What are the responsibilities and job description for the Field Reimbursement Manager - CO, NE, MT, KS, WY position at GSK?
Posted Date: Dec 13 2021
- The Specialty Field Reimbursement Manager (SFRM) supports access to GSK Specialty products for appropriate patients.
- This role is responsible for educating healthcare professionals about important product reimbursement information and processes, as well as helping providers understand GSK Access Support Services that may be available to help appropriate patients access GSK specialty medicines.
- Specialty FRMs are responsible for educating providers on payer coverage, coding and payment policies related to GSK specialty products, and work to communicate the impact of these policies to internal and external stakeholders.
- Specialty FRMs are responsible for educating providers on Gateway patient enrollment services and processes.
- Specialty FRMs routinely interface internally with Payer Account Managers, Specialty Pharmacy Account Directors and Specialty Sales professional teams.
- Qualified candidates must possess a demonstrated track record of success working in a matrix environment and must demonstrate effective leadership skills.
- This role reports to a Director of Specialty Field Reimbursement.
Why you?
Basic qualifications:
- Bachelor’s Degree
- Ability to travel up to 60% including overnights
- Must be located in or within 50 miles of the territory
- Valid driver’s license
- 3 years’ experience in Field Reimbursement; Specialty/Biologics Field Sales; Payer Marketing; or Patient Support Programs
Preferred qualifications:
- MBA, MPH or other advanced degree
- Basic knowledge of the payer environment including state, federal, and private third-party; payer reimbursement methodologies; and payer policies for HCP and self-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. Ability to operate successfully as a leader in a matrix environment without direct reports.
- Highly organized, strategic thinker with excellent verbal, written and presentation communication skills.
- Reimbursement experience for immunology, respiratory, or other 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 account-based planning.
- Strong knowledge of Specialty Pharmacy access process.
- Comprehensive understanding of Commercial, Medicare Parts A, B, C, D and state Medicaid reimbursement dynamics.
- Understanding of HCPCS, CPT, and ICD-10 coding regulations.
- Experience working with HUB or reimbursement call centers in support of patient access
Why GSK?
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 and Courage. Diversity and Inclusion, Accountability, Development, and Teamwork are valued at GSK. As GSK focuses on our values and expectations and a culture of innovation, performance, and trust, the successful candidate will demonstrate the following capabilities:
- Agile and distributed decision-making – using evidence and applying judgement to balance pace, rigor and risk
- Managing individual and team performance.
- Committed to delivering high quality results, overcoming challenges, focusing on what matters, execution.
- Implementing change initiatives and leading change.
- Sustaining energy and well-being, building resilience in teams.
- Continuously looking for opportunities to learn, build skills and share learning both internally and externally.
- Developing people and building a diverse talent pipeline.
- Translating strategy into action - a compelling narrative, motivating others, setting objectives and delegation.
- Building strong relationships and collaboration, managing trusted stakeholder relationships internally and externally.
- Budgeting and forecasting, commercial and financial acumen.
- Being inclusive and respecting all people.
*LI-GSK
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