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Field Reimbursement Manager Detroit (Remote)

Company: myGwork
Location: Dearborn
Posted on: September 21, 2022

Job Description:

Job Description Job Description : 766 million. That's how many lives our products touch. At Novartis, being there when and how it matters most for our patients and customers allows us to live our purpose and help bring maximum impact to health outcomes. Furthering our commitment to transforming medicine for patients, Novartis is embarking on an ambitious and exciting journey to reinvent how we use technology, data and customer insights to better serve our consumer's needs and put them on a path to better health. This includes taking bold approaches that begin with a customer-centric mindset and harness the power of today's digital and data-driven healthcare revolution to continue to improve and extend even more people's lives. --- Do you want to help people understand their disease and how to seek out the proper treatment for it? --- Do you want to support patients achieve the best possible outcomes? --- Do you want to deliver a leading customer experience at all touchpoints? --- Do you want to be at the forefront of leveraging today's technology advances to create tomorrow's healthcare innovations? We believe the answers are found when curious, adventurous, and collaborative people like you are brought together in an inspiring environment. Where you're given opportunities to utilize the power of digital and data to individualize and maximize interactions with customers. Where you're empowered to not fear failure when taking smart risks. And most importantly, where you're surrounded by people who share your determination to tackle the world's toughest medical challenges. Job Purpose: Field Reimbursement Manager (FRM) proactively provides education and support to appropriate providers and their offices/staff on reimbursement programs for designated therapeutic products in their defined geography / aligned accounts. They serve as the key contact and lead for reimbursement and access support-related matters and are responsible for being the local market access expert on payer, policy and processes and navigating systems and/or universities to support patients. Additionally, the FRM will analyze reimbursement and access issues and serve as the local access and reimbursement resource for field sales force personnel and region management. The FRM will need to coordinate and communicate cross functionally within Novartis Pharmaceuticals Corporation (NPC) (i.e. Field Sales, Marketing, Market Access, Public Affairs, State & Government Affairs, Trade, Specialty Pharmacy Account Management and applicable third party affiliates). Your responsibilities will include, but are not limited to: --- Provide live face-to-face and virtual engagements, using approved tools, to support and address questions about coverage requirements and educating physician office staff on the use of the patient assistance programs and call center support services, including web-based provider programs. --- Serve as payer expert for defined geography and proactively communicates changes to key stakeholders in a timely manner. Maintain and grow knowledge of national, regional, local and account market dynamics including coverage and coding --- Identifies market access trends from local, regional or national payers in territory, and partners with purpose internally to enable appropriate patient access and/or externally to support patient pull-through. Maintain and grow knowledge of hub and specialty pharmacy channels to improve practice and patient support --- Offer assistance from prescriber decision through to access, supporting the entire Reimbursement journey from start form submission through payer prior authorization to appeals/denials requirements procedures and forms. Reviewing patient-specific information in cases where the site has specifically requested the assistance and patient health information is available in resolving any issues or coverage challenges --- Adapts and pivots to manage change and complexity: agility to flex when markets, policies and dynamics change; proactive and reactive managing through conflict; navigates complexity of accounts and patient journey --- Work with internal partners to build strategic patient access and reimbursement account plans and review franchise, market access, and PSS business plans and objectives. Coordinating with other patient support service program representatives and with the field sales force, if necessary. --- Collaborate with Regional Director (RD) appropriately to share insights into customer needs, potential barriers and payer issues/opportunities for product access --- Effective account management: uncovering customer insights through effective questioning; critical thinking and problem solving; disseminating data and information to partners. Under guidance of the RD, provide reimbursement insights to local field teams, and Novartis home office functions as needed. This position can be based remotely anywhere in the U.S. (there may be some restrictions based on legal entity). Please note that this role would not provide relocation as a result. The expectation of working hours and travel (domestic and/or international) will be defined by the hiring manager. EEO Statement The Novartis Group of Companies are Equal Opportunity Employers and take pride in maintaining a diverse environment. We do not discriminate in recruitment, hiring, training, promotion or other employment practices for reasons of race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, marital or veteran status, disability, or any other legally protected status. We are committed to building diverse teams, representative of the patients and communities we serve, and we strive to create an inclusive workplace that cultivates bold innovation through collaboration and empowers our people to unleash their full potential. Minimum requirements What you'll bring to the role: Education: Bachelor's Degree required. Advanced degree preferred. Experience: --- Minimum three years' experience in public or private third-party Reimbursement arena or pharmaceutical industry in managed care, clinical support, or sales. --- Experience with specialty products acquired through Specialty Pharmacy networks --- Experience with coding, billing and in office support programs --- Prior account management experience or prior experience with complex accounts (Payer landscape, high patient volume, large systems). Knowledge of Managed Care, Government, and Federal payer sectors, as well as Integrated Delivery Network/Integrated Health Systems a plus. --- Specialty pharmacy experience required (ability to teach an office the entire process from script to injection). --- Ability to operate as a "team player" in collaborating with multiple sales representatives, sales leadership, and internal colleagues to reach common goals --- Ability to travel and cover large multistate geography territories, at least 50% travel required, based on geography and territory / targeting make up. --- Candidate lives within assigned geographic area Preferred Qualifications --- Ability to manage multiple products --- Strong teamwork abilities Why Novartis? We're proud of this, we know there is so much more we could do to help improve and extend people's lives. We believe new insights, perspectives and ground-breaking solutions can be found at the intersection of medical science and digital innovation. That a diverse, equitable and inclusive environment inspires new ways of working. We believe our potential can thrive and grow in an unbossed culture underpinned by integrity, curiosity and flexibility. And we can reinvent what's possible, when we collaborate with courage to aggressively and ambitiously tackle the world's toughest medical challenges. Because the greatest risk in life, is the risk of never trying Imagine what you could do here at Novartis Commitment to Diversity & Inclusion: Novartis is committed to building an outstanding, inclusive work environment and diverse teams representative of the patients and communities we serve. Accessibility and Reasonable Accommodations: Individuals in need of a reasonable accommodation due to a medical condition or disability for any part of the application process, or to perform the essential functions of a position, please send an e-mail to or call 1 (877)395-2339 and let us know the nature of your request and your contact information. Please include the job requisition number in your message. COVID-19: While Novartis does not require vaccination at this time, for certain Novartis sites in the US all associates and candidates may be required to either upload an image of their COVID-19 vaccine card demonstrating proof of full vaccination for COVID-19 (or other similar evidence of vaccination) or proof of a negative COVID-19 test taken by the associate or candidate within the past seven days to enter any of our sites and/or customer office or healthcare facility, as well as prior to participating in other work related off-site meetings. Employees working in customer-facing roles must adhere to and comply with customers' (such as hospitals, physician offices, etc.) credentialing guidelines, which may require vaccination. As required by applicable law, Novartis will consider requests for reasonable accommodation for those unable to be vaccinated. This requirement is subject to applicable state and local laws and may not be applicable to employees working in certain jurisdictions. Please send accommodation requests to Join our Novartis Network: If this role is not suitable to your experience or career goals but you wish to stay connected to hear more about Novartis and our career opportunities, join the Novartis Network here: This employer is a corporate member of myGwork - LGBTQ professionals, the business community for LGBTQ professionals, students, inclusive employers & anyone who believes in workplace equality.

Keywords: myGwork, Dearborn , Field Reimbursement Manager Detroit (Remote), Executive , Dearborn, Michigan

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