ViiV Healthcare is a global specialty HIV company, the only one that is 100% focused on researching and delivering new medicines for people living with, and at risk of, HIV. ViiV Healthcare is highly mission-driven in our unrelenting commitment to being a trusted partner for all people living with and affected by HIV. Our aim is to think, act, and connect differently through a focus on education on for the prevention and treatment for HIV. We go to extraordinary lengths to deliver the sorts of breakthroughs, both in prevention, treatments, care solutions and communities, that really count. We go beyond the boundaries of medicine by taking a holistic approach to HIV through developing and supporting sustainable community programs and improving access to care. We are fully committed to push through every challenge until HIV/AIDS is eradicated. ViiV Healthcare has played a significant part in delivering breakthroughs that have turned HIV into a manageable health condition. We offer the largest portfolio of HIV medicines available anywhere, and we continue our work to cater for the widest possible range of needs in response to the HIV epidemic.
We are aware of how much is at stake for those at-risk or affected by HIV and we show up every day 100% committed to the patients. Our work culture is fast-paced, diverse, inclusive, competitive, and caring. But ViiV Healthcare isn't just somewhere to work - it's a place to belong, an invitation to bring your very best, and a team full of impact-driven team members who are hungry to make a difference.
While we have been improving lives of HIV patients for 30 years, this is an especially exciting time to be at ViiV Healthcare, as we evaluate novel approaches to treatment and prevention that could further reduce the impact of HIV on individuals and communities.
Are you energized by a highly visible role within the managed markets environment, that allows you to help fulfill our mission to leave no person living with HIV behind? If so, this Field Reimbursement Manager role could be an ideal opportunity to consider.
The Field Reimbursement Manager will simplify and accelerate the ViiV Injectable implementation and user experience for Healthcare Providers (HCPs), patients living with HIV (PLWH), & people who can benefit from Prep (PWBP) within a specified geographic region.
This role will provide YOU the opportunity to lead key activities to progress YOUR career, these responsibilities include some of the following:
- Customer-facing, field-based role responsible for supporting appropriate patient access to ViiV Healthcare products, including coverage, coding, and reimbursement pathways.
- Educating customers on billing information, including approved codes and benefits, and reviewing payer policies with prescribing providers.
- Communicating available ViiV Access Support Services to help patients access medicines, training customer staff on the reimbursement process for greater efficiency and developing tailored business plans for FRM strategies.
- Managing platforms to identify reimbursement challenges, reviewing acquisition options and their implications, and discussing necessary coding for claims.
- The position acts as the primary resource for internal counterparts, collaborates with colleagues to assess the access landscape, leads regional calls to address barriers, and maintains open communication with customers to ensure access to VHC medicines.
- Serves as a key member of the ViiV field reimbursement team to maximize patient access to ViiV Healthcare solutions.
Why you?
Basic Qualifications:
We are looking for professionals with these required skills to achieve our goals:
- Bachelor's Degree
- Ability to travel up to 75% including overnights based on geography and territory
- Must be located within 50 miles of a major airport in or near the territory
- Valid driver's license
- Minimum of 5 years in pharmaceutical and/or health care industry, reimbursement, specialty product support, payer marketing, patient support programs and/or reimbursement HUB programs.
Preferred Qualifications:
If you have the following characteristics, it would be a plus:
- Strong knowledge of the payer environment including state, federal, private third-party reimbursement issues, methodologies, and policies for physician-administered drugs
- Strong customer focus with building relationships, issue identification and resolution, problem-solving and account management skills
- Ability to operate independently and handle multiple projects with a high degree of initiative
- Ability to operate successfully in matrix environment reporting into reimbursement function while deployed in the field
- Highly organized, strategic thinker with excellent verbal, written and presentation communication skills
- Reimbursement experience for specialty injected/infused products in a buy and bill setting across all sites of care
- Strong knowledge of provider office and hospital outpatient reimbursement environments, regulations, customers, and market dynamics
- Strong knowledge of Specialty Pharmacy access pathways and relevant access dynamics
- Comprehensive understanding of Medicare Parts B, C, D, Medicaid, 340B, and knowledge of commercial insurance reimbursement
- Understanding of the miscellaneous and permanent J code, Q code and possible issues surrounding appropriate billing
- Experience working with reimbursement call centers/HUB services in support of patient access
- Excellent strategic thinking, problem-solving, and communication skills required.