[Hiring] Specialty Access & Reimbursement Manager @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.
• Responsible for educating 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.
• Demonstrates a track record of success working in a matrix environment and effective leadership skills.
• Analyzes access/reimbursement issues and opportunities.
• Provides offices product access/reimbursement expertise.
• Provides 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.
• This role reports to a Director of Specialty Field Reimbursement.

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, or 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, or Patient Support Programs (preferred)
• Reimbursement experience for immunology, respiratory, or other specialty injected/infused products in a buy and bill setting across all sites of care (preferred)
• Knowledge of the payer environment including state, federal, and private third-party payer reimbursement methodologies and policies for HCP and self-administered drugs (preferred)
• Demonstrated experience in customer focus with building relationships, issue identification and resolution, problem-solving, and project management skills (preferred)
• Evidence of the ability to operate independently and handle multiple projects with a high degree of initiative (preferred)
• Organized, strategic thinker with excellent verbal, written, and presentation communication skills (preferred)
• Knowledge of provider office and hospital outpatient department reimbursement environments, regulations, customers, and account-based planning (preferred)
• Knowledge of Specialty Pharmacy access process (preferred)
• Comprehensive understanding of Commercial, Medicare Parts A, B, C, D, and state Medicaid reimbursement dynamics (preferred)
• Understanding of HCPCS, CPT, and ICD-10 coding regulations (preferred)
• Experience working with HUB or reimbursement call centers in support of patient access (preferred)

Benefits

Please visit GSK US Benefits Summary to learn more about the comprehensive benefits program GSK offers US employees.