Job Posting Title Access and Reimbursement Manager-MS-NPS- Los Angeles, California - Remote

Healthcare Businesswomen’s Association; United States; Remote; USD 138,000 - 258,000; Full time

Job summary

An innovative organization is seeking an Access & Reimbursement Manager to support patient access and reimbursement strategies. This dynamic role involves educating healthcare providers on product-specific programs and navigating complex payer policies to enhance patient access. The ideal candidate will have a strong background in reimbursement and managed care, with the ability to analyze issues and collaborate effectively across teams. If you're passionate about making a difference in patient care and thrive in a collaborative environment, this opportunity is perfect for you.

Qualifications

• 3-5 years in reimbursement or managed care experience.
• Experience with specialty pharmacy products and coding.

Responsibilities

• Engage with accounts to provide education on product-specific programs.
• Analyze problems related to payer policies and provide solutions.

Skills

Reimbursement Management

Clinical Support

Sales in Pharma

Account Management

Collaboration Skills

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 areas including Los Angeles, Santa Barbara, Pasadena, CA, and parts of Utah. The candidate must reside within the territory or within a 60-mile commuting distance.

The ARM proactively provides in-person (or virtual as needed) education to designated accounts within their assigned geographies on access and reimbursement topics, supporting product strategy.

As the key contact for access and reimbursement support, the ARM is responsible for payer policy coverage, multi-channel acquisition pathways, billing and coding, claims processing, reimbursement, and integrating manufacturer support programs into account workflows. The role requires problem-solving, analyzing access and reimbursement issues, and communicating healthcare landscape changes.

The ARM partners with other NPC field associates, including Customer Engagement and Market Access, and coordinates cross-functionally within NPC, such as with Patient Support Center, Marketing, Public Affairs, and third-party affiliates.

Key Responsibilities:

1. Support patient access by engaging with accounts and providing education on product-specific programs to providers and staff, integrating these into office workflows.
2. Address customer questions related to NPC policies on product ordering, payment, inventory, and returns.
3. Collaborate with office staff to support patient access.
4. Analyze problems and provide solutions related to payer policies, drug acquisition, inventory, and reimbursement issues, identifying trends and supporting patient pull-through.
5. Support local coverage decisions to enhance patient access and communicate policy changes proactively.
6. Implement NVS-sponsored patient support programs to facilitate therapy initiation and adherence.
7. Maintain expertise in regional access landscape, anticipate healthcare changes, and act as reimbursement expert for therapeutic areas.
8. Coordinate with the Patient Support Center on case management, issue resolution, reimbursement support, and staff education.
9. Share insights on customer needs and barriers within cross-functional teams.
10. Ensure compliance with policies, handle patient information appropriately, and report adverse events as per procedures.

Qualifications:

• Bachelor’s Degree required; advanced degree preferred.
• 3-5 years in reimbursement, managed care, clinical support, or sales in pharma or related fields.
• Experience with specialty pharmacy products and coding, billing, support programs.
• Prior account management experience, especially with complex accounts and high patient volumes.
• Knowledge of CMS policies, Medicare Parts B and D, Managed Care, and Federal payer sectors is a plus.
• Strong collaboration skills and ability to travel extensively (at least 50%).
• Must reside within the assigned territory and possess a valid driver’s license.

Additional Information:

The salary range is $138,600 - $257,400, with potential bonuses and benefits. Training will be provided. The company is an equal opportunity employer and committed to accommodations for disabilities.