ViiV Healthcare Associate Director, Field Reimbursement - Washington/Alaska

ViiV Healthcare•Seattle, AK

5d•Remote

About The Position

ViiV Healthcare (VHC) is a global specialty HIV company dedicated to researching and delivering new medicines for people living with, and at risk of, HIV. The Associate Director, Field Reimbursement addresses the complexity of post-prescribing access barriers in therapeutic areas like HIV/AIDS. This role aims to simplify and accelerate the implementation and user experience of VHC Injectables for healthcare providers, patients living with HIV, and individuals who could benefit from HIV Prevention within a specified geographic region. Field Reimbursement personnel act as field-based, customer-facing educational resources, equipping healthcare providers and office staff with the knowledge and tools to navigate reimbursement complexities independently. They help prevent access disruptions and provide specialized guidance for issue resolution when complex reimbursement issues arise post-prescription. The ADFR will serve as the subject-matter expert on reimbursement, access, and coverage issues affecting ViiV’s long-acting injectables to facilitate appropriate patient access.

Requirements

Bachelor’s Degree
5 or more years of experience in pharmaceutical or healthcare reimbursement, specialty product support, payer marketing, patient support programs, or reimbursement HUB programs.
Experience with J codes, Q codes, and reimbursement billing requirements.
Ability to travel 50% plus of the time

Nice To Haves

Strong knowledge of payer channels including Medicare Parts B, C, D, Medicaid, and commercial insurance.
Experience with specialty injected or infused products in buy-and-bill settings across sites of care.
Experience working with specialty pharmacy and reimbursement HUB services.
Exceptional Communication skills with demonstrated ability to simplify complex systems and persuade
Strong relationship management, problem-solving, and independent execution skills.
Demonstrated ability to effectively educate offices on access and reimbursement processes.
Proactive implementation execution excellence focused on streamlining and simplifying processes.
Proven indirect/direct leadership with demonstrated peer collaboration effectiveness.
Knowledge of aligned accounts and existing customer relationships.

Responsibilities

Mitigate access and reimbursement disruptions through education of office staff on payer coverage and policies, and acquisition pathways.
Educate offices in navigating access and reimbursement challenges independently through the post-prescribing phase.
Support complex access and reimbursement issues as needed.
Identify and prioritize implementation barriers for removal at customer campuses.
Develop strategic plans that include next actions, action owners and completion dates.
Drive implementation barrier closure.
Orchestrate coordinated plans across internal partners for aligned customers, built from a shared diagnosis.