Alcon

Access & Reimbursement (ARM) Manager, Immunology – Columbia, SC

Alcon$138K — $257K *
Pharmaceuticals & Biotech
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree required, advanced degree preferred (Sciences, Business, Pharmacy, or Healthcare).
  • 3-5 years experience in reimbursement, managed care, or pharmaceutical industry.
  • Familiarity with specialty pharmacy products and buy-and-bill processes.
  • Knowledge of coding, billing, and office support programs.
  • Prior experience in account management with complex accounts.
  • Understanding of Managed Care, Government, and Federal payer sectors.
  • Ability to collaboratively work with sales teams and internal stakeholders.

Responsibilities

  • Provide education to providers on product-specific programs for patient access.
  • Analyze reimbursement issues and trends to support patient access.
  • Collaborate with Patient Support Center on case management and reimbursement support.
  • Interface with cross-functional teams to share insights on access barriers.
  • Maintain compliance with company policies and HIPAA regulations.
  • Proactively communicate changes in healthcare landscape to stakeholders.

Benefits

  • Comprehensive health, life, and disability benefits.
  • 401(k) plan with company contribution and match.
  • Generous time-off package including vacation, personal days, and holidays.
  • Performance-based cash incentives and eligibility for annual equity awards.
Full Job Description

Band

Level 4

Job Description Summary

#LI-Remote


The Access & Reimbursement Manager, NPSImmunology South Carolina geography. This is a remote& field-based role that covers thefollowing, butnot limited to: Columbia, SC, Charlotte, NC, Asheville NC, Charleston SC, Greenville, SC. Associatemustresidewithin territory, or within a reasonable daily commuting distance of 60 miles from territory



ARM will serve as the key contact and lead for access and reimbursement support-related matters and is responsible for being the local market access expert on payer policy coverage, multi-channel acquisition pathways, billing and coding, claims processing, reimbursement, and integration of manufacturer support programs into a range of account workflows. Additionally, the ARM will continually need to demonstrate a keen ability to problem solve, analyze access and reimbursement issues and opportunities, and proac-tively communicate changes in the healthcare landscape.

ARM will partner closely with other Novartis Pharmaceuticals Corporation (NPC) field associates, including Customer Engagement (Sales) and Market Access, representing NPC with the highest integrity in accordance with NPC Values and Behaviors. ARM will also be required to coordinate and communicate cross-functionally within NPC (e.g., Patient Support Center, Customer Engagement, Marketing, Market Access, Public Affairs, State & Government Affairs, Trade, Specialty Pharmacy Account Management, and other applicable third-party affiliates).


Job Description

Key Responsibilities:

  • Interactwithinassigned accountsto support patient access within theirtherapeutic area product(s)providing proactive face-to-face education on product-specific programs to providers and staff in order to support integration ofthose programsinto office processes and workflows.

  • Ability to analyze problems and offer solutions. Understand specifics and support questions associated with payer policies (e.g.,utilizationmanagement, denial, and appeals), drug acquisition and inventory management, and patient / practice reimbursement (e.g., Co-pay, administration, drug claims). Analyze account reimbursement issues & opportunities (as needed). Identifiestrends at a local,regionaland national level andpartnerwith purpose internally and externally to support patient pull-through.

  • Interface with Patient Support Center (hub) on important matters related to patient case management, including tracking cases, issue resolution, reimbursement support, andappropriate officestaff education.Review patient-specific information in cases where the site has specifically requestedassistanceand patient health information is available in resolving any issues or coverage challenges.

  • Collaborate with aligned cross-functional associates within NPC (see above) to share insights on customer needs and barriers for their aligned therapeutic area product(s) related to access and reimbursement.

  • Maintain a deep understanding of NPC policies and requirements and perform all responsibilities with integrity and in a manner consistent with company guidance and prescribed Values and Behaviors.Handle Patient Identifiable Information (PII) appropriately (understand and ensure compliance with HIPPA and other privacy laws and regulations and internal Company compliance guidelines).

MinimumRequirements:

Education: Minimum of a bachelors degree; advanced degree preferred (Majors preferred: Sciences, Business, Pharmacy, and Healthcare)

Minimum three to five years experience in public or private third-party Reimbursement arena or pharmaceutical industry in managed care, clinical support, or sales.

Experience with specialty pharmacy productsacquiredthrough Specialty Pharmacy networks or specialty distributors (buy and bill).

Experience with coding,billingand 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.

Ability tooperateas a team player in collaborating with multiple sales representatives, sales leadership, and internal colleagues to reach common goals.

Candidate mustresidewithin territory, or within a reasonable daily commuting distance of X miles from the territory border.Abilityto travel 60-80% over a broad geography isrequired, with the ability to drive and/or fly within the territory.Musthave a valid driver

Novartis Compensation Summary:

The salary for this position is expected to range between $138,600,and $257,400per year.

The final salary offered isdeterminedbased on factors like, but not limited to, relevant skills and experience, and upon joining Novartis will be reviewed periodically. Novartis may change the published salary range based on company and market factors.

Your compensation will include a performance-based cash incentive and, depending on the level of the role, eligibility to be considered for annual equity awards.

US-based eligible employees will receive a comprehensive benefits package that includes health,lifeand disability benefits, a 401(k) with company contribution and match, and a variety of other benefits. In addition, employees are eligible for a generous time off package including vacation, personal days,holidaysand other leaves.

Driving is an Essential Function of this Role:Meaning it is fundamental to the purpose of this job and cannot be eliminated. Because driving is an essential function of the role, you must have a fully valid and unrestricteddriverslicense to be qualified for this role. The company provides reasonableaccommodationsfor otherwise qualified individuals with medical restrictions ifan accommodationcan be provided withouteliminatingthe essential function of driving.

COVID-19 Vaccine Policy (customer-facing roles only):While Novartis does not require vaccination for COVID-19 or proof of a recent negative test result for COVID-19 at this time, 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 notbe applicableto employees working in certainjurisdictions. Please send accommodation requests [email protected]

For Field Roles with a Dedicated Training Period:

The individual hired for this role will berequiredto successfully complete certaininitialtraining, including home study, eight (8) or fewer hours perdayand forty (40) or fewer hours per week.


Salary Range


Skills Desired

Accountability, Commercial Excellence, Customer Engagement, Key Account Management, Market Development, Professional Ethics, Revenue Growth, Team Collaboration, Value Propositions

About Alcon

Alcon is a global medical company specializing in eye care products and services. The company's products include surgical equipment, contact lenses, and eye drops. Alcon was founded in 1945 and is headquartered in Baar, Switzerland. The company operates in over 70 countries and has over 20,000 employees. In 2019, Alcon became an independent publicly traded company after being spun off from Novartis.
Learn more about Alcon
Size
24,389 employees
Market Cap
$33.3 billion
Industry
Founded
1945
NASDAQ

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