Summary
Novartis is a pharmaceutical company seeking a field-based Access & Reimbursement Manager to support healthcare accounts in Northern New Jersey. The role provides education and guidance on access, reimbursement, coverage, billing, coding, and patient support resources while resolving reimbursement challenges and coordinating with customers 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
- Deliver 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
- Candidate must reside within territory, or within a reasonable daily commuting distance of 50 miles from the territory border
- Ability to travel 60-80% over a broad geography is required, with the ability to drive and/or fly within the territory
- Must have a valid driver's license
- Because driving is an essential function of the role, you must have a fully valid and unrestricted driver's license to be qualified for this role
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
- Candidate must reside within territory, or within a reasonable daily commuting distance of 50 miles from the territory border
- Ability to travel 60-80% over a broad geography is required, with the ability to drive and/or fly within the territory
- Must have a valid driver's license
- Because driving is an essential function of the role, you must have a fully valid and unrestricted driver's license to be qualified for this role
Benefits
- A performance-based cash incentive
- Eligibility to be considered for annual equity awards, depending on the level of the role
- Health benefits for US-based eligible employees
- Life benefits for US-based eligible employees
- Disability benefits for US-based eligible employees
- A 401(k) with company contribution and match for US-based eligible employees
- A variety of other benefits for US-based eligible employees
- A generous time off package including vacation, personal days, holidays and other leaves
- Field-based and remote opportunity