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

GlaxoSmithKline; Fort Lauderdale (FL); Presencial; USD 110.000 - 160.000; Jornada completa

Descripción de la vacante

GlaxoSmithKline is seeking a Specialty Access & Reimbursement Manager to drive patient access for GSK Specialty products and educate providers on payer policies. The role operates in a complex, matrix environment requiring strong problem solving and leadership.

The successful candidate will analyze reimbursement issues, coordinate with hubs and payer teams, and support field execution to remove access barriers for patients.

Formación

• Bachelor's degree required with strong academic performance.
• Experience in health care access, reimbursement, or payer strategy is essential.
• Proven ability to navigate complex, matrixed environments and lead initiatives.

Responsabilidades

• Support access to GSK Specialty products for eligible patients.
• Educate providers on payer coverage, coding and payment policies for GSK products.
• Collaborate with Payer Account Managers and Specialty teams to align access strategies.
• Analyze access/reimbursement issues and identify opportunities to improve patient access.
• Provide reimbursement expertise to field teams and coordinate with third parties such as hubs.
• Lead or participate in cross-functional projects with a high degree of initiative.

Conocimientos

Data to Insights

Digital Fluency

Market Access Strategies

Matrix Leadership

Payer Evidence

Pricing Strategies

Scientific Literacy

Educación

Bachelor's Degree

Descripción del empleo

Specialty Access & Reimbursement Manager (SARM)

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 Specialty products for appropriate patients.
• Specialty 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 specialty medicines.
• Specialty ARMs routinely interface internally with Payer Account Managers, Specialty Pharmacy Account Directors and Specialty 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.
• 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 Specialty Field Reimbursement.

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 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

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 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
• 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.

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Skills

Data to Insights, Digital Fluency, Market Access Strategies, Matrix Leadership, Payer Evidence, Pricing Strategies, Scientific Literacy

Please visit GSK US Benefits Summary to learn more about the comprehensive benefits program GSK offers US employees.

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