Access & Reimbursement Manager – Allergy

🔥 0 minutes ago

🐎 Kentucky – Remote

🐎 Kentucky – 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

🏥 Healthcare

💼 Consulting

🏭 Manufacturing

Healthcare • Consulting • Manufacturing

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 with assigned accounts to support patient access within the therapeutic area products • Provide proactive face-to-face education on product-specific programs to providers and staff • Analyze reimbursement problems and offer solutions • Support questions related to payer policies, drug acquisition, inventory management, and patient/practice reimbursement • Analyze account reimbursement issues and opportunities • Identify trends at local, regional, and national levels and partner internally and externally to support patient pull-through • Interface with the Patient Support Center on patient case management, case tracking, issue resolution, reimbursement support, and office staff education • Review patient-specific information when requested by sites to resolve coverage challenges • Collaborate with cross-functional associates to share insights on customer needs and access and reimbursement barriers • Maintain understanding of company policies and perform responsibilities consistently with company Values and Behaviors • Handle Patient Identifiable Information appropriately and ensure compliance with privacy laws and company guidelines

🎯 Requirements

• Bachelor’s Degree required • Minimum three to five years’ experience in public or 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 specialty distributors (buy and bill) • Experience with coding, billing, and office support programs • Prior account management experience or experience with complex accounts • Knowledge of Managed Care, Government, and Federal payer sectors • Knowledge of Integrated Delivery Networks/Integrated Health Systems • Ability to collaborate with multiple sales representatives, sales leadership, and internal colleagues • Must reside within the territory or within a reasonable daily commuting distance of 60 miles from the territory border • Ability to travel 60–80% over a broad geography • Ability to drive and/or fly within the territory • Must have a valid, fully valid, and unrestricted driver’s license • Understanding of HIPAA and other privacy laws and regulations • Experience working within Buy and Bill environments, including reimbursement and access support for provider-administered therapies (preferred)

🏖️ Benefits

• Performance-based cash incentive • Eligibility to be considered for annual equity awards, depending on the level of the role • Health benefits • Life benefits • Disability benefits • 401(k) with company contribution and match • Vacation • Personal days • Holidays • Other leaves • Reasonable accommodations for individuals with disabilities • Initial training, including home study