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Hepatology Access & Reimbursement Manager (H-ARM)
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. This role will support GSKs emerging hepatology portfolio.
The responsibilities of the role include but are not limited to the following.
Supports access to GSK Hepatology products for appropriate patients.
Hepatology ARMs are responsible for educating providers on payer coverage, coding and payment policies related to GSK specialty products and helping providers understand GSK Patient Support Programs intended to help appropriate patients access GSK hepatology medicines.
Hepatology ARMs routinely interface internally with Payer Account Managers, Hepatology Specialty Pharmacy Account Directors and Hepatology Sales professional teams.
Qualified candidates must possess a demonstrated track record of success working in a matrix environment and must demonstrate effective leadership skills.
Analyze access/reimbursement issues and opportunities, related to GSK’s hepatology portfolio:
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 a Director of Hepatology Field Reimbursement.
Basic qualifications:
Bachelor’s Degree
Ability to travel up to 60% including overnights
Must live within the territory
Valid driver’s license
3+ years’ experience in one or more of the areas including: Field Reimbursement or Specialty/Biologics Field Sales (HCP administered or Specialty Pharmacy provided) or Payer Marketing or Patient Support Programs)
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 including: Field Reimbursement or Specialty or Biologics Field Sales (HCP administered or Specialty Pharmacy provided) or Payer Marketing or Patient Support Programs
Experience in Hepatology or Gastroenterology with an understanding of the patient’s diagnostic journey.
Experience working with Centers of Excellence and/or complex healthcare systems within geographical foot-print.
Demonstrated experience supporting product launces in rare disease or highly specialized therapies with complex patient access and treatment journeys.
Demonstrated cultural fluency to effectively engage HCPs and staff treating diverse patient populations.
Knowledge of the payer environment including state, federal, and private third-party; payer reimbursement methodologies; and 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.
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