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ViiV Field Reimbursement Manager-Miami/Orlando, FL at GlaxoSmithKline

Posted in Sales 30+ days ago.

This job brought to you by eQuest

Type: Full-Time
Location: Orlando, Florida

Job Description:

Are you energized by a highly visible role within the managed markets environment, that allows you to enhance your leadership skills?  If so, this Pricing Reimbursement Manager role could be an ideal opportunity to consider.

The Field Reimbursement Manager will provide external and internal reimbursement and access support for ViiV Healthcare (VHC) products within a specified geographic region.

This position is a provider-facing, field-based role responsible for supporting appropriate patient access to ViiV Healthcare products.  The FRM will:

  • Educate providers about important product reimbursement information and processes across settings of care.

  • Review key payer policies, coverage and authorization criteria with prescribing providers and their staff.

  • Communicate ViiV Access Support Services that may be available to help appropriate patients access ViiV Healthcare medicines.

  • Review acquisition options (specialty pharmacy and buy-and-bill) and potential implications to the facility/practice and patient.

  • Compliantly discuss applicable coding necessary for claim submission (HCPCS, CPT, ICD-10, billable units).

  • Act as the primary access and reimbursement resource for internal field counterparts.

  • Work with colleagues across the business to assess the access landscape, changing insurance dynamics and patient journey.

  • Lead regional matrix partner calls to review regional activity, access barriers and opportunities.

  • Serve as an integral member of the ViiV field team with a primary focus on ensuring each appropriate patient leverage healthcare coverage and ViiV support programs to maximize access to ViiV Healthcare medicines.

  • Engage Medicare Administrative Contractors to ensure appropriate coverage of VHC products

Why you?

Basic Qualifications:

We are looking for professionals with these required skills to achieve our goals:

  • Bachelor’s Degree

  • Ability to travel up to 75% including overnights

  • Must be located within 50 miles of a major airport in or near the territory

  • Valid driver’s license.

  • Minimum of 5 years’ experience in pharmaceutical and/or health care industry (must include experience in a specialty division) with at least 3 years in field reimbursement, payer marketing, patient support programs and/or reimbursement HUB programs.

Preferred Qualifications:

If you have the following characteristics, it would be a plus:

  • MBA, MPH or other advanced degree

  • 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 project management skills

  • Ability to operate independently and handle multiple projects with a high degree of initiative and 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 department reimbursement environments, regulations, customers, and market dynamics.

  • Strong knowledge of Specialty Pharmacy providers and relevant access dynamics

  • Comprehensive understanding of Medicare Parts A, B, C, D and knowledge of commercial insurance reimbursement.

  • Understanding of the miscellaneous and permanent J code, Q code and possible issues surrounding appropriate billing.

  • Experience working with reimbursement call centers in support of patient access

Why ViiV?

Our values and expectations are at the heart of everything we do and form an important part of our culture. These include Patient focus, Transparency, Respect, Integrity along with Courage, Accountability, Development, and Teamwork. As ViiV focuses on our values and expectations and a culture of innovation, performance, and trust, the successful candidate will demonstrate the following capabilities:

  • Operating at pace and agile decision-making – using evidence and applying judgement to balance pace, rigour and risk.

  • Committed to delivering high quality results, overcoming challenges, focusing on what matters, execution.

  • Continuously looking for opportunities to learn, build skills and share learning.

  • Sustaining energy and well-being.

  • Building strong relationships and collaboration, honest and open conversations.

  • Budgeting and cost-consciousness

*This is a job description to aide in the job posting, but does not include all job evaluation details.



If you require an accommodation or other assistance to apply for a job at ViiV, please contact the ViiV HR Service Centre at 1-877-694-7547 (US Toll Free) or +1 801 567 5155 (outside US).

ViiV is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive equal consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, marital status, sexual orientation, gender identity/expression, age, disability, genetic information, military service, covered/protected veteran status or any other federal, state or local protected class.

Important notice to Employment businesses/ Agencies

ViiV does not accept referrals from employment businesses and/or employment agencies in respect of the vacancies posted on this site. All employment businesses/agencies are required to contact ViiV's commercial and general procurement/human resources department to obtain prior written authorization before referring any candidates to ViiV. The obtaining of prior written authorization is a condition precedent to any agreement (verbal or written) between the employment business/ agency and ViiV. In the absence of such written authorization being obtained any actions undertaken by the employment business/agency shall be deemed to have been performed without the consent or contractual agreement of ViiV. ViiVshall therefore not be liable for any fees arising from such actions or any fees arising from any referrals by employment businesses/agencies in respect of the vacancies posted on this site.

Please note that if you are a US Licensed Healthcare Professional or Healthcare Professional as defined by the laws of the state issuing your license, ViiV may be required to capture and report expenses ViiV incurs, on your behalf, in the event you are afforded an interview for employment. This capture of applicable transfers of value is necessary to ensure ViiV's compliance to all federal and state US Transparency requirements. For more information, please visit ViiV's Transparency Reporting For the Record site.