Viiv Healthcare (Gsk) Field Reimbursement Director, Mid-Atlantic

Site Name: Field Worker - USA
Posted Date: Apr 29 2024
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 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 and treatment for HIV.  We go to extraordinary lengths to deliver the sorts of breakthroughs, both in 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 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 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 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, as we evaluate novel approaches to treatment and prevention that could further reduce the impact of HIV on individuals and communities.
ViiV Healthcare was created as a joint venture by Pfizer and GlaxoSmithKline in November 2009 with both companies transferring their HIV assets to the new company. In 2012 Shionogi joined the company. 76.5% of the company is now owned by GlaxoSmithKline, 13.5% by Pfizer and 10% by Shionogi.
The Field Reimbursement Director (FRD), Mid-Atlantic leads and coaches a team of Field Reimbursement Managers (FRMs) who provide technical managed care coverage, coding, and payment support to customers on behalf of ViiV Healthcare.  The FRMs provide field reimbursement support for the full ViiV Healthcare Product Portfolio and are expected to have deep local area and account market access expertise. The FRD will ensure team compliance with all relevant commercial practices including requirements that govern the provision of patient reimbursement support services.
The primary responsibility of the FRD is to hire, lead, and develop a team of FRMs to effectively engage customers to understand key coverage, coding, payment, product acquisition and affordability dynamics for ViiV Healthcare products in their local geography.  In addition, the FRD provides management oversight and training to their team to ensure all team members follow relevant SOPs and Ways of Working. 
The FRD must effectively influence a team of internal Matrix stakeholders included, but not limited to Field Sales, Access Strategy & Marketing, Reimbursement Support Services, Payer Field Teams (National and Regional), Channel Account Team, Strategic Operations, Brand Marketing as well as Finance.   FRD coordinates communications with senior leaders among these matrix partners, while reporting directly to the Field Vice President, US Field Reimbursement.
This role will provide YOU the opportunity to lead key activities to progress YOUR career. These responsibilities include some of the following:
Recruit, hire, manage and coach highly qualified and effective Field Reimbursement Managers including normal and customary supervisory responsibilities such as budget management, performance evaluation, coaching, development, etc. Accountability for all Field Reimbursement activities across multiple products, to include, but not limited to Field execution, training, compliance, auditing, and performance.  Develop FRM capabilities: Train team members on key technical information related to coverage, coding, payment and affordability Identify gaps in current and future state capabilities and coordinate appropriate training Establish and lead cohesive and comprehensive Patient Access and Affordability Strategy in assigned geography and provide leadership support for case escalations Further develop ViiV's approach to Field Reimbursement Management   Ensure compliance with all applicable laws, regulations and regulatory guidelines governing commercial and field reimbursement Superior interpersonal skills with ability to lead, influence, and gain alignment across Matrix stakeholders This role will provide YOU the opportunity to lead key activities to progress YOUR career. These responsibilities include some of the following:
Responsible for the definition and implementation of the Market Access Strategy Secure, gain, and optimize regional market access Lead the analysis and development of access strategies Accountable for Strategic Pricing Drive implementation and best practices and pilot innovation Why you? Basic Qualifications:
We are looking for professionals with these required skills to achieve our goals:
Bachelor's Degree & 5 plus years as a Customer Facing First Line Leader and Coach across min of 2 Business Units 2 plus years transformational leadership experience Experience working with internal and external customers that requires knowledge of rules and regulations that govern provision of reimbursement support services Ability to travel up to 70% Valid Driver's License Preferred Qualifications:
If you have the following characteristics, it would be a plus:
5 years' experience developing and/or providing coverage, coding and payment information to provider customers for specialty injectable/infusible medicines Thorough understanding of the technical payer policy processes, systems and requirements for coverage, coding and payment for specialty injectable/infusible medicines Demonstrated understanding of the rules, regulation and risks associated with provision of reimbursement support services and how to monitor and mitigate for those risks Experience training and developing others to understand the technical payer policy processes, systems and requirements for coverage, coding and payment for specialty injectable/infusible medicines Strong understanding and ability to communicate technical elements of coding and billing requirements at the National and Regional level across all settings of care Comprehensive understanding of Medicare (Parts A, B, C and D), Medicaid,  ADAP, Commercial Insurance and their associated reimbursement dynamics Strong understanding of drug acquisition and dispensing in the specialty injectable/infusible space (role of Buy and Bill, Specialty Pharmacies, Specialty Distributors, etc.) Strong understanding of third-party reimbursement support service vendors and how to effectively interact in a compliant fashion Why ViiV Healthcare (GSK)? Our values and expectations are at the heart of everything we do and form an important part of our culture. These include Patient focus, Transparency, Respect, Integrity along with Courage, Accountability, Development, and Teamwork. As GSK focuses on our values and expectations and a culture of innovation, performance, and trust, the successful candidate will demonstrate the following capabilities:
Agile and distributed decision-making – using evidence and applying judgement to balance pace, rigour and risk Managing individual and team performance. Committed to delivering high quality results, overcoming challenges, focusing on what matters, execution. Implementing change initiatives and leading change. Sustaining energy and well-being, building resilience in teams. Continuously looking for opportunities to learn, build skills and share learning both internally and externally. Developing people and building a talent pipeline. Translating strategy into action - a compelling narrative, motivating others, setting objectives and delegation. Building strong relationships and collaboration, managing trusted stakeholder relationships internally and externally. Budgeting and forecasting, commercial and financial acumen. #LI-ViiV
#LI-GSK
Please visit GSK US Benefits Summary to learn more about the comprehensive benefits program ViiV offers US employees. All ViiV employees receive the same benefits options and plans as GSK employee.
Why Us? At ViiV Healthcare, we will not rest until we leave no person living with HIV behind. Until the 39 million people living with HIV is down to zero, we will continue searching for new ways to limit the impact of HIV. 
We are the only pharmaceutical company solely focused on combating, preventing, and ultimately eradicating HIV and AIDS. At ViiV Healthcare, we do things differently. Born out of a partnership between GSK and Pfizer in 2009, with Shionogi joining in 2012, we are determined to help end the HIV epidemic. We are guided by our mission to leave no person living with HIV behind and it is this mission that unites our employees located across the globe. We combine expertise in research, manufacturing, policy and more to push the boundaries of what people think is possible in HIV treatment and care. As a result of our connection with GSK, we are able to draw on their proud history and resources. This means that you would receive all the employee benefits offered by GSK.
Living our mission of leaving no person living with HIV behind means keeping inclusion and diversity at the heart of everything we do - from our breakthrough innovation, to our diverse portfolio of medicines as well as the work we do to partner with HIV communities. Having a diverse team and a truly inclusive culture where we're all able to be ourselves and feel like we belong will make us an even stronger team, better able to perform as a business and deliver on our mission to leave no person living with HIV behind.
If you require an accommodation or other assistance to apply for a job at ViiV, please contact the ViiV Service Centre at (US Toll Free) or (outside US).
ViiV is an Equal Opportunity Employer and, in the US, we adhere to Affirmative Action principles. This ensures that all qualified applicants will receive equal consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, marital status, sexual orientation, gender identity/expression, age, disability, genetic information, military service, covered/protected veteran status or any other federal, state or local protected class.
Important notice to Employment businesses/ Agencies ViiV does not accept referrals from employment businesses and/or employment agencies in respect of the vacancies posted on this site. All employment businesses/agencies are required to contact ViiV's commercial and general procurement/human resources department to obtain prior written authorization before referring any candidates to ViiV. The obtaining of prior written authorization is a condition precedent to any agreement (verbal or written) between the employment business/ agency and ViiV. In the absence of such written authorization being obtained any actions undertaken by the employment business/agency shall be deemed to have been performed without the consent or contractual agreement of ViiV. ViiV shall therefore not be liable for any fees arising from such actions or any fees arising from any referrals by employment businesses/agencies in respect of the vacancies posted on this site.
Please note that if you are a US Licensed Healthcare Professional or Healthcare Professional as defined by the laws of the state issuing your license, ViiV may be required to capture and report expenses ViiV incurs, on your behalf, in the event you are afforded an interview for employment. This capture of applicable transfers of value is necessary to ensure ViiV's compliance to all federal and state US Transparency requirements. For more information, please visit ViiV's Transparency Reporting For the Record site.