GlaxoSmithKline
ViiV Healthcare - Field Reimbursement Manager-San Francisco, CA
GlaxoSmithKline, San Francisco, California, United States, 94199
Site Name:
USA - California - San FranciscoPosted Date:
Oct 11 2024ViiV 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. Our aim is to think, act, and connect differently through a focus on education on for the prevention and treatment for HIV. We go to extraordinary lengths to deliver the sorts of breakthroughs, both in prevention, treatments, care solutions and communities, that really count.We are aware of how much is at stake for those at-risk or affected by HIV and we show up every day 100% committed to the patients. Our work culture is fast-paced, diverse, inclusive, competitive, and caring. But ViiV Healthcare isn’t just somewhere to work – it’s a place to belong, an invitation to bring your very best, and a team full of impact-driven team members who are hungry to make a difference.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:We are looking for professionals with these required skills to achieve our goals:Bachelor’s DegreeAbility to travel up to 75% including overnights based on geography and territoryMust be located within 50 miles of a major airport in or near the territoryValid driver’s licenseMinimum 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:If you have the following characteristics, it would be a plus:Strong knowledge of the payer environment including state, federal, private third-party reimbursement issues, methodologies, and policies for physician-administered drugsStrong customer focus with building relationships, issue identification and resolution, problem-solving and account management skillsAbility to operate independently and handle multiple projects with a high degree of initiativeAbility to operate successfully in matrix environment reporting into reimbursement function while deployed in the fieldHighly organized, strategic thinker with excellent verbal, written and presentation communication skillsReimbursement experience for specialty injected/infused products in a buy and bill setting across all sites of careStrong knowledge of provider office and hospital outpatient reimbursement environments, regulations, customers, and market dynamicsStrong knowledge of Specialty Pharmacy access pathways and relevant access dynamicsComprehensive understanding of Medicare Parts B, C, D, Medicaid, 340B, and knowledge of commercial insurance reimbursementUnderstanding of the miscellaneous and permanent J code, Q code and possible issues surrounding appropriate billingExperience working with reimbursement call centers/HUB services in support of patient accessExcellent 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.Please visit
GSK US Benefits Summary
to learn more about the comprehensive benefits program ViiV offers US employees. All ViiV employees receive the same benefits options and plans as GSK employee.Why Us?At ViiV Healthcare, we will not rest until we leave no person living with HIV behind. Until the 39 million people living with HIV is down to zero, we will continue searching for new ways to limit the impact of HIV.We are the only pharmaceutical company solely focused on combating, preventing, and ultimately eradicating HIV and AIDS. Living our mission of leaving no person living with HIV behind means keeping inclusion and diversity at the heart of everything we do - from our breakthrough innovation, to our diverse portfolio of medicines as well as the work we do to partner with HIV communities.
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USA - California - San FranciscoPosted Date:
Oct 11 2024ViiV 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. Our aim is to think, act, and connect differently through a focus on education on for the prevention and treatment for HIV. We go to extraordinary lengths to deliver the sorts of breakthroughs, both in prevention, treatments, care solutions and communities, that really count.We are aware of how much is at stake for those at-risk or affected by HIV and we show up every day 100% committed to the patients. Our work culture is fast-paced, diverse, inclusive, competitive, and caring. But ViiV Healthcare isn’t just somewhere to work – it’s a place to belong, an invitation to bring your very best, and a team full of impact-driven team members who are hungry to make a difference.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:We are looking for professionals with these required skills to achieve our goals:Bachelor’s DegreeAbility to travel up to 75% including overnights based on geography and territoryMust be located within 50 miles of a major airport in or near the territoryValid driver’s licenseMinimum 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:If you have the following characteristics, it would be a plus:Strong knowledge of the payer environment including state, federal, private third-party reimbursement issues, methodologies, and policies for physician-administered drugsStrong customer focus with building relationships, issue identification and resolution, problem-solving and account management skillsAbility to operate independently and handle multiple projects with a high degree of initiativeAbility to operate successfully in matrix environment reporting into reimbursement function while deployed in the fieldHighly organized, strategic thinker with excellent verbal, written and presentation communication skillsReimbursement experience for specialty injected/infused products in a buy and bill setting across all sites of careStrong knowledge of provider office and hospital outpatient reimbursement environments, regulations, customers, and market dynamicsStrong knowledge of Specialty Pharmacy access pathways and relevant access dynamicsComprehensive understanding of Medicare Parts B, C, D, Medicaid, 340B, and knowledge of commercial insurance reimbursementUnderstanding of the miscellaneous and permanent J code, Q code and possible issues surrounding appropriate billingExperience working with reimbursement call centers/HUB services in support of patient accessExcellent 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.Please visit
GSK US Benefits Summary
to learn more about the comprehensive benefits program ViiV offers US employees. All ViiV employees receive the same benefits options and plans as GSK employee.Why Us?At ViiV Healthcare, we will not rest until we leave no person living with HIV behind. Until the 39 million people living with HIV is down to zero, we will continue searching for new ways to limit the impact of HIV.We are the only pharmaceutical company solely focused on combating, preventing, and ultimately eradicating HIV and AIDS. Living our mission of leaving no person living with HIV behind means keeping inclusion and diversity at the heart of everything we do - from our breakthrough innovation, to our diverse portfolio of medicines as well as the work we do to partner with HIV communities.
#J-18808-Ljbffr