Access & Reimbursement Manager (ARM) – NPS CV – San Jose - Remote
For six decades, we've been working to advance cardiovascular health by transforming the standard of care and bringing innovation to areas of high unmet need.CVD is the #1 cause of death worldwide. In fact, CVD is responsible for more deaths than all cancers combined. Evidence suggests the pandemic led to the worsening of CV outcomes. This burden is likely to escalate and overwhelm society if we do not make significant changes to curtail the rising incidence. ASCVD accounts for 85% of CVD deaths and addressing key risk factors – such as elevated LDL-C and Lp(a) – can reduce the risk of heart attack and stroke.Job Purpose:The Access & Reimbursement Manager (ARM) is a field-based role that proactively provides in person (or virtual as needed) education to defined accounts within their assigned geographies on a wide range of access and reimbursement topics and needs in support of aligned product(s) strategy. ARM will serve as the key contact and lead for access and reimbursement support-related matters and is responsible for being the local market access expert on payer policy coverage, multi-channel acquisition pathways, billing and coding, claims processing, reimbursement, and integration of manufacturer support programs into a range of account workflows. Additionally, the ARM will demonstrate a keen ability to problem solve, analyze access and reimbursement issues and proactively communicate changes in the healthcare landscape.Your Key Responsibilities:
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.Work with key members of therapeutic area offices (e.g., providers, administrators, billing and coding staff) to appropriately support patient access to products.Analyze problems and offer solutions related to payer policies, drug acquisition, and patient reimbursement.Maintain expertise in regional and local access landscape, anticipating changes in the healthcare landscape.Collaborate with aligned cross-functional associates within NPC to share insights on customer needs and barriers related to access and reimbursement.Buy and Bill Specific
Assess access situation within the assigned geography and develop appropriate Plan of Action (POA).Responsible for establishing preferred acquisition pathways and educating on buy-and-bill end-to-end processes.Analyze reimbursement issues & opportunities, anticipating changes in the healthcare landscape.Minimum Requirements:
Minimum three to five years' experience in public or private third-party Reimbursement arena or pharmaceutical industry.Experience with specialty pharmacy products acquired through Specialty Pharmacy networks.Experience with coding, billing and in office support programs.Prior account management experience or experience with complex accounts.Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes.Ability to travel and cover large multistate geography territories, at least 50% travel required.Why Novartis?We believe new insights, perspectives and ground-breaking solutions can be found at the intersection of medical science and digital innovation. That a diverse, equitable and inclusive environment inspires new ways of working. And we can reinvent what's possible, when we collaborate with courage to tackle the world's toughest medical challenges.#J-18808-Ljbffr