Specialty Access & Reimbursement Manager (SARM) - Miami/Ft. Lauderdale

Responsibilities

• Supports access to GSK Specialty products for appropriate patients.
• Educate providers on payer coverage, coding and payment policies related to GSK specialty products and help providers understand GSK Patient Support Programs.
• Interface internally with Payer Account Managers, Specialty Pharmacy Account Directors and Specialty 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.

Basic Qualifications

• Bachelor's Degree
• Ability to travel up to 60% including overnights
• Must live in or within 10 miles of the territory
• Valid driver's license
• 3+ years' experience in Field Reimbursement or Specialty or 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, live within 50 miles of a major metropolitan airport
• 6+ years' experience in Field Reimbursement or Specialty or Biologics Field Sales (HCP administered or Specialty Pharmacy provided) or Payer Marketing or Patient Support Programs
• Reimbursement experience for immunology, respiratory, or other specialty injected/infused products in a buy and bill setting across all sites of care
• 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