Manager, Access & Reimbursement – Oncology
GSK
full-time
Posted on:
Location Type: Hybrid
Location: Phoenix • Arizona • Colorado • United States
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Salary
💰 $165,750 - $276,250 per year
About the role
- Supports access to GSK Oncology products for appropriate patients
- Responsible for educating providers on payer coverage, coding and payment policies related to GSK Oncology products
- Helping providers understand GSK Patient Support Programs intended to help appropriate patients access GSK Oncology medicines
- 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
Requirements
- 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
- MBA, MPH or other advanced degree (preferred)
- 6+ years’ experience in one or more of the areas including Field Reimbursement or Oncology Field Sales (HCP administered or Specialty Pharmacy provided) or Payer Marketing or Patient Support Programs
- Reimbursement experience with oral or injected/infused Oncology products provided across multiple 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
- 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.
Benefits
- health care and other insurance benefits (for employee and family)
- retirement benefits
- paid holidays
- vacation
- paid caregiver/parental and medical leave
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Field ReimbursementPayer MarketingOncology Field SalesPatient Support ProgramsReimbursement experiencePayer reimbursement methodologiesHCPCS codingCPT codingICD-10 codingSpecialty Pharmacy access process
Soft Skills
customer focusrelationship buildingissue identificationproblem-solvingproject managementleadership in matrix environmentorganizational skillsstrategic thinkingverbal communicationwritten communication
Certifications
Bachelor’s DegreeMBAMPH