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

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

Job summary

A leading healthcare company is seeking an Access & Reimbursement Manager for the NPS MS team. This remote role focuses on improving patient access and reimbursement processes within designated accounts. The ideal candidate will have strong analytical and communication skills, with a background in reimbursement and managed care. Responsibilities include educating accounts on access topics, resolving reimbursement issues, and collaborating with cross-functional teams. A Bachelor's degree is required, with a preference for advanced degrees. The role offers a competitive salary and comprehensive benefits.

Benefits

Medical Benefits

401(k)

Paid Time Off

Parental Leave

Qualifications

• 3-5 years' experience in reimbursement, managed care, or pharmaceutical industry roles.
• Experience with specialty pharmacy products and coding, billing, and office support programs.

Responsibilities

• Support patient access through education on product-specific programs.
• Analyze and resolve reimbursement issues, identify trends.
• Collaborate with office staff to support patient access.

Skills

Problem-Solving

Communication

Analysis

Education

Bachelor's Degree

Advanced Degree

Job description

Job Description 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 NY. The candidate must reside within the territory or within a reasonable commuting distance of 60 miles from its border.

The ARM proactively provides in-person (or virtual as needed) education to designated accounts within their assigned regions on access and reimbursement topics, supporting product strategies. They serve as the key contact for access and reimbursement support, specializing in payer policy coverage, multi-channel acquisition, billing, coding, claims processing, and integration of support programs into account workflows. The ARM must demonstrate strong problem-solving skills, analyze access and reimbursement issues, and communicate healthcare landscape changes proactively.

They will partner with other NPC field associates, including Customer Engagement and Market Access teams, representing NPC with integrity and aligning with company values. Cross-functional coordination within NPC (e.g., Patient Support Center, Marketing, Public Affairs) is essential.

Key Responsibilities:

1. Support patient access in assigned accounts through face-to-face or virtual education on product-specific programs, integrating these into office workflows.

2. Address questions related to NPC policies on product ordering, payment, inventory, and returns.

3. Collaborate with office staff (providers, billing, coding, claims, revenue cycle) to support patient access.

4. Analyze and resolve reimbursement issues, identify trends, and support patient pull-through based on local, regional, and national data.

5. Support local coverage decisions to improve patient access, communicating policy changes proactively.

6. Implement and support NVS-sponsored patient programs (e.g., Co-pay assistance).

7. Maintain expertise in regional access landscapes, anticipating healthcare changes, and act as a reimbursement expert for their therapeutic area.

8. Coordinate with the Patient Support Center on case management, case tracking, issue resolution, and staff education, reviewing patient information as needed.

9. Share insights with cross-functional teams regarding access and reimbursement barriers and needs.

10. Ensure compliance with privacy laws (HIPAA) and handle PII appropriately.

11. Report adverse events via established systems.

Qualifications:

• Bachelor's Degree required; advanced degree preferred.
• 3-5 years' experience in reimbursement, managed care, or pharmaceutical industry roles.
• Experience with specialty pharmacy products and coding, billing, and office support programs.
• Prior account management experience, especially with complex accounts and payer landscapes.
• Knowledge of CMS policies, Medicare Parts B and D, Managed Care, and Federal payers is a plus.
• Ability to travel at least 50%, with residence within the assigned territory.
• Valid driver's license is required; accommodations are available for qualified individuals with restrictions.

Compensation & Benefits:

The salary range at start is $138,600 - $257,400/year, subject to adjustments based on market and individual factors. The package may include bonuses, stock units, and benefits such as medical, 401(k), paid time off, and parental leave. Final compensation depends on experience, location, and other factors.

Additional Notes:

This role requires successful completion of initial training, including home study hours. Driving is an essential function; a valid, unrestricted driver's license is mandatory. Reasonable accommodations are provided for medical restrictions.

EEO & Accommodations:

Novartis is an Equal Opportunity Employer. Reasonable accommodations are available for individuals with disabilities; contact [e-mail] or [phone].