Access & Reimbursement Manager - Allergy - Louisville, KY/ Indianapolis, IN
Novartis
August 13, 2026
Remote friendly (Indianapolis, IN)
United States
Market Access
Key Responsibilities:
- Support patient access by providing proactive face-to-face education on product-specific programs to providers and staff, integrating programs into office workflows.
- Analyze payer and reimbursement issues (utilization management, denials, appeals), drug acquisition/inventory management, and patient/practice reimbursement (co-pay, administration, drug claims); identify issues/opportunities and trends locally/regionally/nationally to support patient pull-through.
- Partner with the Patient Support Center (hub) on patient case management: track cases, resolve issues, provide reimbursement support, and educate office staff; review patient-specific information when requested.
- Collaborate cross-functionally with aligned NPC associates to share insights on customer needs and barriers related to access and reimbursement.
- Maintain compliance with NPC policies/requirements; handle Patient Identifiable Information (PII) appropriately.
Minimum Requirements:
- Bachelor’s degree required (Business/biological science preferred); advanced degree preferred.
- 3–5+ years’ experience in third-party reimbursement or pharmaceutical industry in managed care, clinical support, or sales.
- Experience with specialty pharmacy buy-and-bill and/or specialty distributors.
- Experience with coding, billing, and office support programs.
- Prior account management or complex account experience (payer landscape, high patient volume, large systems).
- Knowledge of managed care/government/federal payers and IDNs/integrated health systems.
- Team-oriented collaborator.
- Reside within territory or within 60 miles commuting distance; travel 60–80%; valid driver’s license.
Preferred Qualification:
- Buy-and-bill experience supporting provider-administered therapies.
- Support patient access by providing proactive face-to-face education on product-specific programs to providers and staff, integrating programs into office workflows.
- Analyze payer and reimbursement issues (utilization management, denials, appeals), drug acquisition/inventory management, and patient/practice reimbursement (co-pay, administration, drug claims); identify issues/opportunities and trends locally/regionally/nationally to support patient pull-through.
- Partner with the Patient Support Center (hub) on patient case management: track cases, resolve issues, provide reimbursement support, and educate office staff; review patient-specific information when requested.
- Collaborate cross-functionally with aligned NPC associates to share insights on customer needs and barriers related to access and reimbursement.
- Maintain compliance with NPC policies/requirements; handle Patient Identifiable Information (PII) appropriately.
Minimum Requirements:
- Bachelor’s degree required (Business/biological science preferred); advanced degree preferred.
- 3–5+ years’ experience in third-party reimbursement or pharmaceutical industry in managed care, clinical support, or sales.
- Experience with specialty pharmacy buy-and-bill and/or specialty distributors.
- Experience with coding, billing, and office support programs.
- Prior account management or complex account experience (payer landscape, high patient volume, large systems).
- Knowledge of managed care/government/federal payers and IDNs/integrated health systems.
- Team-oriented collaborator.
- Reside within territory or within 60 miles commuting distance; travel 60–80%; valid driver’s license.
Preferred Qualification:
- Buy-and-bill experience supporting provider-administered therapies.