Access & Reimbursement Manager (ARM) – NPS CV – San Jose - Remote
Access & Reimbursement Manager (ARM) NPS CV San Jose - 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.
Any additional information you require for this job can be found in the below text Make sure to read thoroughly, then apply.
CVD is the #1 cause of death worldwide. In fact, CVD is responsible for more deaths than all cancers combined. 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 can reduce the risk of heart attack and stroke.
Job Purpose :
The Access & Reimbursement Manager (ARM) is a 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.
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, and reimbursement.
Your Key Responsibilities :
- Interact within assigned accounts to support patient access within their therapeutic area product(s).
- Work with key members of therapeutic area offices to appropriately support patient access to products.
- Analyze problems and offer solutions related to payer policies and patient / practice reimbursement.
- Maintain expertise in regional and local access landscape.
- Collaborate with aligned cross-functional associates within NPC.
- Maintain a deep understanding of NPC policies and requirements.
Buy and Bill Specific :
- Assess access situation within the assigned geography and develop appropriate Plan of Action (POA).
- Responsible for establishing preferred acquisition pathways.
- Educate relevant stakeholders on logistics related to ordering, payment, inventory, and product returns & replacement.
Minimum Requirements :
- Minimum three to five years' experience in public or private third-party Reimbursement arena or pharmaceutical industry.
- Experience with specialty pharmacy products acquired through Specialty Pharmacy networks.
- Experience with coding, billing, and in-office support programs.
- Prior account management experience or 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.
Why Novartis?
Join us in our mission to improve and extend people's lives.
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Remote working / work at home options are available for this role.
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