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[Hiring] Manager, Field Reimbursement, Specialty @GSK

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Role Description

Individuals successful in this role possess a strong passion for patient access and thrive in a highly complex environment. The ability to problem solve and collaborate effectively is a critical skill set for GSK ARMs. This role requires exemplary customer engagement skills, a penchant for business ownership, and the ability to understand nuanced reimbursement and access technical skills.

  • Supports access to GSK Specialty products for appropriate patients.
  • Educates providers on payer coverage, coding, and payment policies related to GSK specialty products.
  • Helps providers understand GSK Patient Support Programs intended to assist appropriate patients in accessing GSK specialty medicines.
  • Interfaces internally with Payer Account Managers, Specialty Pharmacy Account Directors, and Specialty Sales professional teams.
  • Analyzes access/reimbursement issues and opportunities.
  • Provides offices product access/reimbursement expertise.
  • Offers access/reimbursement education to field teams.
  • Coordinates on access/reimbursement issues with third parties including hubs.
  • Supports patient access to products by providing subject matter expertise on reimbursement issues that may be barriers to product access.

Qualifications

  • Bachelor’s Degree
  • Ability to travel up to 60% including overnights
  • Must live in or within 10 miles of the territory
  • Valid driver’s license
  • 3+ years’ experience in one or more of the following areas:
    • Field Reimbursement
    • Specialty or Biologics Field Sales (HCP administered or Specialty Pharmacy provided)
    • Payer Marketing
    • Patient Support Programs

Requirements

  • MBA, MPH, or other advanced degree (preferred)
  • 6+ years’ experience in one or more of the following areas:
    • Field Reimbursement
    • Specialty or Biologics Field Sales (HCP administered or Specialty Pharmacy provided)
    • Payer Marketing
    • Patient Support Programs
  • Reimbursement experience for immunology, respiratory, or other specialty injected/infused products in a buy and bill setting across all sites of care.
  • Knowledge of the payer environment including state, federal, and private third-party payer reimbursement methodologies and policies for HCP and self-administered drugs.
  • Demonstrated experience in customer focus with building relationships, issue identification and resolution, problem-solving, and project management skills.
  • Evidence of the ability to operate independently and handle multiple projects with a high degree of initiative.
  • Ability to operate successfully as a leader in a matrix environment without direct reports.
  • Organized, strategic thinker with excellent verbal, written, and presentation communication skills.
  • Knowledge of provider office and hospital outpatient department reimbursement environments, regulations, customers, and account-based planning.
  • Knowledge of Specialty Pharmacy access process.
  • Comprehensive understanding of Commercial, Medicare Parts A, B, C, D, and state Medicaid reimbursement dynamics.
  • Understanding of HCPCS, CPT, and ICD-10 coding regulations.
  • Experience working with HUB or reimbursement call centers in support of patient access.

Benefits

  • US annual base salary ranges from $152,250 to $253,750.
  • Annual bonus and eligibility to participate in share-based long-term incentive program.
  • Health care and other insurance benefits (for employee and family).
  • Retirement benefits.
  • Paid holidays and vacation.
  • Paid caregiver/parental and medical leave.
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