ViiV Healthcare (GSK) Field Reimbursement Manager, San Franciso - Field Worker

Role Summary

Field Reimbursement Manager, San Francisco – Field Worker. This role focuses on simplifying and accelerating the ViiV Injectable implementation and user experience for healthcare providers, patients living with HIV, and people who can benefit from HIV prevention within a defined geographic region. The position serves as a primary resource to support patient access to ViiV Healthcare products, including coverage, coding, and reimbursement pathways, and to maximize patient access to ViiV Healthcare solutions.

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.
• The position acts as the primary resource for internal counterparts, collaborates with colleagues to assess the access landscape, leads regional calls to address barriers, and maintains open communication with customers to ensure access to VHC medicines.
• Serves as a key member of the ViiV field reimbursement team to maximize patient access to ViiV Healthcare solutions.

Qualifications

• Required: 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.
• Required: Ability to travel 25%+, including overnights based on geography and territory.
• Required: 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 successfully in matrix environment reporting into reimbursement function while deployed in the field.
• Highly organized, strategic thinker with excellent verbal, written and presentation communication skills.
• Reimbursement experience for specialty injected/infused products in a buy-and-bill setting across all sites of care.
• Strong knowledge of provider office and hospital outpatient reimbursement environments, regulations, customers, and market dynamics.
• Strong knowledge of Specialty Pharmacy access pathways and relevant access dynamics.
• Understanding of Medicare Parts B, C, D, Medicaid, 340B, and knowledge of commercial insurance reimbursement.
• Understanding of miscellaneous and permanent J code, Q code and issues surrounding appropriate billing.
• Experience working with reimbursement call centers/HUB services in support of patient access.
• Excellent strategic thinking, problem-solving, and communication skills.