Access & Reimbursement Manager
Hamilton, Atlantic County, New Jersey, USA
Listed on 2026-10-02
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Healthcare
Healthcare Administration, Healthcare Management, Medical Billing and Coding
Job Description Summary
#LI-Remote
This is a field-based and remote opportunity supporting key accounts in an assigned geography. Novartis is unable to offer relocation support for this role. Please only apply if this location is accessible to you.
Company will not sponsor visas for this position.
The Access & Reimbursement Manager (ARM) is a field-based partner who provides education and support to healthcare accounts on access, reimbursement, coverage, billing, coding, and patient support resources that help patients access prescribed therapies. Serving as the local market access expert, the Access & Reimbursement Manager proactively identifies and resolves reimbursement challenges, analyzes evolving healthcare trends, and helps integrate support programs into account workflows.
This role collaborates closely with customers and cross-functional partners to deliver solutions that enhance the patient and provider experience. The Access & Reimbursement Manager also works alongside field and home-office teams, representing Novartis with integrity, collaboration, and a commitment to improving access to care.
Key Responsibilities:
- Partner with healthcare providers, practice leaders, billing teams, and other stakeholders to support patient access to prescribed therapies and treatment-related resources.
- Deliver education and guidance on access, reimbursement, coverage, and patient support programs, helping integrate these resources into office workflows and processes.
- Serve as a resource for questions related to product acquisition, ordering, payment, inventory management, and product return and replacement processes.
- Collaborate with customer accounts to navigate reimbursement, claims, prior authorization, denial, appeal, and coverage-related challenges, helping identify practical solutions that support patient access.
- Monitor and communicate changes in payer policies, reimbursement trends, and the evolving healthcare landscape that may impact patients, providers, or internal stakeholders.
- Support the implementation of patient assistance and co-pay programs, helping patients start and remain on appropriate therapy.
- Partner with Patient Support Services and other cross-functional teams to resolve access and reimbursement issues, track cases, and provide education that enhances the customer experience.
- Develop and execute account-specific access and reimbursement plans, including support for buy-and-bill processes, acquisition pathways, and site‑of‑care considerations across diverse healthcare settings.
- Build relationships with a broad range of non‑prescribing stakeholders, including revenue cycle leaders, financial counselors, pharmacists, office administrators, and health system decision‑makers.
- Share customer insights, market trends, and access barriers with internal partners while ensuring compliance with all applicable policies, regulations, and adverse event reporting requirements.
- Bachelor's degree required from 4-year college or university.
- 3+ years of experience in reimbursement, market access, managed care, clinical support, pharmaceutical sales, or a related healthcare environment.
- Experience supporting specialty pharmacy products through specialty pharmacy networks, distributors, or other specialty access channels.
- Knowledge of coding, billing, claims, reimbursement processes, and office‑based patient support programs.
- Experience partnering with specialty pharmacies and navigating access and reimbursement considerations across the patient journey.
- Understanding of buy‑and‑bill reimbursement pathways, including product acquisition, coverage, and payment processes.
- Experience working with injection networks or provider‑administered therapies in physician…
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