Allergy Access & Reimbursement Manager-Midwest

U014 (FCRS = US014) Novartis Pharmaceuticals Corporation; United States; Remote; USD 146,000 - 270,000; Full time

Job summary

Novartis Pharmaceuticals Corporation is seeking an Access & Reimbursement Manager (ARM) for a field-based, remote role supporting key accounts in an assigned geography. This position does not sponsor visas and requires residing within the territory and up to 60–80% travel across a broad geography.

The ARM is the local market access expert ensuring patients access prescribed therapies, educating on billing, coding, and patient support resources.

Qualifications

• 3+ years in reimbursement, market access, or related healthcare field.
• Knowledge of coding, billing, claims, and patient support programs.
• Experience with specialty pharmacy networks or specialty access channels.
• Experience in buy-and-bill reimbursement pathways and acquisition workflows.

Responsibilities

• Partner with healthcare providers, practice leaders, billing teams, and other stakeholders to support patient access to prescribed therapies and treatment-related resources.
• Deliver education and guidance on access, reimbursement, coverage, and patient support programs, helping integrate these resources into office workflows.
• Serve as a resource for questions related to product acquisition, ordering, payment, inventory management, and product return and replacement processes.
• Collaborate with customer accounts to navigate reimbursement, claims, prior authorization, denial, appeal, and coverage-related challenges, helping identify practical solutions that support patient access.
• Monitor and communicate changes in payer policies, reimbursement trends, and the evolving healthcare landscape that may impact patients, providers, or internal stakeholders.
• Support the implementation of patient assistance and co-pay programs, helping patients start and remain on appropriate therapy.
• Partner with Patient Support Services and other cross-functional teams to resolve access and reimbursement issues, track cases, and provide education that enhances the customer experience.
• Develop and execute account-specific access and reimbursement plans, including support for buy-and-bill processes, acquisition pathways, and site-of-care considerations across diverse healthcare settings.
• Build relationships with a broad range of non-prescribing stakeholders, including revenue cycle leaders, financial counselors, pharmacists, office administrators, and health system decision-makers.
• Share customer insights, market trends, and access barriers with internal partners while ensuring compliance with all applicable policies, regulations, and adverse event reporting requirements.

Skills

Reimbursement experience

Market access knowledge

Access & reimbursement programs

Cross-functional collaboration

Education

Bachelor’s degree

Job description

Band Level 4 Job Description Summary #LI-Remote

This is a field-based and remote opportunity supporting key accounts in an assigned geography. Novartis is unable to offer relocation support for this role. Please only apply if this location is accessible to you. Company will not sponsor visas for this position. The Access & Reimbursement Manager (ARM) is a field-based partner who provides education and support to healthcare accounts on access, reimbursement, coverage, billing, coding, and patient support resources that help patients access prescribed therapies. Serving as the local market access expert, the Access & Reimbursement Manager proactively identifies and resolves reimbursement challenges, analyzes evolving healthcare trends, and helps integrate support programs into account workflows. This role collaborates closely with customers and cross-functional partners to deliver solutions that enhance the patient and provider experience. The Access & Reimbursement Manager also works alongside field and home-office teams, representing Novartis with integrity, collaboration, and a commitment to improving access to care.

Job Description Key Responsibilities

• Partner with healthcare providers, practice leaders, billing teams, and other stakeholders to support patient access to prescribed therapies and treatment-related resources.
• Delivering education and guidance on access, reimbursement, coverage, and patient support programs, helping integrate these resources into office workflows and processes.
• Serve as a resource for questions related to product acquisition, ordering, payment, inventory management, and product return and replacement processes.
• Collaborate with customer accounts to navigate reimbursement, claims, prior authorization, denial, appeal, and coverage-related challenges, helping identify practical solutions that support patient access.
• Monitor and communicate changes in payer policies, reimbursement trends, and the evolving healthcare landscape that may impact patients, providers, or internal stakeholders.
• Support the implementation of patient assistance and co-pay programs, helping patients start and remain on appropriate therapy.
• Partner with Patient Support Services and other cross-functional teams to resolve access and reimbursement issues, track cases, and provide education that enhances the customer experience.
• Develop and execute account-specific access and reimbursement plans, including support for buy-and-bill processes, acquisition pathways, and site-of-care considerations across diverse healthcare settings.
• Build relationships with a broad range of non-prescribing stakeholders, including revenue cycle leaders, financial counselors, pharmacists, office administrators, and health system decision-makers.
• Share customer insights, market trends, and access barriers with internal partners while ensuring compliance with all applicable policies, regulations, and adverse event reporting requirements.

Essential Requirements

• Bachelor’s degree required from 4-year college or university.
• 3+ years of experience in reimbursement, market access, managed care, clinical support, pharmaceutical sales, or a related healthcare environment.
• Experience supporting specialty pharmacy products through specialty pharmacy networks, distributors, or other specialty access channels.
• Knowledge of coding, billing, claims, reimbursement processes, and office-based patient support programs.
• Experience partnering with specialty pharmacies and navigating access and reimbursement considerations across the patient journey.
• Understanding of buy-and-bill reimbursement pathways, including product acquisition, coverage, and payment processes.
• Experience working with injection networks or provider-administered therapies in physician office, clinic, or health system settings.
• Candidate must reside within territory, or within a reasonable daily commuting distance of 50 miles from the territory border.
• Ability to travel 60-80% over a broad geography is required, with the ability to drive and/or fly within the territory.
• Must have a valid driver’s license.

COVID-19 Vaccine Policy (customer-facing roles only)

While Novartis does not require vaccination for COVID-19 or proof of a recent negative test result for COVID-19 at this time, employees working in customer-facing roles must adhere to and comply with customers’ (such as hospitals, physician offices, etc.) credentialing guidelines, which may require vaccination. As required by applicable law, Novartis will consider requests for reasonable accommodation for those unable to be vaccinated. This requirement is subject to applicable state and local laws and may not be applicable to employees working in certain jurisdictions. Please send accommodation requests to [e-mail].

For Field Roles with a Dedicated Training Period

The individual hired for this role will be required to successfully complete certain initial training, including home study in eight (8) or fewer hours per day and forty (40) or fewer hours per week.

Novartis Compensation Summary

• The salary for this position is expected to range between $145,600 and $270,400 per year.
• The final salary offered is determined based on factors like, but not limited to, relevant skills and experience, and upon joining Novartis will be reviewed periodically.
• Novartis may change the published salary range based on company and market factors.
• Your compensation will include a performance-based cash incentive and, depending on the level of the role, eligibility to be considered for annual equity awards.
• US-based eligible employees will receive a comprehensive benefits package that includes health, life and disability benefits, a 401(k) with company contribution and match, and a variety of other benefits.
• In addition, employees are eligible for a generous time off package including vacation, personal days, holidays and other leaves.

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, gender, national origin, age, sexual orientation, gender identity or expression, marital or veteran status, disability, or any other legally protected status. We strive to create an inclusive workplace that cultivates bold innovation through collaboration and empowers our people to unleash their full potential.

Accessibility and reasonable accommodations

The Novartis Group of Companies are committed to working with and providing reasonable accommodation to individuals with disabilities. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please send an e-mail to [e-mail] call [phone] and let us know the nature of your request and your contact information. Please include the job requisition number in your message.

Salary Range Skills Desired

• Accountability
• Commercial Excellence
• Customer Engagement
• Key Account Management
• Market Development
• Professional Ethics
• Revenue Growth
• Team Collaboration
• Value Propositions

It takes a focus on the needs of people and a community committed to meeting them. It takes a team of people like you. Working together. Learning together. Thriving together. Discover how you can join us in changing people’s lives.

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