Allergy Access & Reimbursement Strategist (Remote)

Novartis Group Companies; Deerfield (IL); Remote; USD 146,000 - 270,000; Full time

Job summary

Novartis Group Companies is seeking an Access & Reimbursement Manager to work remotely as a field-based expert. You will educate providers on access, reimbursement, and patient support programs, while coordinating with cross-functional teams to optimize payer engagement and site-of-care strategies.

The role requires 3+ years in reimbursement or market access, knowledge of buy-and-bill pathways, and the ability to travel 60-80% within a broad geography.

Qualifications

• Bachelor's degree from a 4-year college or university.
• 3+ years in reimbursement, market access, managed care, clinical support, pharmaceutical sales, or a related healthcare environment.
• Experience supporting specialty pharmacy products through specialty 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.

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 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.

Skills

Reimbursement knowledge

Market access experience

Billing & claims processes

Cross-functional collaboration

Education

Bachelor's degree

Job description

Novartis Group Companies is seeking an Access & Reimbursement Manager to work remotely as a field-based expert. You will educate providers on access, reimbursement, and patient support programs, while coordinating with cross-functional teams to optimize payer engagement and site-of-care strategies.

The role requires 3+ years in reimbursement or market access, knowledge of buy-and-bill pathways, and the ability to travel 60-80% within a broad geography.