Access & Reimbursement (ARM) Immunology - New Haven, CT

About the role

The Access & Reimbursement Manager, NPS Immunology, New Haven, CT, is a remote and field-based role covering New Haven, CT. The role requires residency within the territory or within a reasonable daily commuting distance of 60 miles from the territory.

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.
• Ability to analyze problems and offer solutions, understand payer policies, drug acquisition and inventory management, and patient/review reimbursement issues.
• Analyze account reimbursement issues & opportunities (as needed).
• Identify 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.

Qualifications

• 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.

Skills

• Proactive problem-solving skills.
• Strong communication and collaboration abilities.
• Understanding of healthcare policies and procedures.
• Ability to work independently and as part of a team.

Benefits

The salary for this position is expected to range between $138,600, and $257,400 per year. The final salary offered is determined based on factors like, but not limited to, relevant skills and experience, and upon joining Novartis will be reviewed periodically. Novartis may change the published salary range based on company and market factors. Your compensation will include a performance-based cash incentive and, depending on the level of the role, eligibility to be considered for annual equity awards. US-based eligible employees will receive a comprehensive benefits package that includes health, life and disability benefits, a 401(k) with company contribution and match, and a variety of other benefits. In addition, employees are eligible for a generous time off package including vacation, personal days, holidays and other leaves.

Pay

The salary for this position is expected to range between $138,600, and $257,400 per year. The final salary offered is determined based on factors like, but not limited to, relevant skills and experience, and upon joining Novartis will be reviewed periodically. Novartis may change the published salary range based on company and market factors. Your compensation will include a performance-based cash incentive and, depending on the level of the role, eligibility to be considered for annual equity awards. US-based eligible employees will receive a comprehensive benefits package that includes health, life and disability benefits, a 401(k) with company contribution and match, and a variety of other benefits. In addition, employees are eligible for a generous time off package including vacation, personal days, holidays and other leaves.

Schedule

The schedule for this role is 60-80% travel over a broad geography, with the ability to drive and/or fly within the territory. Must have a valid driver's license.