ViiV Healthcare Associate Director, Field Reimbursement - Milwaukee

ViiV Healthcare • Milwaukee, WI

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About The Position

ViiV Healthcare (VHC) 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 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. The Associate Director, Field Reimbursement addresses a critical gap in the US healthcare system – the complexity of post-prescribing access barriers. In therapeutic areas such as HIV/AIDS, where PrEP and treatment access could involve multiple acquisition pathways, evolving payer policies, and intricate benefit determination processes, significant complexity can delay or disrupt patient access to prescribed therapies. The Associate Director, Field Reimbursement will simplify and accelerate: VHC Injectable implementation and user experience for Healthcare Providers, patients living with HIV, and people who can benefit from HIV Prevention within a specified geographic region. Field Reimbursement personnel serve as field-based customer facing educational resources, equipping healthcare providers and office staff with the knowledge and tools to independently navigate these reimbursement complexities. By providing education to Customers this function helps prevent access disruptions before they occur to help ensure patients can access their prescribed medicine. When complex reimbursement issues do arise post-prescription, Field Reimbursement personnel provide specialized guidance to support resolution. The ADFR will operate as the subject-matter expert on reimbursement, access, and coverage issues affecting ViiV’s long acting injectables to facilitate appropriate patient access. The ideal candidate must have the ability to thrive in a fast-paced, complex environment. In addition, the ability to partner cross-functionally both internally and externally while remaining highly adaptable in a changing ecosystem is critical. It is expected that the successful candidate will have demonstrated experience working within a diverse team, navigating multiple sites of care, and developing and implementing strategic business plans with specific, measurable, action-oriented objectives.

Requirements

• Bachelor’s Degree & five 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 251-500 employees