Allergy Access & Reimbursement Manager-Midwest

Summary

Novartis is a pharmaceutical company seeking an Allergy Access & Reimbursement Manager to support healthcare accounts in an assigned Midwest geography. The role provides education and guidance on access, reimbursement, coverage, billing, coding, and patient support resources while resolving reimbursement challenges and collaborating with healthcare providers and cross-functional teams.

Responsibilities

• Partner with healthcare providers, practice leaders, billing teams, and other stakeholders to support patient access to prescribed therapies and treatment-related resources
• Delivering education and guidance on access, reimbursement, coverage, and patient support programs, helping integrate these resources into office workflows and processes
• Serve as a resource for questions related to product acquisition, ordering, payment, inventory management, and product return and replacement processes
• Collaborate with customer accounts to navigate reimbursement, claims, prior authorization, denial, appeal, and coverage-related challenges, helping identify practical solutions that support patient access
• Monitor and communicate changes in payer policies, reimbursement trends, and the evolving healthcare landscape that may impact patients, providers, or internal stakeholders
• Support the implementation of patient assistance and co-pay programs, helping patients start and remain on appropriate therapy
• Partner with Patient Support Services and other cross-functional teams to resolve access and reimbursement issues, track cases, and provide education that enhances the customer experience
• Develop and execute account-specific access and reimbursement plans, including support for buy-and-bill processes, acquisition pathways, and site-of-care considerations across diverse healthcare settings
• Build relationships with a broad range of non-prescribing stakeholders, including revenue cycle leaders, financial counselors, pharmacists, office administrators, and health system decision-makers
• Share customer insights, market trends, and access barriers with internal partners while ensuring compliance with all applicable policies, regulations, and adverse event reporting requirements

Skills

• Bachelor's degree required from 4-year college or university
• 3+ years of experience in reimbursement, market access, managed care, clinical support, pharmaceutical sales, or a related healthcare environment
• Experience supporting specialty pharmacy products through specialty pharmacy networks, distributors, or other specialty access channels
• Knowledge of coding, billing, claims, reimbursement processes, and office-based patient support programs
• Experience partnering with specialty pharmacies and navigating access and reimbursement considerations across the patient journey
• Understanding of buy-and-bill reimbursement pathways, including product acquisition, coverage, and payment processes
• Experience working with injection networks or provider-administered therapies in physician office, clinic, or health system settings
• Must have a valid driver's license
• You must have a fully valid and unrestricted driver's license to be qualified for this role
• Company will not sponsor visas for this position

Qualifications

Must Haves

• Bachelor's degree required from 4-year college or university
• 3+ years of experience in reimbursement, market access, managed care, clinical support, pharmaceutical sales, or a related healthcare environment
• Experience supporting specialty pharmacy products through specialty pharmacy networks, distributors, or other specialty access channels
• Knowledge of coding, billing, claims, reimbursement processes, and office-based patient support programs
• Experience partnering with specialty pharmacies and navigating access and reimbursement considerations across the patient journey
• Understanding of buy-and-bill reimbursement pathways, including product acquisition, coverage, and payment processes
• Experience working with injection networks or provider-administered therapies in physician office, clinic, or health system settings
• Must have a valid driver's license
• you must have a fully valid and unrestricted driver's license to be qualified for this role
• Company will not sponsor visas for this position

Benefits

• Field-based and remote opportunity
• Performance-based cash incentive
• Depending on the level of the role, eligibility to be considered for annual equity awards
• Health benefits
• Life benefits
• Disability benefits
• 401(k) with company contribution and match
• Vacation
• Personal days
• Holidays
• Other leaves