Access & Reimbursement Manager, Immunology – Orlando - Remote

Novartis; Naples (FL); Remote; USD 138,000 - 258,000; Full time

Job summary

A leading pharmaceutical company seeks an Access & Reimbursement Manager to educate providers on access and reimbursement topics while supporting patient needs. This role, based in Florida but remote, requires a Bachelor's Degree and 3-5 years of relevant experience, focusing on collaboration with various stakeholders to enhance patient access and navigate complex reimbursement landscapes.

Qualifications

• 3-5 years' experience in reimbursement or managed care.
• Experience with specialty pharmacy, coding, and complex account management.
• Knowledge of CMS policies, Medicare Parts B and D.

Responsibilities

• Support patient access by educating providers on programs.
• Collaborate with practice staff on reimbursement issues.
• Maintain expertise in regional access landscapes.

Skills

Problem-solving

Analysis

Proactive communication

Education

Bachelor's Degree

Advanced degree

Job description

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Summary
Access and Reimbursement Manager (ARM) is a field-based role that provides in-person (or virtual as needed) education to defined accounts within their assigned geographies on access and reimbursement topics, supporting the product strategy.

ARM serves as the key contact for access and reimbursement support, specializing in payer policy, billing, claims processing, and integrating support programs into account workflows. The role requires problem-solving, analysis, and proactive communication about healthcare landscape changes.

The ARM partners with other Novartis field teams, including Customer Engagement and Market Access, and coordinates cross-functionally within NPC, including Patient Support Center, Marketing, Public Affairs, and third-party affiliates.

This remote and field-based role covers Orlando, FL, Jacksonville, FL, Gainesville, FL, and Ocala, FL. Candidates must reside within the territory or within 60 miles of its border.

Key Responsibilities

• Support patient access by educating providers and staff on product-specific programs, integrating these into office workflows.
• Collaborate with practice staff on reimbursement and access issues, analyzing problems and offering solutions.
• Support local coverage decisions, communicate policy changes, and facilitate patient support programs like Co-pay assistance.
• Maintain expertise in regional access landscapes and act as a reimbursement expert for the therapeutic area.
• Coordinate with Patient Support Center on case management, reimbursement issues, and education.
• Share insights with cross-functional teams, ensure compliance with privacy laws, and report adverse events as per company procedures.

Essential Requirements

• Bachelor’s Degree required; advanced degree preferred.
• 3-5 years' experience in reimbursement, managed care, or pharmaceutical industry support roles.
• Experience with specialty pharmacy, coding, billing, and complex account management.
• Knowledge of CMS policies, Medicare Parts B and D, and managed care sectors is a plus.
• Ability to travel at least 50%, reside within the territory or nearby.

Desirable Requirements

• Experience in dermatology, managing multiple products, and strong presentation skills.
• Knowledge of medical insurance terminology, patient privacy laws, and business acumen.

The pay range is $138,600 to $257,400 annually, with potential bonuses and benefits. The role requires successful completion of initial training and a valid driver’s license, as driving is an essential function.

Why Novartis: Join a passionate community dedicated to changing lives through science and collaboration. More info: https://www.novartis.com/about/strategy/people-and-culture

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EEO Statement: Novartis is an Equal Opportunity Employer. We do not discriminate based on race, color, religion, sex, national origin, age, sexual orientation, gender identity, marital or veteran status, disability, or other protected status.

Accessibility & Accommodations: We provide reasonable accommodations for individuals with disabilities. Contact us at [email address] or call [phone] with your request, including the job requisition number.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Finance and Sales
• Industry: Pharmaceutical Manufacturing