Novartis · 1 day ago
Access & Reimbursement Manager (ARM) - Renal - Minneapolis (Remote)
United States
Full-time
Remote
Mid, Senior Level
$139K/yr - $257K/yr
3+ years expNovartis is a leading pharmaceutical company, and they are seeking an Access & Reimbursement Manager (ARM) to provide education on access and reimbursement topics to defined accounts. The ARM will serve as the local market access expert, addressing payer policy coverage and collaborating with various departments to ensure patient access to products.
BiotechnologyHealth CareMedicalPharmaceuticalPrecision Medicine
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 in order to support integration of those programs into office processes and workflows
Address customer questions for issues related to NPC policies on therapeutic area product ordering, payment, inventorying, and product returns & replacement in offices
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
Ability to analyze problems and offer solutions. Understand specifics and support questions associated with payer policies (e.g., utilization management, denial, and appeals), drug acquisition and inventory management, and patient / practice reimbursement (e.g., Co-pay, administration, drug claims). Analyze account reimbursement issues & opportunities (as needed). Identifies trends at a local, regional and national level and partner with purpose internally and externally to support patient pull-through
Supports pull through on local coverage decisions to enable meaningful patient access within the system. Proactively communicate policy changes or issues that could potentially affect other departments
Accountable for standing up NVS-sponsored patient support programs to enable patients starting and staying on therapy (i.e., Co-pay)
Maintain expertise in regional and local access landscape, anticipating changes in the healthcare landscape, and act as their aligned therapeutic area product(s) reimbursement expert (as needed)
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)
Responsible for identifying and reporting adverse events via the established Novartis systems as per applicable processes
Qualification
Required
Bachelor's Degree required
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
Experience with coding, billing and in office support programs
Prior account management experience or prior experience with complex accounts (Payer landscape, high patient volume, large systems)
Specialty pharmacy experience required
Establishing relationships within a practice by working closely with them to help remove Reimbursement barriers to specialty products for their patients
Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare Parts B and D (Medical and Pharmacy Benefit design and coverage policy) a plus
Knowledge of Managed Care, Government, and Federal payer sectors, as well as Integrated Delivery Network/Integrated Health Systems a plus
Ability to operate as a 'team player' in collaborating with multiple sales representatives, sales leadership, and internal colleagues to reach common goals
Ability to travel and cover large multistate geography territories, at least 50% travel required, based on geography and territory / targeting make up
Must live within assigned territory
Driving is an essential function of this role, meaning it is fundamental to the purpose of this job and cannot be eliminated
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
Preferred
Ability to manage multiple products
Excellent presentation skills
Advanced knowledge of medical insurance terminology
Strong teamwork abilities
Project management skills
Ability to work independently
Ability to manage expenses within allocated budgets
Good driving record
Ability to schedule individual work-related travel (air, hotel, rental car as needed)
Above average computer skills: PowerPoint, Excel, Word, CRM (Salesforce.com)
Understanding of patient privacy laws including HIPAA and similar state laws
Strong business acumen
Ability to travel and possess a valid driver's license to drive to assigned healthcare accounts, unless otherwise specified
Benefits
Sign-on bonus
Restricted stock units
Discretionary awards
Full range of medical benefits
Financial benefits
401(k) eligibility
Various paid time off benefits
Vacation
Sick time
Parental leave
Company
Novartis
Novartis is a pharmaceutical company that researches and develops medicines for serious diseases to improve and extend people's lives.
10001+ employees
H1B Sponsorship
Novartis has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (14)
2024 (27)
2023 (23)
2022 (27)
2021 (31)
2020 (25)
Funding
Current Stage
Public CompanyTotal Funding
$2.49BKey Investors
Bill & Melinda Gates Foundation
2024-06-19Post Ipo Debt· $2.49B
2018-02-14Grant· $6.5M
2000-05-19IPO
Leadership Team
Daniel Grant
Vice President & Global Program Head
John von Brachel
VP, Head of Content Lab
Recent News
2026-01-22
Company data provided by crunchbase