Mgr, Access & Reimbursement Specialty - Kansas/Nebraska

Role Summary

Mgr, Access & Reimbursement Specialty - Kansas/Nebraska is a role focused on enabling patient access to GSK Specialty products, requiring strong problem-solving and collaboration in a complex environment. The role demands exemplary customer engagement, business ownership, and deep understanding of reimbursement and access processes.

Responsibilities

• Support access to GSK Specialty products for appropriate patients.
• Educate providers on payer coverage, coding and payment policies related to GSK specialty products and explain GSK Patient Support Programs designed to help patients access GSK medicines.
• Interface with internal teams including Payer Account Managers, Specialty Pharmacy Account Directors and Specialty Sales professionals.
• Analyze access/reimbursement issues and opportunities.
• Provide offices with product access/reimbursement expertise.
• Provide access/reimbursement education to field teams.
• Coordinate on access/reimbursement issues with third parties including hubs.
• Support patient access to products by providing subject matter expertise on reimbursement barriers.
• Report to Director of Specialty Access & Reimbursement.

Qualifications

• Required: Bachelor’s Degree.
• Required: 3+ years’ experience in Field Reimbursement, Payer Marketing, Specialty or Biologics Field Sales (HCP administered or Specialty Pharmacy provided).
• Required: Ability to travel 2 days/week with overnight travel; reside in Kansas or Nebraska; valid driver’s license.
• Preferred: MBA, MPH or other advanced degree.
• Preferred: 6+ years’ experience in Field Reimbursement, Specialty or Biologics Field Sales, Payer Marketing, or Patient Support Programs.

Skills

• Knowledge of payer environment (state, federal, private third-party) and reimbursement methodologies; payer policies for HCP and self-administered drugs.
• Customer focus, relationship-building, issue resolution, problem-solving and project management.
• Ability to work independently, manage 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 reimbursement environments, regulations, customers, and account-based planning.
• Knowledge of Specialty Pharmacy access process and reimbursement dynamics across Commercial, Medicare Parts A-D and state Medicaid.
• Understanding of HCPCS, CPT, and ICD-10 coding regulations.
• Experience with HUB or reimbursement call centers in support of patient access.

Education

• Bachelor’s Degree (required).