Area Reimbursement Lead - IN, KY, MI, OH, WV Territory - Remote

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Role Summary

The Area Reimbursement Leader (ARL) – Cardiovascular is a field-based leadership role responsible for guiding a team of Access Reimbursement Managers (ARMs) across a defined geography while providing direct account and customer support. The ARL balances leadership responsibilities with hands-on support of accounts to address complex access and reimbursement issues and to address workload challenges across the team. The ARL partners with the Associate Director, Access & Reimbursement (ADAR) and reports to the Regional Director (RD) to ensure comprehensive access support for large systems of care and field initiatives. This role drives the execution of strategic goals, minimizes reimbursement barriers for patients and providers, and ensures alignment with compliance and operational excellence. It is remote and field-based, covering Indiana, Kentucky, Michigan, Ohio, and West Virginia; the associate must reside within the territory or within a reasonable daily commuting distance (up to 60 miles) from the territory border.

Responsibilities

• Lead, develop, and coach a team of ARMs to achieve and exceed business goals, objectives, and metrics.
• Develop, communicate, and cascade Cardiovascular ARM strategies, plans, objectives and metrics and align these with the overall ARM and community-based strategies as appropriate.
• Guide, coach and mentor the field team (including helping to solve complex reimbursement issues) and conduct regular field rides with ARMs to gain first-hand knowledge of customer access concerns and questions.
• Create and implement area-level strategic plans incorporating data insights, resource utilization, and actionable goals to enhance patient access.
• Act as the key conduit between ARM teams and internal stakeholders, ensuring the timely escalation of access and reimbursement challenges.
• Manage performance evaluations, providing actionable feedback through field contact reports and continuous feedback throughout the year.
• Collaborate with the RD to ensure alignment of ARM team objectives with area and regional strategies.
• National and Regional Leadership Support: lead projects and initiatives at area, regional, and national levels to support organizational priorities.
• Manage travel, budget, and expenses in alignment with organizational policies and expectations.
• Maintain a deep understanding of NPC policies and requirements and perform all responsibilities with integrity and in a manner consistent with company guidance and policies, relevant state and federal laws and regulations, and prescribed values and behaviors, including handling patient identifiable information appropriately and ensuring team adherence to privacy and compliance guidelines.
• Identify and report adverse events via the established systems per applicable processes.
• Coach/Player: Serve as an access and reimbursement expert within assigned accounts, addressing complex scenarios, navigating payer policies, billing and coding challenges; develop and implement solutions for access hurdles and facilitate education and integration of manufacturer support programs into office workflows.
• Support ARMs by managing relationships with key decision-makers at accounts, including alternate sites of care.
• Collaborate with ARMs to provide tailored solutions for local coverage issues, payer policy changes, and other access barriers.
• Provide hands-on support for accounts requiring additional resources or expertise due to workload constraints or complexity.
• Field Coordination and Integration: contribute to the seamless integration of access and reimbursement insights into broader field efforts; facilitate knowledge-sharing between ARMs and ADARs; build relationships with key accounts and stakeholders to drive resolution of complex reimbursement issues.

Qualifications

• Required: Bachelor's Degree. Preferred: Advanced degree.
• Preferred: 2+ years of first-line leadership experience.
• Preferred: For internal Novartis associates, enrollment in or completion of the Novartis Leader Development Program (ELDP or SMDP), plus a minimum of 5 years of experience in Access & Reimbursement, Market Access, and/or Patient Services; 5+ years of Access & Reimbursement experience (Buy-and-Bill experience strongly preferred).
• Required: Excellent working knowledge of reimbursement and practice management environment.
• Required: Strong understanding of commercial payers, Medicare plans and state Medicaid in the geographic region.
• Required: Experience in patient assistance support, reimbursement support and other access programs.
• Required: Travel, as required, and potentially on short notice.
• Required: Candidate must live within the assigned geographic area.
• Required: Driving is an essential function of this role; must have a fully valid and unrestricted driver's license.
• Preferred: Excellent communication skills and ability to coordinate/manage large projects/initiatives.
• Preferred: Strong financial planning, analysis and management skills; ability to build territory and account-specific business plans that meet and exceed targeted goals.
• Preferred: Strong teamwork orientation and partnering skills; proven track record of working collaboratively with multiple internal/external partners.
• Preferred: Ability to organize and prioritize the work of others with exceptional personal organizational and time management skills.
• Preferred: Optimized use of resources and stakeholder relations.
• Preferred: Influencing and presentation skills with demonstrable achievements in key accounts.
• Preferred: Strong customer orientation focus.
• Preferred: Capabilities in decision making, teamwork and collaboration, business acumen, managing change, and strategic agility.

Additional Requirements

• Travel as required, potentially on short notice.
• Driving is an essential function; must have a fully valid and unrestricted driver’s license.