Access & Reimbursement Manager-NPS-MS-New England- Remote

Novartis; Providence (RI); Remote; USD 138,000 - 258,000; Full time

Job summary

A leading healthcare company seeks an Access & Reimbursement Manager to support patient access and reimbursement in New England. This remote role requires collaboration with healthcare providers, ensuring compliance with policies and facilitating patient support programs. Ideal candidates will have a strong background in reimbursement and managed care, along with a Bachelor's degree. Join a community dedicated to changing patients' lives through innovation and collaboration.

Qualifications

• 3-5 years of experience in reimbursement, managed care, or pharmaceutical sales/support.
• Knowledge of CMS policies, Medicare Parts B & D, and payer sectors is a plus.

Responsibilities

• Educate providers on product-specific programs and integrate these into workflows.
• Resolve reimbursement issues and analyze access opportunities.
• Implement patient support programs like Co-pay assistance.

Skills

Reimbursement

Managed Care

Patient Support

Collaboration

Education

Bachelor’s degree

Advanced degree

Job description

Access & Reimbursement Manager-NPS-MS-New England- Remote

Join to apply for the Access & Reimbursement Manager-NPS-MS-New England- Remote role at Novartis.

Summary

The Access & Reimbursement Manager, NPS (Novartis Patient Support) MS (Multiple Sclerosis), is a remote and field-based role covering Connecticut, Rhode Island, and most of New York. The candidate must reside within the territory or within a reasonable commuting distance of 60 miles from the territory border.

This role involves providing education to healthcare providers and staff about access and reimbursement topics, supporting patient access, and serving as the local market access expert on payer policies, billing, coding, claims processing, and reimbursement programs. The manager will collaborate closely with various internal teams and external partners to facilitate patient access and support programs, ensuring compliance with privacy laws and company policies.

Key Responsibilities

• Support patient access by educating providers and staff on product-specific programs and integrating these into office workflows.
• Address questions related to NPC policies on product ordering, payment, inventory, and returns.
• Collaborate with practice staff to resolve reimbursement issues and analyze access and reimbursement opportunities.
• Support local coverage decisions and communicate policy changes proactively.
• Implement and manage patient support programs like Co-pay assistance.
• Maintain expertise in regional access landscapes and act as the reimbursement expert for assigned products.
• Coordinate with the Patient Support Center on case management and issue resolution.
• Ensure compliance with privacy laws and report adverse events as per company procedures.

Qualifications

• Bachelor’s degree required; advanced degree preferred.
• 3-5 years of experience in reimbursement, managed care, or pharmaceutical sales/support.
• Experience with specialty pharmacy, coding, billing, and complex account management.
• Knowledge of CMS policies, Medicare Parts B & D, and payer sectors is a plus.
• Ability to travel up to 50% and reside within the assigned territory.
• Valid driver’s license required.

Compensation & Benefits

The salary range is $138,600 to $257,400 annually, with potential bonuses and benefits. Final compensation depends on experience, location, and other factors.

Additional Information

This role requires successful completion of initial training and adherence to company values and compliance standards. Driving is an essential function, and accommodations are available for qualified individuals with restrictions.

Why Join Novartis?

Be part of a community dedicated to changing patients’ lives through innovation and collaboration. Learn more at our culture.