Dermatology Access & Reimbursement Lead - Remote

Novartis Group Companies

Toms River (NJ)

Remote

USD 146,000 - 270,000

Full time

8 days ago
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Job summary

Novartis Group Companies is seeking an Access & Reimbursement Manager to work remotely in support of key accounts across a broad geography. The role emphasizes education on access, reimbursement, and patient support programs, collaborating with field and home-office teams to improve patient access.

The position requires 3+ years in reimbursement/market access within healthcare, strong knowledge of coding and billing processes, and the ability to travel 60–80% with a valid driver's license.

Qualifications

  • 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.

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.

Education

Bachelor's degree

Job description

Novartis Group Companies is seeking an Access & Reimbursement Manager to work remotely in support of key accounts across a broad geography. The role emphasizes education on access, reimbursement, and patient support programs, collaborating with field and home-office teams to improve patient access.

The position requires 3+ years in reimbursement/market access within healthcare, strong knowledge of coding and billing processes, and the ability to travel 60–80% with a valid driver's license.

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