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ViiV Healthcare Field Reimbursement Manager

1 month ago

San Francisco, California, United States GlaxoSmithKline Full time
Job Summary

We are seeking a highly skilled Field Reimbursement Manager to join our team at ViiV Healthcare. As a key member of our field reimbursement team, you will play a critical role in simplifying and accelerating the ViiV Injectable implementation and user experience for Healthcare Providers, patients living with HIV, and people who can benefit from Prep within a specified geographic region.

Key Responsibilities
  • Provide customer-facing support to ensure appropriate patient access to ViiV Healthcare products, including coverage, coding, and reimbursement pathways.
  • Educate customers on billing information, including approved codes and benefits, and review payer policies with prescribing providers.
  • Communicate available ViiV Access Support Services to help patients access medicines, train customer staff on the reimbursement process for greater efficiency, and develop tailored business plans for FRM strategies.
  • Manage platforms to identify reimbursement challenges, review acquisition options and their implications, and discuss necessary coding for claims.
  • Act as the primary resource for internal counterparts, collaborate with colleagues to assess the access landscape, lead regional calls to address barriers, and maintain open communication with customers to ensure access to VHC medicines.
Requirements
  • Bachelor's Degree
  • Ability to travel up to 75% including overnights based on geography and territory
  • Must be located within 50 miles of a major airport in or near the territory
  • Valid driver's license
  • Minimum of 5 years in pharmaceutical and/or health care industry, reimbursement, specialty product support, payer marketing, patient support programs, and/or reimbursement HUB programs
Preferred Qualifications
  • Strong knowledge of the payer environment, including state, federal, private third-party reimbursement issues, methodologies, and policies for physician-administered drugs
  • Strong customer focus with building relationships, issue identification and resolution, problem-solving, and account management skills
  • Ability to operate independently and handle multiple projects with a high degree of initiative
  • Ability to operate successfully in a matrix environment, reporting into the reimbursement function while deployed in the field
  • Highly organized, strategic thinker with excellent verbal, written, and presentation communication skills
  • Reimbursement experience for specialty injected/infused products in a buy and bill setting across all sites of care
  • Strong knowledge of provider office and hospital outpatient reimbursement environments, regulations, customers, and market dynamics
  • Strong knowledge of Specialty Pharmacy access pathways and relevant access dynamics
  • Comprehensive understanding of Medicare Parts B, C, D, Medicaid, 340B, and knowledge of commercial insurance reimbursement
  • Understanding of the miscellaneous and permanent J code, Q code, and possible issues surrounding appropriate billing
  • Experience working with reimbursement call centers/HUB services in support of patient access
What We Offer

ViiV Healthcare offers a competitive annual base salary, ranging from $151,300 to $204,700, depending on location, skills, experience, education level, and market rate. Additionally, this position offers an annual bonus and eligibility to participate in our share-based long-term incentive program, dependent on the level of the role. Available benefits include healthcare and other insurance benefits, retirement benefits, paid holidays, vacation, and paid caregiver/parental and medical leave.

Please visit GSK US Benefits Summary to learn more about the comprehensive benefits program ViiV offers US employees. All ViiV employees receive the same benefits options and plans as GSK employees.