GSK

Associate Director, Field Reimbursement Syracuse, NY

GSK$150K — $251K *
Pharmaceuticals & Biotech
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree
  • 5+ years in pharmaceutical or healthcare reimbursement
  • Experience with J and Q codes
  • Ability to travel over 50% of the time
  • Proven track record in strategic business plan implementation

Responsibilities

  • Mitigate access and reimbursement disruptions through office education
  • Educate staffs on independent navigation of reimbursement challenges
  • Support resolution for complex access and reimbursement issues
  • Identify implementation barriers at customer sites
  • Develop strategic plans with actionable timelines
  • Drive closure of implementation barriers
  • Coordinate plans among internal partners for customer alignment

Benefits

  • Comprehensive health care and insurance benefits
  • Retirement benefits
  • Paid holidays and vacation
  • Paid caregiver/parental and medical leave
  • Eligibility for annual bonus and share-based long-term incentives
Full Job Description
Primary Geography: Syracuse, NY including Buffalo to Albany

The Associate Director, Field Reimbursement addresses a critical gap in the US healthcare system - the complexity of post-prescribing access barriers. In therapeutic areas such as HIV/AIDS, where PrEP and treatment access could involve multiple acquisition pathways, evolving payer policies, and intricate benefit determination processes, significant complexity can delay or disrupt patient access to prescribed therapies. The Associate Director, Field Reimbursement will simplify and accelerate: VHC Injectable implementation and user experience for Healthcare Providers, patients living with HIV, and people who can benefit from HIV Prevention within a specified geographic region.

Field Reimbursement personnel serve as field-basedcustomer facing educational resources, equipping healthcare providers and office staff with the knowledge and tools to independently navigate these reimbursement complexities. By providing education to Customers this function helps prevent access disruptions before they occur to help ensure patients can access their prescribed medicine. When complex reimbursement issues do arise post-prescription, Field Reimbursement personnel provide specialized guidance to support resolution. The ADFR will operate as the subject-matter expert on reimbursement, access, and coverage issues affecting ViiV's long acting injectables to facilitate appropriate patient access.

Key Responsibilities
  • Mitigate access and reimbursement disruptions through education of office staff on payer coverage and policies, and acquisition pathways.
  • Educate offices in navigating access and reimbursement challenges independently through the post-prescribing phase.
  • Support complex access and reimbursement issues as needed.
  • Identify and prioritize implementation barriers for removal at customer campuses.
  • Develop strategic plans that include next actions, action owners and completion dates.
  • Drive implementation barrier closure.
  • Orchestrate coordinated plans across internal partners for aligned customers, built from a shared diagnosis.


The ideal candidate must have the ability to thrive in a fast-paced, complex environment. In addition, the ability to partner cross-functionally both internally and externally while remaining highly adaptable in a changing ecosystem is critical. It is expected that the successful candidate will have demonstrated experience working within a diverse team, navigating multiple sites of care, and developing and implementing strategic business plans with specific, measurable, action-oriented objectives.

Why you?

Basic Qualifications:
  • Bachelor's Degree
  • 5+ years of experience in pharmaceutical or healthcare reimbursement, specialty product support, payer marketing, patient support programs, or reimbursement HUB programs
  • Experience with J codes, Q codes, and reimbursement billing requirements
  • Ability to travel 50% plus of the time


Preferred Qualifications:
  • Strong knowledge of payer channels including Medicare Parts B, C, D, Medicaid, and commercial insurance.
  • Experience with specialty injected or infused products in buy-and-bill settings across sites of care.
  • Experience working with specialty pharmacy and reimbursement HUB services.
  • Exceptional Communication skills with demonstrated ability to simplify complex systems and persuade
  • Strong relationship management, problem-solving, and independent execution skills.
  • Demonstrated ability to effectively educate offices on access and reimbursement processes.
  • Proactive implementation execution excellence focused on streamlining and simplifying processes.
  • Proven indirect/direct leadership with demonstrated peer collaboration effectiveness.
  • Knowledge of aligned accounts and existing customer relationships.


#LI-Remote

Skills
Data to Insights, Digital Fluency, Pricing Management, Pricing Policy, Pricing Strategies, Scientific Literacy, Stakeholder Management

The US annual base salary for new hires in this position ranges from $150,750 to $251,250. The US salary ranges take 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. If salary ranges are not displayed in the job posting for a specific country, the relevant compensation will be discussed during the recruitment process.

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.

About GSK

GSK is a British multinational pharmaceutical company that specializes in researching, developing, and manufacturing a wide range of prescription drugs and vaccines. The company was founded in 2000 through the merger of Glaxo Wellcome and SmithKline Beecham. GSK's products are used to treat a variety of conditions including respiratory diseases, HIV/AIDS, and cancer. The company operates in over 150 countries and has a workforce of over 99,000 employees. GSK is headquartered in Brentford, England and is listed on the London Stock Exchange and the New York Stock Exchange.
Learn more about GSK
Size
90,096 employees
Market Cap
$71.6 billion
Industry
Net Income
$5.7 billion
Founded
1929
5 Year Trend
+4.1%
Revenue
$34 billion
NASDAQ

Similar Jobs

More Jobs at GSK

More Pharmaceuticals & Biotech Jobs

Find similar Associate Director, Field Reimbursement Syracuse, NY jobs: