Area Reimbursement Lead - IN, KY, MI, OH, WV Territory - Remote
Germany, Pike County, Ohio, USA
Listed on 2026-03-02
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Healthcare
Healthcare Administration, Healthcare Management, Healthcare Consultant
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.
- 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.
- 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.
- 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.
- Responsible…
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