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 leading a team of Access Reimbursement Managers (ARMs) in a defined geography, while also providing hands-on account support. The ARL coaches the team, handles complex reimbursement issues as needed, and 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-based initiatives. The ARL drives strategy execution, minimizes reimbursement barriers for patients and providers, and ensures alignment with business priorities and compliance. This is remote and field-based, covering Indiana, Kentucky, Michigan, Ohio, and West Virginia; the associate must reside within the territory or within 60 miles of 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 field team (including helping to solve complex reimbursement issues) as well as 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. Handle Patient Identifiable Information (PII) appropriately (understand and ensure compliance with HIPAA and other privacy laws and regulations and internal Company compliance guidelines). This comes with the added accountability of ensuring your team is also adhering to NPC guidance and policies and relevant state and federal laws and regulations.
• Responsible for identifying and reporting adverse events via the established Novartis systems as per applicable processes.

Coach/Player Responsibilities

• Serve as an access and reimbursement expert within assigned accounts and customers in addressing complex scenarios, including but not limited to navigating payer policies, billing, and coding challenges; developing and implementing solutions for access hurdles in centralized and decentralized systems of care; facilitating 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

• Actively contribute to seamless integration of access and reimbursement insights into broader field efforts, leveraging expertise from ARMs and ADARs.
• Facilitate knowledge-sharing and collaboration between ARMs and ADARs to optimize resource utilization and improve access outcomes.
• Build relationships with key accounts and stakeholders to establish trust, anticipate needs, and drive resolution of complex reimbursement issues.

Key Performance Indicators

• Responsible for meeting and exceeding designated NPS Cardiovascular TA objectives, including the successful hiring of talent and development of the team.
• Overall customer satisfaction and awareness related to NPS programs and access support.
• Assess the development needs of ARMs and initiate activity to ensure customers on assigned target list and within assigned geography are aware of and know how to access CV therapies and utilize available programs to support CV patients.
• Adherence with company guidance and policies, and relevant laws and regulations.

Qualifications

• Required: Bachelor’s Degree; Advanced degree preferred.
• Preferred: 2+ years of first-line leadership experience.
• Preferred: 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 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 assigned geographic area.
• Required: Driving is an essential function of this role; must have a fully valid and unrestricted driver's license.

Skills

• Excellent communication skills and ability to coordinate/manage large projects/initiatives.
• Strong financial planning, analysis and management skills; ability to build territory and account-specific business plans that meet and exceed goals.
• Strong teamwork orientation and partnering skills; proven track record of working collaboratively with multiple internal/external partners.
• Able to organize and prioritize the work of others; strong personal organizational and time management skills.
• Optimized use of resources; knows what/who to use and when for optimal business results and stakeholder relations.
• Outstanding influencing and presentation skills demonstrated through achievements in key accounts.
• Strong customer orientation focus.
• Strong capabilities in decision making, teamwork and collaboration, business acumen, managing change, and strategic agility.

Education

• Bachelor’s Degree required. Advanced degree preferred.

Additional Requirements

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