Manager, Access & Reimbursement - Oncology (AZ, NM, CO, KS, MO, IL)
GSK
8 hours ago
On-site
Springfield, IL
Market Access
Responsibilities:
- Supports access to GSK Oncology products for appropriate patients.
- Educates providers on payer coverage, coding, and payment policies related to GSK Oncology products.
- Helps providers understand GSK Patient Support Programs to enable patient access to GSK Oncology medicines.
- Interfaces internally with Payer Account Managers, Specialty Pharmacy Account Directors, and Oncology Sales teams.
- Analyzes access and reimbursement issues and opportunities.
- Provides offices product access/reimbursement expertise.
- Provides access/reimbursement education to field teams.
- Coordinates access/reimbursement issues with third parties, including hubs.
- Provides subject matter expertise on reimbursement issues that may be barriers to product access.
- Reports to Director of Oncology Access & Reimbursement.
Basic Qualifications:
- Bachelor’s Degree.
- 3+ years’ experience in one or more of: Field Reimbursement; Payer Marketing; Oncology Field Sales (HCP administered or Specialty Pharmacy provided).
- Ability to travel up to 60% (including overnights).
- Must live in or within 10 miles of the territory.
- Valid driver’s license.
Preferred Qualifications:
- MBA, MPH, or other advanced degree.
- Live within 50 miles of a major metropolitan airport (for larger geographies).
- 6+ years’ experience in one or more areas including Field Reimbursement; Oncology Field Sales (HCP administered or Specialty Pharmacy provided); Payer Marketing; Patient Support Programs.
- Oncology reimbursement experience for oral and injected/infused products across multiple sites of care.
- Knowledge of payer environment (state, federal, private third-party), reimbursement methodologies, and policies for HCP and self-administered drugs.
- Demonstrated customer focus: relationship building, issue identification/resolution, problem-solving, and project management.
- Ability to operate independently, handle multiple projects, and lead in a matrix environment without direct reports.
- Strong 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 to support patient access.
- Supports access to GSK Oncology products for appropriate patients.
- Educates providers on payer coverage, coding, and payment policies related to GSK Oncology products.
- Helps providers understand GSK Patient Support Programs to enable patient access to GSK Oncology medicines.
- Interfaces internally with Payer Account Managers, Specialty Pharmacy Account Directors, and Oncology Sales teams.
- Analyzes access and reimbursement issues and opportunities.
- Provides offices product access/reimbursement expertise.
- Provides access/reimbursement education to field teams.
- Coordinates access/reimbursement issues with third parties, including hubs.
- Provides subject matter expertise on reimbursement issues that may be barriers to product access.
- Reports to Director of Oncology Access & Reimbursement.
Basic Qualifications:
- Bachelor’s Degree.
- 3+ years’ experience in one or more of: Field Reimbursement; Payer Marketing; Oncology Field Sales (HCP administered or Specialty Pharmacy provided).
- Ability to travel up to 60% (including overnights).
- Must live in or within 10 miles of the territory.
- Valid driver’s license.
Preferred Qualifications:
- MBA, MPH, or other advanced degree.
- Live within 50 miles of a major metropolitan airport (for larger geographies).
- 6+ years’ experience in one or more areas including Field Reimbursement; Oncology Field Sales (HCP administered or Specialty Pharmacy provided); Payer Marketing; Patient Support Programs.
- Oncology reimbursement experience for oral and injected/infused products across multiple sites of care.
- Knowledge of payer environment (state, federal, private third-party), reimbursement methodologies, and policies for HCP and self-administered drugs.
- Demonstrated customer focus: relationship building, issue identification/resolution, problem-solving, and project management.
- Ability to operate independently, handle multiple projects, and lead in a matrix environment without direct reports.
- Strong 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 to support patient access.