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

GSK•Miami, FL

10d

About The Position

The Specialty Access & Reimbursement Manager (SARM) supports access to GSK specialty products for appropriate patients in a complex environment. The role educates providers about payer coverage, coding, and payment policies related to GSK specialty products, and helps providers understand GSK Patient Support Programs intended to help appropriate patients access specialty medicines. The position requires strong customer engagement, problem-solving, collaboration, business ownership, and nuanced reimbursement and access expertise. The SARM works routinely with Payer Account Managers, Specialty Pharmacy Account Directors, and Specialty Sales teams. The role reports to a Director of Specialty Field Reimbursement and requires effective leadership and success working in a matrix environment.

Requirements

Bachelor’s degree.
Ability to travel up to 60%, including overnight travel.
Must live in or within 10 miles of the territory.
Valid driver’s license.
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.
Demonstrated track record of success working in a matrix environment.
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 parties; payer reimbursement methodologies; and payer policies for HCP- and self-administered drugs.
Customer focus and experience building relationships, identifying and resolving issues, problem-solving, and project management.
Ability to operate independently, manage multiple projects with initiative, and lead successfully in a matrix environment without direct reports.
Organizational skills, strategic thinking, and 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 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 HUB 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.
Interface with Payer Account Managers, Specialty Pharmacy Account Directors, and Specialty Sales teams.
Analyze access and reimbursement issues and opportunities.
Provide product access and reimbursement expertise to provider offices.
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 pose barriers to patient access.