[Hiring] Manager, Field Reimbursement, Specialty @GSK

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.