Access & Reimbursement Manager – Immunology

🔥 32 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $138.6k - $257.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Novartis

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1996

💊 Pharmaceuticals

🧬 Biotechnology

⚕️ Healthcare Insurance

Pharmaceuticals • Biotechnology • Healthcare Insurance

Novartis is an innovative medicines company dedicated to reimagining medicine to improve and extend people’s lives. With a presence in over 250 million patients worldwide, Novartis focuses on harnessing scientific breakthroughs to develop transformative, high-value treatments in areas such as cardiovascular, renal and metabolic diseases, immunology, neuroscience, and oncology. The company is committed to diversity, equity, and inclusion, and aims to create a positive impact through societal contributions and environmental sustainability efforts. Furthermore, Novartis engages in research collaborations and embraces modern technology platforms to advance their research and development capabilities, making them a leader in the global healthcare industry.

📋 Description

• Interact within assigned accounts to support patient access within their therapeutic area product(s) providing proactive face-to-face education on product-specific programs to providers and staff in order to support integration of those programs into office processes and workflows. • Ability to analyze problems and offer solutions. • Understand specifics and support questions associated with payer policies (e.g., utilization management, denial, and appeals), drug acquisition and inventory management, and patient/practice reimbursement (e.g., Co-pay, administration, drug claims). • Analyze account reimbursement issues & opportunities (as needed). • Identifies trends at a local, regional and national level and partner with purpose internally and externally to support patient pull-through. • Interface with Patient Support Center (hub) on important matters related to patient case management, including tracking cases, issue resolution, reimbursement support, and appropriate office staff education. • Review patient-specific information in cases where the site has specifically requested assistance and patient health information is available in resolving any issues or coverage challenges. • Collaborate with aligned cross-functional associates within NPC (see above) to share insights on customer needs and barriers for their aligned therapeutic area product(s) related to access and reimbursement. • Maintain a deep understanding of NPC policies and requirements and perform all responsibilities with integrity and in a manner consistent with company guidance and prescribed Values and Behaviors. • Handle Patient Identifiable Information (PII) appropriately (understand and ensure compliance with HIPPA and other privacy laws and regulations and internal Company compliance guidelines).

🎯 Requirements

• Minimum three to five years’ experience in public or private third-party Reimbursement arena or pharmaceutical industry in managed care, clinical support, or sales. • Experience with specialty pharmacy products acquired through Specialty Pharmacy networks or specialty distributors (buy and bill). • Experience with coding, billing and office support programs. • Prior account management experience or prior experience with complex accounts (Payer landscape, high patient volume, large systems). • Knowledge of Managed Care, Government, and Federal payer sectors, as well as Integrated Delivery Network/Integrated Health Systems. • Ability to operate as a “team player” in collaborating with multiple sales representatives, sales leadership, and internal colleagues to reach common goals. • Candidate must reside within territory, or within a reasonable daily commuting distance of 60 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.

🏖️ Benefits

• health, life and disability benefits • 401(k) with company contribution and match • generous time off package including vacation, personal days, holidays and other leaves