Access & Reimbursement Manager - Allergy - Louisville, KY/ Indianapolis, IN
Novartis
August 13, 2026
Remote friendly (Lexington, KY)
United States
Market Access
Key Responsibilities:
- Support patient access within assigned therapeutic area product(s) through proactive face-to-face provider/staff education to integrate programs into office workflows.
- Analyze access and reimbursement problems to provide solutions related to payer policies (e.g., utilization management, denials, appeals), drug acquisition/inventory management, and patient/practice reimbursement (e.g., co-pay, administration, drug claims); identify local/regional/national trends 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 with cross-functional NPC associates to share customer needs/barriers related to access and reimbursement.
- Maintain understanding of NPC policies; perform responsibilities with integrity; handle Patient Identifiable Information (PII) appropriately and comply with HIPAA/privacy and internal compliance guidance.
Minimum Requirements:
- Bachelor’s degree required; business/biological science preferred; advanced degree preferred.
- 3–5 years’ experience in third-party reimbursement or pharma industry (managed care, clinical support, or sales).
- Specialty pharmacy buy-and-bill experience (specialty networks/distributors).
- Experience with coding, billing, and office support programs.
- Prior account management or complex accounts experience (payer landscape, high patient volume, large systems).
- Knowledge of managed care, government/federal payer sectors, and IDNs/integrated health systems.
- Ability to collaborate as a team player with sales leadership and internal colleagues.
- Reside in territory (or within 60 miles of border). Travel 60–80%; valid driver’s license; ability to drive and/or fly.
Preferred Qualification:
- Buy-and-bill experience with reimbursement/access support for provider-administered therapies.
- Support patient access within assigned therapeutic area product(s) through proactive face-to-face provider/staff education to integrate programs into office workflows.
- Analyze access and reimbursement problems to provide solutions related to payer policies (e.g., utilization management, denials, appeals), drug acquisition/inventory management, and patient/practice reimbursement (e.g., co-pay, administration, drug claims); identify local/regional/national trends 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 with cross-functional NPC associates to share customer needs/barriers related to access and reimbursement.
- Maintain understanding of NPC policies; perform responsibilities with integrity; handle Patient Identifiable Information (PII) appropriately and comply with HIPAA/privacy and internal compliance guidance.
Minimum Requirements:
- Bachelor’s degree required; business/biological science preferred; advanced degree preferred.
- 3–5 years’ experience in third-party reimbursement or pharma industry (managed care, clinical support, or sales).
- Specialty pharmacy buy-and-bill experience (specialty networks/distributors).
- Experience with coding, billing, and office support programs.
- Prior account management or complex accounts experience (payer landscape, high patient volume, large systems).
- Knowledge of managed care, government/federal payer sectors, and IDNs/integrated health systems.
- Ability to collaborate as a team player with sales leadership and internal colleagues.
- Reside in territory (or within 60 miles of border). Travel 60–80%; valid driver’s license; ability to drive and/or fly.
Preferred Qualification:
- Buy-and-bill experience with reimbursement/access support for provider-administered therapies.