Access & Reimbursement Manager- Immunology- Syracuse, NY- Remote

Novartis Farmacéutica; United States; Remote; USD 138,000 - 258,000; Full time

Job summary

An established industry player is seeking an Access & Reimbursement Manager to join their innovative team. This remote role focuses on providing education and support to accounts in the Immunology sector, ensuring patient access to specialty pharmacy products. The ideal candidate will possess strong problem-solving skills, a deep understanding of reimbursement pathways, and the ability to collaborate effectively with various stakeholders. With a commitment to improving patient outcomes, this role offers an exciting opportunity to make a significant impact in the healthcare landscape. If you are passionate about making a difference and thrive in a dynamic environment, this position is perfect for you.

Qualifications

• 3-5 years experience in reimbursement or pharmaceutical industry.
• Knowledge of CMS policies and Managed Care sectors.

Responsibilities

• Provide education on access and reimbursement topics to accounts.
• Analyze problems and offer solutions regarding payer policies.

Skills

Reimbursement Knowledge

Problem-Solving Skills

Communication Skills

Teamwork Abilities

Business Acumen

Education

Bachelor's Degree

Advanced Degree

Tools

Patient Support Programs

Coding and Billing Systems

Job description

Access & Reimbursement Manager- Immunology- Syracuse, NY- Remote

Job ID REQ-10046479

Apr 09, 2025

USA

Summary

The Access & Reimbursement Manager, NPS (Novartis Patient Support) Immunology is a field-based role covering Syracuse, Albany, Utica, Rochester, Buffalo, NY. Associate must reside within territory or within a reasonable daily commuting distance of 60 miles from territory border.

Access and Reimbursement Manager (ARM) proactively provides education to defined accounts on a wide range of access and reimbursement topics in support of aligned product(s) strategy. ARM serves as the key contact 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 account workflows. The ARM must demonstrate problem-solving skills, analyze access and reimbursement issues, and communicate changes in the healthcare landscape.

About the Role

Major Accountabilities:

1. Interact within assigned accounts to support patient access, providing education on product-specific programs to providers and staff.
2. Address customer questions related to NPC policies on product ordering, payment, inventorying, and product returns & replacement.
3. Work with key members of therapeutic area offices to support patient access to products.
4. Analyze problems and offer solutions regarding payer policies, drug acquisition, and patient reimbursement.
5. Support pull-through on local coverage decisions to enable meaningful patient access.
6. Accountable for standing up NVS-sponsored patient support programs.
7. Maintain expertise in regional and local access landscape and act as reimbursement expert.
8. Collaborate with cross-functional associates within NPC to share insights on customer needs.
9. Maintain a deep understanding of NPC policies and handle Patient Identifiable Information (PII) appropriately.

Buy and Bill Specific:

1. Assess access situation within the assigned geography and develop appropriate Plan of Action (POA).
2. Responsible for establishing preferred acquisition pathways and educating on buy-and-bill processes.
3. Analyze reimbursement issues & opportunities, acting as the designated reimbursement expert.
4. Engage with non-prescribers, including pharmacy and office administrators.

Education

Bachelor’s Degree required. Advanced degree preferred.

Minimum Requirements

1. Minimum three to five years' experience in reimbursement arena or pharmaceutical industry.
2. Experience with specialty pharmacy products and coding, billing, and in-office support programs.
3. Prior account management experience with complex accounts.
4. Specialty pharmacy experience required.
5. Knowledge of CMS policies and Managed Care, Government, and Federal payer sectors.
6. Ability to operate as a team player and travel at least 50% of the time.
7. Superb knowledge of buy-and-bill reimbursement pathway.
8. Experience working with established injection networks.

Preferred Qualifications

1. Ability to manage multiple products.
2. Excellent presentation skills.
3. Advanced knowledge of medical insurance terminology.
4. Strong teamwork abilities and project management skills.
5. Ability to work independently and manage expenses.
6. Good driving record.
7. Above average computer skills.
8. Understanding of patient privacy laws.
9. Strong business acumen.

Novartis Compensation and Benefit Summary: The pay range for this position is expected to be between $138,600.00 and $257,400.00/year, with final pay depending on various factors.

Field roles with a dedicated training period only: The individual hired will be required to successfully complete initial training.

Driving is an essential function of this role; a valid driver’s license is required.

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The Novartis Group of Companies are Equal Opportunity Employers.

Accessibility & Reasonable Accommodations

The Novartis Group of Companies are committed to providing reasonable accommodation to individuals with disabilities.

Division US

Business Unit Innovative Medicines

Location USA

State Field, US

Site Field Non-Sales (USA)

Company / Legal Entity Novartis Pharmaceuticals Corporation