Novartis Pharmaceuticals Corporation is hiring an Access & Reimbursement Manager (ARM), a field-based position covering the Nebraska, Iowa, and mid-Missouri territory. You will serve as the local market access expert, educating defined accounts on a wide range of reimbursement, coverage, and patient access topics to support aligned cardiovascular products.
What You'll Do
- Proactively provide in-person or virtual education to accounts on access and reimbursement topics.
- Serve as the key contact and local market access expert for reimbursement support.
- Partner closely with Customer Engagement (Sales), Market Access, and other NPC field associates.
- Coordinate cross-functionally with internal teams like the Patient Support Center, Marketing, and Public Affairs.
- Interact within assigned accounts to support patient access, providing face-to-face education on product-specific programs.
- Address customer questions on NPC policies for product ordering, payment, inventory, and returns.
- Work with providers, administrators, billing staff, and revenue cycle managers to support patient access.
- Analyze reimbursement problems and offer solutions related to payer policies and drug acquisition.
- Identify and analyze reimbursement trends at local, regional, and national levels.
- Support pull-through on local coverage decisions to enable patient access.
- Proactively communicate policy changes affecting other departments.
- Stand up Novartis-sponsored patient support programs.
- Maintain expertise in the regional and local access landscape.
- Interface with the Patient Support Center on patient case management, issue resolution, and education.
- Review patient-specific information to assist with resolving coverage challenges.
- Collaborate with cross-functional associates to share insights on customer needs and barriers.
- Maintain a deep understanding of NPC policies and perform all responsibilities with integrity.
- Handle Patient Identifiable Information appropriately and ensure compliance with privacy laws.
- Identify and report adverse events.
- Assess the access situation within your geography and develop a Plan of Action.
- Establish preferred acquisition pathways.
- Educate on and support buy-and-bill end-to-end processes and workflows in complex accounts.
- Educate stakeholders on logistics for ordering, payment, inventory, and product returns.
- Act as the designated reimbursement expert for offices and field teams.
- Engage with non-prescribers such as pharmacy, system leadership, financial counselors, and office administrators.
What We're Looking For
- Bachelor’s Degree required.
- Minimum three to five years' experience in public/private third-party reimbursement or the pharmaceutical industry in managed care, clinical support, or sales.
- Experience with specialty pharmacy products acquired through Specialty Pharmacy networks or buy-and-bill distributors.
- Experience with coding, billing, and in-office support programs.
- Prior account management experience or experience with complex accounts.
- Specialty pharmacy experience, including the ability to teach an office the process from script to injection.
- Experience establishing relationships within a practice to remove reimbursement barriers.
- Ability to operate as a team player in collaborating with sales representatives, leadership, and internal colleagues.
- Ability to travel and cover large multistate geography territories, with at least 50% travel required.
- Must live within the assigned territory (Nebraska, Iowa, mid-Missouri).
- Driving is an essential function of this role; a fully valid and unrestricted driver’s license is required.
- Superb knowledge of the buy-and-bill reimbursement pathway.
- Experience working with established injection networks.
Nice to Have
- Advanced degree.
- Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes, especially Medicare Parts B and D.
- Knowledge of Managed Care, Government, and Federal payer sectors, and Integrated Delivery Networks/Health Systems.
- Ability to manage multiple products.
- Excellent presentation skills.
- Advanced knowledge of medical insurance terminology.
- Strong teamwork abilities.
- Project management skills.
- Ability to work independently.
- Ability to manage expenses within allocated budgets.
- Good driving record.
- Ability to schedule individual work-related travel.
- Above-average computer skills: PowerPoint, Excel, Word, CRM (Salesforce.com).
- Understanding of patient privacy laws including HIPAA and similar state laws.
- Strong business acumen.
Team & Environment
This role partners closely with other Novartis Pharmaceuticals Corporation field associates, including Customer Engagement (Sales) and Market Access teams, and coordinates cross-functionally within NPC.
Benefits & Compensation
- Compensation range: $138,600 - $257,400/year.
- Full range of medical, financial, and/or other benefits.
- 401(k) eligibility.
- Various paid time off benefits, such as vacation, sick time, and parental leave.
- Sign-on bonus.
- Restricted stock units.
- Discretionary awards.
Work Mode
This is a remote position. The territory covers Nebraska, Iowa, and mid-Missouri. Candidates should be located near key areas such as Omaha, NE; Jefferson City, MO; Des Moines, IA; Cedar Rapids, IA; or Iowa City, IA.
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.
