Viiv Healthcare
ViiV Healthcare - Field Reimbursement Manager-San Francisco, CA
Viiv Healthcare, San Francisco, California, United States, 94199
ViiV Healthcare - Field Reimbursement Manager-San Francisco, CAViiV Healthcare is a global specialty HIV company, the only one that is 100% focused on researching and delivering new medicines for people living with, and at risk of, HIV. ViiV Healthcare is highly mission-driven in our unrelenting commitment to being a trusted partner for all people living with and affected by HIV.
Are you energized by a highly visible role within the managed markets environment, that allows you to help fulfill our mission to leave no person living with HIV behind? If so, this Field Reimbursement Manager role could be an ideal opportunity to consider.
The Field Reimbursement Manager will simplify and accelerate the ViiV Injectable implementation and user experience for Healthcare Providers (HCPs), patients living with HIV (PLWH), & people who can benefit from Prep (PWBP) within a specified geographic region.
This role will provide YOU the opportunity to lead key activities to progress YOUR career, these responsibilities include some of the following:
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.
Basic Qualifications:
Bachelor’s Degree
Ability to travel up to 75% including overnights based on geography and territory
Must be located within 50 miles of a major airport in or near the territory
Valid driver’s license
Minimum of 5 years in pharmaceutical and/or health care industry, reimbursement, specialty product support, payer marketing, patient support programs and/or reimbursement HUB programs.
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
Comprehensive understanding of Medicare Parts B, C, D, Medicaid, 340B, 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/HUB services in support of patient access
Excellent strategic thinking, problem-solving, and communication skills required.
The annual base salary for new hires in this position ranges from $151,300 to $204,700 taking into account a number of factors including work location within the US market, the candidate’s skills, experience, education level and the market rate for the role. In addition, this position offers an annual bonus and eligibility to participate in our share based long term incentive program which is dependent on the level of the role. Available benefits include health care and other insurance benefits (for employee and family), retirement benefits, paid holidays, vacation, and paid caregiver/parental and medical leave.
ViiV is an Equal Opportunity Employer and, in the US, we adhere to Affirmative Action principles. This ensures that 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.
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Are you energized by a highly visible role within the managed markets environment, that allows you to help fulfill our mission to leave no person living with HIV behind? If so, this Field Reimbursement Manager role could be an ideal opportunity to consider.
The Field Reimbursement Manager will simplify and accelerate the ViiV Injectable implementation and user experience for Healthcare Providers (HCPs), patients living with HIV (PLWH), & people who can benefit from Prep (PWBP) within a specified geographic region.
This role will provide YOU the opportunity to lead key activities to progress YOUR career, these responsibilities include some of the following:
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.
Basic Qualifications:
Bachelor’s Degree
Ability to travel up to 75% including overnights based on geography and territory
Must be located within 50 miles of a major airport in or near the territory
Valid driver’s license
Minimum of 5 years in pharmaceutical and/or health care industry, reimbursement, specialty product support, payer marketing, patient support programs and/or reimbursement HUB programs.
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
Comprehensive understanding of Medicare Parts B, C, D, Medicaid, 340B, 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/HUB services in support of patient access
Excellent strategic thinking, problem-solving, and communication skills required.
The annual base salary for new hires in this position ranges from $151,300 to $204,700 taking into account a number of factors including work location within the US market, the candidate’s skills, experience, education level and the market rate for the role. In addition, this position offers an annual bonus and eligibility to participate in our share based long term incentive program which is dependent on the level of the role. Available benefits include health care and other insurance benefits (for employee and family), retirement benefits, paid holidays, vacation, and paid caregiver/parental and medical leave.
ViiV is an Equal Opportunity Employer and, in the US, we adhere to Affirmative Action principles. This ensures that 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.
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