Specialty Access & Reimbursement Manager – Miami/Ft. Lauderdale

This is a fully remote position, open to applicants in Florida.

📋 Description

• Assist in facilitating access to GSK Specialty products for eligible patients.

• Educate healthcare providers regarding payer coverage, coding, and payment policies related to GSK specialty products.

• Aid providers in comprehending GSK Patient Support Programs.

• Collaborate internally with Payer Account Managers, Specialty Pharmacy Account Directors, and Specialty Sales teams.

• Examine access and reimbursement challenges and opportunities.

• Offer expertise in product access and reimbursement to healthcare offices.

• Deliver access and reimbursement education to field teams.

• Coordinate access and reimbursement concerns with external parties, including hubs.

• Support patient access by providing specialized knowledge on reimbursement challenges.

• Report directly to a Director of Specialty Field Reimbursement.

⛳️ Requirements

• Bachelor’s Degree required.

• Willingness to travel up to 60%, including overnight stays.

• Must reside in or within 10 miles of the designated territory.

• Valid driver's license is essential.

• A minimum of 3 years’ experience in Field Reimbursement, Specialty or Biologics Field Sales, Payer Marketing, or Patient Support Programs.

• Preferred: MBA, MPH, or another advanced degree.

• Preferred: In larger regions, candidates should live within 50 miles of a major metropolitan airport.

• Preferred: 6+ years of experience in related fields.

• Preferred: Experience in reimbursement for immunology, respiratory, or other specialty injected/infused products in a buy and bill context across various care sites.

• Preferred: Familiarity with the payer environment, reimbursement methodologies, and payer policies.

• Preferred: Proven ability in customer focus, relationship building, issue identification and resolution, problem-solving, and project management skills.

• Preferred: Capability to work independently and manage multiple projects proactively.

• Preferred: Strong leadership skills in a matrix environment without direct reports.

• Preferred: Organized, strategic thinker with outstanding verbal, written, and presentation communication skills.

• Preferred: Knowledge of reimbursement environments, regulations, customers, and account-based planning within provider offices and hospital outpatient departments.

• Preferred: Understanding of the Specialty Pharmacy access process.

• Preferred: Comprehension of Commercial, Medicare Parts A, B, C, D, and state Medicaid reimbursement dynamics.

• Preferred: Familiarity with HCPCS, CPT, and ICD-10 coding regulations.

• Preferred: Experience collaborating with HUB or reimbursement call centers to enhance patient access.

🏝️ Benefits

• Comprehensive benefits program for employees in the US.

• Commitment to equal opportunity employment.