GSK
ViiV Healthcare Field Reimbursement Manager, West Los Angeles, CA & HI - Field W
GSK, Durham, North Carolina, United States, 27703
ViiV Healthcare Field Reimbursement Manager, West Los Angeles, CA & HI - Field Worker
Join to apply for the ViiV Healthcare Field Reimbursement Manager, West Los Angeles, CA & HI - Field Worker role at GSK
Overview ViiV Healthcare is a global specialty HIV company focused on researching and delivering new medicines for people living with, or at risk of, HIV. We are mission-driven to improve access to care and to support sustainable community programs while pursuing breakthroughs in prevention, treatment, and care. We offer the largest portfolio of HIV medicines and work to meet diverse patient needs.
Responsibilities
Customer-facing, field-based role responsible for supporting appropriate patient access to ViiV Healthcare products, including coverage, coding, and reimbursement pathways.
Educating customers on billing information, including approved codes and benefits, and reviewing payer policies with prescribing providers.
Communicating available ViiV Access Support Services to help patients access medicines, training customer staff on the reimbursement process for greater efficiency, and developing tailored business plans for FRM strategies.
Managing platforms to identify reimbursement challenges, reviewing acquisition options and their implications, and discussing necessary coding for claims.
Acting as the primary resource for internal counterparts, collaborating with colleagues to assess the access landscape, leading regional calls to address barriers, and maintaining open communication with customers to ensure access to VHC medicines.
Serving as a key member of the ViiV field reimbursement team to maximize patient access to ViiV Healthcare solutions.
Qualifications Basic Qualifications:
Bachelor’s Degree and 5+ years in pharmaceutical and/or healthcare industry, reimbursement, specialty product support, payer marketing, patient support programs and/or reimbursement HUB programs
Ability to travel 50% or more, including overnights based on geography and territory
Valid driver’s license
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 in a matrix environment with field deployment reporting into reimbursement functions
Highly organized, strategic thinker with excellent verbal, written and presentation skills
Reimbursement experience for specialty injected/infused products in a buy-and-bill setting
Knowledge of provider office and hospital outpatient reimbursement environments, regulations, customers, and market dynamics
Knowledge of Specialty Pharmacy access pathways and relevant access dynamics
Comprehensive understanding of Medicare Parts B, C, D, Medicaid, 340B, and commercial insurance reimbursement
Understanding of J codes and Q codes and relevant billing issues
Experience working with reimbursement call centers/HUB services
Excellent strategic thinking, problem-solving, and communication skills
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.
Why Us At ViiV Healthcare, we are committed to leaving no person living with HIV behind. We are the only pharmaceutical company solely focused on combating, preventing, and eradicating HIV and AIDS. We offer a mission-driven culture that values inclusion and diversity, and we support community partnerships to improve access to care. If you require an accommodation to apply, contact the ViiV Service Centre.
ViiV is an Equal Opportunity Employer. This ensures that all qualified applicants will receive equal consideration for employment regardless of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, or genetic information.
If you require an accommodation or other assistance to apply for a job at ViiV, please contact the ViiV Service Centre at 1-877-694-7547 (US Toll Free) or +1 801 567 5155 (outside US).
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Overview ViiV Healthcare is a global specialty HIV company focused on researching and delivering new medicines for people living with, or at risk of, HIV. We are mission-driven to improve access to care and to support sustainable community programs while pursuing breakthroughs in prevention, treatment, and care. We offer the largest portfolio of HIV medicines and work to meet diverse patient needs.
Responsibilities
Customer-facing, field-based role responsible for supporting appropriate patient access to ViiV Healthcare products, including coverage, coding, and reimbursement pathways.
Educating customers on billing information, including approved codes and benefits, and reviewing payer policies with prescribing providers.
Communicating available ViiV Access Support Services to help patients access medicines, training customer staff on the reimbursement process for greater efficiency, and developing tailored business plans for FRM strategies.
Managing platforms to identify reimbursement challenges, reviewing acquisition options and their implications, and discussing necessary coding for claims.
Acting as the primary resource for internal counterparts, collaborating with colleagues to assess the access landscape, leading regional calls to address barriers, and maintaining open communication with customers to ensure access to VHC medicines.
Serving as a key member of the ViiV field reimbursement team to maximize patient access to ViiV Healthcare solutions.
Qualifications Basic Qualifications:
Bachelor’s Degree and 5+ years in pharmaceutical and/or healthcare industry, reimbursement, specialty product support, payer marketing, patient support programs and/or reimbursement HUB programs
Ability to travel 50% or more, including overnights based on geography and territory
Valid driver’s license
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 in a matrix environment with field deployment reporting into reimbursement functions
Highly organized, strategic thinker with excellent verbal, written and presentation skills
Reimbursement experience for specialty injected/infused products in a buy-and-bill setting
Knowledge of provider office and hospital outpatient reimbursement environments, regulations, customers, and market dynamics
Knowledge of Specialty Pharmacy access pathways and relevant access dynamics
Comprehensive understanding of Medicare Parts B, C, D, Medicaid, 340B, and commercial insurance reimbursement
Understanding of J codes and Q codes and relevant billing issues
Experience working with reimbursement call centers/HUB services
Excellent strategic thinking, problem-solving, and communication skills
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.
Why Us At ViiV Healthcare, we are committed to leaving no person living with HIV behind. We are the only pharmaceutical company solely focused on combating, preventing, and eradicating HIV and AIDS. We offer a mission-driven culture that values inclusion and diversity, and we support community partnerships to improve access to care. If you require an accommodation to apply, contact the ViiV Service Centre.
ViiV is an Equal Opportunity Employer. This ensures that all qualified applicants will receive equal consideration for employment regardless of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, or genetic information.
If you require an accommodation or other assistance to apply for a job at ViiV, please contact the ViiV Service Centre at 1-877-694-7547 (US Toll Free) or +1 801 567 5155 (outside US).
#J-18808-Ljbffr