GSK
Biopharma
OncologyAccessandReimbursementManager
Neural analysis suggests this role is
optimal for Mid candidates.
“Oncology Access and Reimbursement Manager at GSK. Skills: Access and Reimbursement, Oncology Products, Payer Knowledge. Support patient access to GSK Oncology products. Educate providers on payer coverage, coding, and payment policies”
Industry & Context.
Problem solve; Ability to problem solve; Analyze access/reimbursement issues and opportunities; Issue identification and resolution; Problem-solving skills; Ability to simplify complex problems
Ability to travel up to 60% including overnights, Must live in or within 10 miles of the territory, Valid driver’s license
What They're Looking For.
Must Have
Bachelor's Degree, 3+ years’ experience in Field Reimbursement, Payer Marketing, Oncology Field Sales (HCP administered or Specialty Pharmacy provided), Ability to travel up to 60% including overnights, Must live in or within 10 miles of the territory, Valid driver’s license
Nice to Have
MBA, MPH or other advanced degree, In larger geographies the candidate should live within 50 miles of a major metropolitan airport, 6+ years’ experience in Field Reimbursement or Oncology Field Sales (HCP administered or Specialty Pharmacy provided) or Payer Marketing or Patient Support Programs, Reimbursement experience oral or injected/infused Oncology products provided across multiple sites of care, Knowledge of the payer environment including state, federal, and private third-party, Knowledge of payer reimbursement methodologies, Knowledge of payer policies for HCP and self-administered drugs, Demonstrated experience in customer focus with building relationships, issue identification and resolution, problem-solving and project management skills, Evidence of the 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, Organized, strategic thinker with excellent verbal, written and presentation communication skills, Knowledge of provider office and hospital outpatient department reimbursement environments, regulations, customers, and account-based planning, 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
What You'll Do.
Support patient access to GSK Oncology products
Educate providers on payer coverage
Help providers understand GSK Patient Support Programs
Interface with Payer Account Managers
Specialty Pharmacy Account Directors
and Oncology Sales teams
Analyze access/reimbursement issues and opportunities
Provide product access/reimbursement expertise to offices
Provide access/reimbursement education to field teams
Coordinate access/reimbursement issues with third parties
Support patient access by providing subject matter expertise
How You'll Work.
Team & Collaboration
Routinely interface internally with Payer Account Managers, Specialty Pharmacy Account Directors and Oncology Sales professional teams; Coordinate on access/reimbursement issues with third parties including hubs; Operate successfully as a leader in a matrix environment without direct reports
Communication Scope
Exemplary customer engagement skills; Excellent verbal communication skills; Excellent written communication skills; Excellent presentation communication skills; Clear communication
Process & Methodology
Project management skills, Handle multiple projects
Full Job Description
Individuals successful in this role possess a strong passion for patient access and thrive in a highly complex environment. The ability to problem solve and collaborate effectively is a critical skill set for GSK ARMs. This role requires exemplary customer engagement skills, a penchant for business ownership and the ability to understand nuanced reimbursement and access technical skills. The responsibilities of the role include but are not limited to the following. * Supports access to GSK Oncology products for appropriate patients. * Oncology ARMs are responsible for educating providers on payer coverage, coding and payment policies related to GSK Oncology products and helping providers understand GSK Patient Support Programs intended to help appropriate patients access GSK Oncology medicines. * Oncology ARMs routinely interface internally with Payer Account Managers, Specialty Pharmacy Account Directors and Oncology Sales professional teams. * Analyze access/reimbursement issues and opportunities. * Provide offices product access/reimbursement expertise. * Provide access/reimbursement education to field teams. * Coordinate on access/reimbursement issues with third parties including hubs. * Support patient access to the products by providing subject matter expertise on reimbursement issues that may be barriers to product access. * This role reports to Director of Oncology Access & Reimbursement. ** _Why You?_** **Basic Qualifications:** * Bachelor’s Degree * 3+ years’ experience in one or more of the following areas: Field Reimbursement, Payer Marketing, Oncology Field Sales (HCP administered or Specialty Pharmacy provided). * Ability to travel up to 60% including overnights. * Must live in or within 10 miles of the territory. * Valid driver’s license **Preferred qualifications:** * MBA, MPH or other advanced degree * In larger geographies the candidate should live within 50 miles of a major metropolitan airport. * 6+ years’ experience in one or more of the areas i
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