Access & Reimbursement Manager (ARM) – NPS CV – Richmond - 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 remote/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 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.
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.
- 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 regarding payer policies, drug acquisition, and patient/practice reimbursement.
- Maintain expertise in regional and local access landscape and act as their aligned therapeutic area product(s) reimbursement expert.
- Collaborate with aligned cross-functional associates within NPC to share insights on customer needs and barriers related to access and reimbursement.
- Maintain a deep understanding of NPC policies and requirements and perform all responsibilities with integrity.
- Assess access situation within the assigned geography and develop appropriate Plan of Action (POA).
- Educate on and support buy-and-bill end-to-end processes, workflows, and facility pull-through in complex accounts.
- Accountable for engagement with non-prescribers, for example pharmacy, system leadership, financial counselors, etc.
Minimum Requirements:
- Minimum three to five years' experience in public or private third-party reimbursement arena or pharmaceutical industry.
- Experience with specialty pharmacy products and buy and bill processes.
- Experience with coding, billing, and in-office support programs.
- Prior account management 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.
Diversity and Inclusion:
The Novartis Group of Companies are Equal Opportunity Employers and take pride in maintaining a diverse environment. We do not discriminate in recruitment, hiring, training, promotion, or other employment practices for reasons of race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, marital or veteran status, disability, or any other legally protected status.
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