PSP Operations Manager, ReimbursementLocation: Toronto, Canada. Novartis does not offer relocation support for this role.About the RoleWe are seeking experienced and passionate professionals to join us in accomplishing our ambitious mission of reaching twice as many patients twice as fast. As PSP Operations Manager, Reimbursement, you will have ownership of our Retrobilling and Copay strategies and play a critical role in identifying and addressing reimbursement process bottlenecks. The role reports directly into the PSP Operations Lead and will work closely with PSP Operations, Value and Access, Commercial, Data, product cross‑functional teams, and external vendors. This is a permanent position.Key ResponsibilitiesAnalyze data from CRM systems to gain insights into payer behaviors, trends, preferences, and coverage decisions to identify bottlenecks and areas for improvement in reimbursement.Collaborate closely with Market Access teams to develop strategies for improving payer bottlenecks and listing criteria.Propose and implement data‑driven solutions, such as reimbursement tools, guidelines, and CRM enhancements, to alleviate payer bottlenecks.Continuously monitor and evaluate payer trends, policies, and regulations using CRM data and external resources to identify shifts in reimbursement policies, market dynamics, and payer preferences.Strategically develop copayment card programs with appropriate structure, reporting, and management to maximize patient value while minimizing overexposure and misbillings from pharmacies.Develop and implement a comprehensive control and oversight process to maximize pharmacy retrobilling nationally, including establishing and monitoring targets, proactively identifying missed opportunities, analyzing root causes of retrobilling errors, and developing optimization strategies.Develop comprehensive reporting,



proactively identify discrepancies, and implement optimization strategies for PSP and pharmacy performance in commercialization, retrobilling recovery, and copayment expenditures, leveraging influence without formal authority.Conduct training sessions to enhance cross‑functional teams’ understanding of reimbursement processes and collaboration with field teams.Essential RequirementsHands‑on experience with Patient Support Programs (PSPs), collaborating directly with payers to drive reimbursement initiatives, and expertise in national pharmacy retrobilling processes, including the ability to analyze and optimize retrobilling opportunities using data and insights.Proven experience in managing copay card programs, developing and implementing effective strategies that maximize patient value while minimizing overexposure or misbillings from pharmacies.Strong interpersonal skills and the ability to work cross‑functionally, collaborating with internal teams and external stakeholders to incorporate technology and drive program success.Desirable RequirementsHCP Experience: Experience working within a healthcare system as a healthcare skilled (HCP) or in a related capacity.Bilingual English/French: Proficiency in both English and French languages is desirable.Expected Remuneration Range for RoleCAD 125,120 – 173,700BenefitsIn addition to competitive base salary and performance‑based bonus potential, employees receive a comprehensive benefits package that includes insurance plans, retirement plans, wellbeing resources, global recognition programs, flexible and hybrid working options, and a minimum 14 weeks paid parental leave.Pay equity is a fundamental principle of our employment policy and reflects our commitment to create a diverse, equitable and inclusive environment that treats all employees with dignity and respect, as outlined in our Code of Ethics.#J-18808-Ljbffr

📌 Psp Operations Manager, Reimbursement - C$125,120 - C$173,700 A Year (Winnipeg)
🏢 Novartis
📍 Winnipeg