ViiV Healthcare Associate Director, Field Reimbursement - Milwaukee

Region: Milwaukee

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.

Key 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.

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.

Why you?

Basic Qualifications:

· 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

Preferred Qualifications:

· 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.

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Compensation Grade: 6

Job Posting End Date: Not Available

Eligible for Employee Referral Bonus: Yes

Please visit GSK US Benefits Summary to learn more about the comprehensive benefits program ViiV offers US employees. All ViiV employees receive the same benefits options and plans as GSK employee.

Why Us?

At ViiV Healthcare, we will not rest until we leave no person living with HIV behind. Until the 40 million people living with HIV is down to zero, we will continue searching for new ways to limit the impact of HIV. 

We are the only pharmaceutical company solely focused on combating, preventing, and ultimately eradicating HIV and AIDS. At ViiV Healthcare, we do things differently. Born out of a partnership between GSK and Pfizer in 2009, with Shionogi joining in 2012, we are determined to help end the HIV epidemic. We are guided by our mission to leave no person living with HIV behind and it is this mission that unites our employees located across the globe. We combine expertise in research, manufacturing, policy and more to push the boundaries of what people think is possible in HIV treatment and care. As a result of our connection with GSK, we are able to draw on their proud history and resources. This means that you would receive all the employee benefits offered by GSK.

Living our mission of leaving no person living with HIV behind means keeping inclusion and diversity at the heart of everything we do - from our breakthrough innovation, to our diverse portfolio of medicines as well as the work we do to partner with HIV communities.

Having a truly inclusive culture where we’re all able to be ourselves and feel like we belong will make us an even stronger team, better able to perform as a business and deliver on our mission to leave no person living with HIV behind.

If you require an accommodation or other assistance to apply for a job at GSK, please contact the appropriate Recruitment Staff by emailing us at - usrecruitment.adjustments@gsk.com

ViiV is an Equal Opportunity Employer. This ensures that all qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), military service or any basis prohibited under federal, state or local law.

Important notice to Employment businesses/ Agencies

ViiV does not accept referrals from employment businesses and/or employment agencies in respect of the vacancies posted on this site. All employment businesses/agencies are required to contact ViiV's commercial and general procurement/human resources department to obtain prior written authorization before referring any candidates to ViiV. The obtaining of prior written authorization is a condition precedent to any agreement (verbal or written) between the employment business/ agency and ViiV. In the absence of such written authorization being obtained any actions undertaken by the employment business/agency shall be deemed to have been performed without the consent or contractual agreement of ViiV. ViiV shall therefore not be liable for any fees arising from such actions or any fees arising from any referrals by employment businesses/agencies in respect of the vacancies posted on this site.

Please note that if you are a US Licensed Healthcare Professional or Healthcare Professional as defined by the laws of the state issuing your license, ViiV may be required to capture and report expenses ViiV incurs, on your behalf, in the event you are afforded an interview for employment. This capture of applicable transfers of value is necessary to ensure ViiV’s compliance to all federal and state US Transparency requirements. For more information, please visit the Centers for Medicare and Medicaid Services (CMS) website at https://openpaymentsdata.cms.gov/