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Reimbursement Specialist 1 (347910BR)

Equipment/Technology Specialist

Equipment and Facilities Specialist

Yearly

No

East Hanover, New Jersey, United States

By 2023, Patient and Specialty Services (PSS) is projected to support over 1.4 Million patients and impact nearly $4B of Novartis’s US Pharma revenue. PSS provides mission critical support to Novartis brands by helping patients prescribed Novartis products with assistance to address any access challenges and get on medications needed to improve their health.<br><br>The creation of an internal Engagement Center is a strategic priority for US Pharma. We have an in-credible opportunity to formulate exciting new partnerships to deliver transformative patient services. The PSS team is uniquely positioned to help support our goal of providing appropriate medications to twice as many patients twice as fast.<br><br>The Engagement Center will support all franchises by providing omni-channel customer support and patient access. By leveraging workforce management, technology, and through staff retention and engagement, it will ensure strong appropriate alignment with PSS goals. <br><br>• If you are customer-obsessed.<br>• If you are energized by leading people through change.<br>• If you are motivated by measured outcomes.<br><br>You should consider joining the Novartis PSS Engagement Center’s Reimbursement Specialist Team.<br><br>The Reimbursement Specialist will be responsible for providing support and information about the insurance coverage of their prescribed Novartis medicines. They will accurately and efficiently find the patient’s insurance coverage, and any other requirements by leveraging reimbursement tools and collaborating with payers and providers. <br><br>The Reimbursement Specialist may also share appropriate information with Patient Specialty Services field teams. This information may cover coverage-related queries from customers, provide pre-authorizations for medical treatment, and outline information regarding co-payments.<br><br>The Reimbursement Specialist must have strong communication skills to converse with payors and providers about benefits coverage and be able to offer solutions in accordance with approved procedures. <br><br>A Reimbursement Specialist will possess an aptitude for learning and continual development. <br><br>Your responsibilities will include, but are not limited to:<br>• Develop and maintain knowledge of PSS programs and payer coverage; broaden program knowledge over time.<br>• Learn and utilize protocols, information and technology to gather patient coverage information. Some of this will be completed via phone calls to payers in a prompt and courteous manner.<br>• Prepare proper documentation and notifications; perform proper escalation, tracking, and follow-up<br>• Evolve skills to navigate the payer landscape regarding Novartis programs over time <br>• As applicable, raise innovative ideas which will drive improved efficiency and effectiveness of customer service to Team Leads.<br><br>This position will be located at The East Hanover site and will not have the ability to be located remotely. This position will require 20% travel as defined by the business (domestic and/ or international).<br><br>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 Eh.occupationalhealth@novartis.com.<br><br>[#video# https://www.youtube.com/watch?v=Mo1vwtVPVA0 {#400,300#}#/video#]