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

GSK•Miami, FL

About The Position

The Specialty Access & Reimbursement Manager (SARM) supports access to GSK specialty products for appropriate patients. The role educates providers about payer coverage, coding, and payment policies related to GSK specialty products, and helps them understand GSK Patient Support Programs intended to help appropriate patients access GSK specialty medicines. The manager also provides product access and reimbursement expertise to provider offices and access/reimbursement education to field teams. The SARM analyzes access and reimbursement issues and opportunities, coordinates on these issues with third parties including hubs, and provides subject matter expertise on reimbursement barriers to patient access. The role routinely collaborates internally with Payer Account Managers, Specialty Pharmacy Account Directors, and Specialty Sales professionals. It calls for effective customer engagement, problem solving, business ownership, and leadership in a matrix environment. The position reports to a Director of Specialty Field Reimbursement and covers the Miami/Ft. Lauderdale territory.

Requirements

Bachelor’s degree.
At least 3 years of experience in one or more of the following: Field Reimbursement; Specialty or Biologics Field Sales (HCP-administered or Specialty Pharmacy-provided); Payer Marketing; or Patient Support Programs.
Ability to travel up to 60%, including overnight travel.
Must live in or within 10 miles of the territory.
Valid driver’s license.
Demonstrated success working in a matrix environment and effective leadership skills.

Nice To Haves

MBA, MPH, or another advanced degree.
In larger geographies, residence within 50 miles of a major metropolitan airport.
At least 6 years of experience in one or more of the following: Field Reimbursement; Specialty or Biologics Field Sales (HCP-administered or Specialty Pharmacy-provided); Payer Marketing; or Patient Support Programs.
Reimbursement experience for immunology, respiratory, or other specialty injected or 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 payers; payer reimbursement methodologies; and payer policies for HCP-administered and self-administered drugs.
Demonstrated customer focus, relationship-building, issue identification and resolution, problem-solving, and project management skills.
Ability to operate independently, handle multiple projects with initiative, and lead successfully in a matrix environment without direct reports.
Strong organization, strategic thinking, and verbal, written, and presentation communication skills.
Knowledge of provider office and hospital outpatient department reimbursement environments, regulations, customers, and account-based planning.
Knowledge of the Specialty Pharmacy access process.
Comprehensive understanding of Commercial, Medicare Parts A, B, C, and D, and state Medicaid reimbursement dynamics.
Understanding of HCPCS, CPT, and ICD-10 coding regulations.
Experience working with HUBs or reimbursement call centers in support of patient access.

Responsibilities

Support access to GSK specialty products for appropriate patients.
Educate providers on payer coverage, coding, and payment policies related to GSK specialty products.
Help providers understand GSK Patient Support Programs intended to help appropriate patients access GSK specialty medicines.
Analyze access and reimbursement issues and opportunities.
Provide provider offices with product access and reimbursement expertise.
Provide access and reimbursement education to field teams.
Coordinate access and reimbursement issues with third parties, including hubs.
Provide subject matter expertise on reimbursement issues that may create barriers to patient access.
Collaborate with Payer Account Managers, Specialty Pharmacy Account Directors, and Specialty Sales professionals.