access and reimbursement topics and needs in support of aligned product strategy. The ARM serves 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, and integration of manufacturer support programs into a range of account workflows. The ARM will demonstrate problem solving, analysis of access and reimbursement issues and opportunities, and proactive communication of changes in the healthcare landscape. The ARM will partner closely with NPC field associates (Customer Engagement and Market Access) and coordinate cross-functionally within NPC (e.g., Patient Support Center, Marketing, Market Access, Public Affairs, State & Government Affairs, Trade, Specialty Pharmacy Account Management, and other third-party affiliates). The Access & Reimbursement Manager, NPS (Novartis Patient Support) is a remote and field-based role covering Long Beach, CA and Hawaii. The Associate must reside within the territory or within a reasonable daily commuting distance of 60 miles from the territory border.

Job Description

Key Responsibilities:

• Interact within assigned accounts to support patient access within their therapeutic area product(s) by providing proactive face-to-face education on product-specific programs to providers and staff, integrating those programs into office processes and workflows.
• Address customer questions related to NPC policies on therapeutic area product ordering, payment, inventorying, and product returns & replacement in offices.
• Collaborate with key members of therapeutic area offices (providers, administrators, billing and coding staff, claims departments, revenue cycle managers) to support patient access to products.
• Analyze problems and offer solutions; support questions related to payer policies (utilization management, denial, appeals), drug acquisition and inventory management, and patient/practice reimbursement (Co-pay, administration, drug claims). Identify trends locally, regionally, and nationally and partner to support patient pull-through.
• Support pull-through on local coverage decisions to enable meaningful patient access; proactively communicate policy changes or issues affecting other departments.
• Stand up NVS-sponsored patient support programs to enable patients starting and staying on therapy (e.g., Co-pay).
• Maintain expertise in regional and local access landscape and act as the aligned therapeutic area product(s) reimbursement expert as needed.
• Interface with Patient Support Center on patient case management matters, including tracking cases, issue resolution, reimbursement support, and staff education; review patient-specific information when requested.
• Collaborate with cross-functional associates within NPC to share insights on customer needs and barriers related to access and reimbursement.
• Maintain understanding of NPC policies and requirements; handle Patient Identifiable Information (PII) in compliance with HIPAA and internal guidelines.
• Identify and report adverse events per established Novartis processes.

What You’ll Bring to the Role

Education: Bachelor’s Degree required. Advanced degree preferred.

Essential Requirements:

• Minimum three to five years' experience in public or private third-party reimbursement or pharmaceutical industry in managed care, clinical support, or sales.
• Experience with specialty pharmacy products via Specialty Pharmacy networks.
• Experience with coding, billing and in-office support programs.
• Prior account management experience or experience with complex accounts (payer landscape, high patient volume, large systems).
• Specialty pharmacy experience required.
• Ability to establish relationships within a practice to remove reimbursement barriers for specialty products.
• Knowledge of CMS policies and processes with expertise in Medicare Parts B and D a plus.
• Knowledge of Managed Care, Government and Federal payer sectors, and IDN/Integrated Health Systems a plus.
• Team player with ability to collaborate across multiple sales reps, leadership, and internal colleagues to reach goals.
• Ability to travel and cover large multistate geography territories; at least 50% travel required depending on geography.
• Must live within assigned territory; driving is an essential function with a valid, unrestricted driver’s license.
• Company provides reasonable accommodations for medical restrictions if an accommodation does not eliminate the essential function of driving.

Desirable Requirements

• Ability to manage multiple products.
• Excellent presentation skills.
• Advanced knowledge of medical insurance terminology.
• Strong teamwork abilities and project management skills.
• Ability to work independently and manage expenses within budgets.
• Good driving record and ability to schedule travel (air, hotel, rental car as needed).
• Proficiency with PowerPoint, Excel, Word, CRM (Salesforce).
• Understanding of patient privacy laws including HIPAA and similar state laws.
• Strong business acumen; ability to travel with a valid driver’s license to drive to assigned accounts.

Compensation and Benefits

The pay range for this position at commencement of employment is expected to be between $138,600.00 and $257,400.00/year. Salary ranges may be adjusted during the period, and final pay depends on factors including location, experience, knowledge, skills, and abilities. The total compensation package may include a sign-on bonus, restricted stock units, discretionary awards, full benefits, 401(k), and paid time off. Employment is at-will and base salary and other compensation may be modified at any time.

Additional Information

Field roles with a dedicated training period: eight (8) hours per day and forty (40) hours per week maximum. Driving is an essential function of this role with a valid driver’s license required. Reasonable accommodations are provided when possible.

EEO Statement: 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.

Accessibility and reasonable accommodations

The Novartis Group of Companies are committed to reasonable accommodations for individuals with disabilities. If you need an accommodation for the application process or to perform essential functions, please email [e-mail] or call [phone] and include the job requisition number.

Salary Range: $138,600.00 - $257,400.00

Skills Desired

• Accountability
• Account Management
• Commercial Excellence
• Competitive Intelligence
• Compliance
• CRM
• Customer Engagement
• Ethics
• Healthcare Sector
• Market Development
• Problem Solving Skills
• Process Knowledge
• Revenue Growth
• Selling Skills
• Team Collaboration
• Value Propositions