Access & Reimbursement Manager - Immunology - Baltimore - Remote

Job Description Summary

Location: The Access and Reimbursement Manager (ARM), Immunology is a remote and field-based role that covers the following but not limited to MD, DE, Washington, DC and the surrounding areas. The Associate must reside within the territory, or within a reasonable daily commuting distance of 60 miles from territory border. Please note that this role would not provide relocation as a result.

Travel: This position will require at least 50% travel. The expectation of working hours and travel (domestic and/or international) will be defined by the hiring manager and is based on geography and territory/targeting make up.

About the role: The Access and Reimbursement Manager (ARM), Immunology, is a field-based role that proactively provides in person or virtual 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. The 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 continually need to demonstrate a keen ability to problem solve, analyze access and reimbursement issues and opportunities, and proactively communicate changes in the healthcare landscape. The ARM will partner closely with other Novartis Pharmaceuticals Corporation (NPC) field associates, including Customer Engagement (Sales) and Market Access, representing NPC with the highest integrity in accordance with NPC Values and Behaviors. ARM will also be required to coordinate and communicate cross-functionally within NPC (e.g., Patient Support Center, Customer Engagement, Marketing, Market Access, Public Affairs, State & Government Affairs, Trade, Specialty Pharmacy Account Management, and other applicable third-party affiliates).

 

Job Description

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, claims departments, revenue cycle managers) in order to appropriately support patient access to products.
• 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, …