Area Reimbursement Lead - IN, KY, MI, OH, WV Territory - Remote

Major Accountabilities

Field Management and Leadership

• 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.  This includes, but is not limited to, the successful hiring of the best talent and development of team.
• Overall customer satisfaction and awareness related to NPS programs and access support. 
• Effectively 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 IM-US Company guidance and policies, relevant state and federal laws and regulations. 

 Minimum Requirements 

• Bachelor’s Degree required. Advanced degree preferred. 
• 2+ years prior first-line leadership experience preferred.  For internal Novartis associates, enrollment in or successful completion of the Novartis Leader Development Program (ELDP or SMDP), plus a minimum of 5 years of experience in Access & Reimbursement, Market Access, and/ or Patient Services, may be considered as qualifying criteria. 5+ years of Access & Reimbursement experience (Buy-and-Bill experience strongly preferred)
• Must demonstrate excellent working knowledge of reimbursement and practice management environment.
• Possess strong understanding of Commercial payers, Medicare plans and state Medicaid in geographic region.
• Experience in patient assistance support, reimbursement support and other access programs.
• Travel, as required, and potentially on short notice.
• Candidate must live within assigned geographic area
• 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 unrestricted driver’s license to be qualified for this role.
• The company provides reasonable accommodations for otherwise qualified individuals with medical restrictions if an accommodation can be provided without eliminating the essential function of driving.

Preferred Qualifications

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

The salary for this position is expected to range between $168,000 - $312,000 USD per year.

The final salary offered is determined based 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, life and 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,

holidays and other leaves.

Company will not sponsor visas for this position.  

The individual hired for this role will be required to successfully complete certain initial training, including home study, in eight (8) or fewer hours per day and forty (40) or fewer hours per week. 

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 unrestricted driver’s license to be qualified for this role. The company provides reasonable accommodations for otherwise qualified individuals with medical restrictions, if an accommodation can be provided without eliminating the essential function of driving.