Access & Reimbursement Manager, Cardiovascular
Kerr Dental
SFDC
Access & Reimbursement Manager, CV
Novartis
full-time
Posted on:
Origin: • 🇺🇸 United States • California
Visit company websiteSalary
💰 $138,600 - $257,400 per year
Job Level
Mid-LevelSenior
Tech Stack
SFDC
About the role
- Access and Reimbursement Manager (ARM) is a field-based role providing in person (or virtual) education to accounts on access and reimbursement topics Serve as key contact and lead for access and reimbursement support-related matters; local market access expert on payer policy coverage, acquisition pathways, billing/coding, claims processing, reimbursement, integration of manufacturer support programs Problem solve, analyze access and reimbursement issues, communicate healthcare landscape changes Partner with NPC field associates and coordinate cross-functionally with Patient Support Center, Marketing, Market Access, Public Affairs, State & Government Affairs, Trade, Specialty Pharmacy Account Management, third-party affiliates Interact within assigned accounts to support patient access; provide proactive face-to-face education to providers and staff Address customer questions on NPC policies for ordering, payment, inventorying, returns & replacement Work with providers, administrators, billing/coding staff, revenue cycle managers to support patient access Analyze payer policies, drug acquisition/inventory management, patient/practice reimbursement; identify trends and support pull-through on local coverage decisions Stand up NVS-sponsored patient support programs; interface with Patient Support Center; review patient-specific information when available Assess access situations and develop Plan of Action; establish preferred acquisition pathways; educate on buy-and-bill processes; engage non-prescribers Responsible for meeting corporate objectives; customer satisfaction; enables customers to attain access; adherence with NPC policies
Requirements
- Bachelor’s Degree required Advanced degree preferred 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 in office support programs Prior account management experience or prior experience with complex accounts (Payer landscape, high patient volume, large systems) Specialty pharmacy experience required (ability to teach an office the entire process from script to injection) Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare Parts B and D a plus Knowledge of Managed Care, Government, and Federal payer sectors, as well as Integrated Delivery Network/Integrated Health Systems a plus Ability to operate as a team player Ability to travel and cover large multistate geography territories, at least 50% travel required Must live within assigned territory Valid and unrestricted driver’s license Superb knowledge of buy-and-bill reimbursement pathway Experience working with established injection networks Preferred: Ability to manage multiple products; Excellent presentation skills; Advanced knowledge of medical insurance terminology; Strong teamwork abilities; Project management skills; Ability to work independently; Expense management; Good driving record; Ability to schedule travel; Above average computer skills; Understanding of patient privacy laws including HIPAA
