Field Reimbursement Director, SE (FL, GA, & SC) - Field Worker

Company: Disability Solutions
Location: Durham
Posted on: April 4, 2025

Job Description:

Site Name: Field Worker - USA, USA - Florida - Miami, USA - Florida - Orlando, USA - Florida - Tampa, USA - Georgia - Atlanta, USA - South Carolina - CharlestonPosted Date: Apr 2 2025ViiV Healthcare 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 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 on and treatment for HIV. We go to extraordinary lengths to deliver the sorts of breakthroughs, both in 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 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 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 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.While we have been improving lives of HIV patients for 30 years, this is an especially exciting time to be at ViiV, as we evaluate novel approaches to treatment and prevention that could further reduce the impact of HIV on individuals and communities.ViiV Healthcare was created as a joint venture by Pfizer and GlaxoSmithKline in November 2009 with both companies transferring their HIV assets to the new company. In 2012 Shionogi joined the company. 76.5% of the company is now owned by GlaxoSmithKline, 13.5% by Pfizer and 10% by Shionogi.ViiV is seeking an experienced, transformative leader for a Field Reimbursement Director role in the Southeast. This role will cover FL, GA, & SC.This first line leader will support our LAIs by leading a team of Field Reimbursement Managers aligned to the Southeast. The ability to act as an agent of change and see the bigger picture of ViiV's portfolio-wide strategy will be essential to delivering success in this role. Additionally, the ability to navigate within a complex external environment and to demonstrate strong leadership to effect optimal business implementation solutions will be critical. It is expected that the successful candidate will have demonstrated experience in developing strategic business plans with specific, measurable, action-oriented objectives in accordance with appropriate national and regional post prescribing goals.Successful outcomes will include recruiting, hiring and leading a high impact team of Field Reimbursement Managers who execute transformational implementation initiatives with our prioritized campus customers and are aligned to ViiV's mission of leaving no person with HIV behind. This will be achieved through driving a culture of employee engagement and accountability against post prescribing business objectives and enabling the team to work within an integrated account management framework in the setup and delivery of a buy and bill treatment model.Key Relationships to Drive Success (Internal & External)

• Field Reimbursement Managers (FRM)
• Payer Field Teams (National and Regional)
• Corporate Account Directors
• Channel Account Team
• Specialty Pharmacies
• Reimbursement Support Services
• Alternate Sites of Administration
• Marketing
• Senior Sales Leaders and sales team
• Medical Science Liaison (MSL)
• Community Engagement Specialist (CES)
• C&D Suite Organized Customer Groups including IDN's and large Medical GroupsThis role will provide YOU the opportunity to lead key activities to progress YOUR career. These responsibilities include some of the following:Managing the Business and Driving Post Prescribing Performance
  • Establish and lead cohesive and comprehensive Patient Access and Affordability Strategy based on key coverage, coding, payment, product acquisition and affordability dynamics for ViiV Healthcare products in assigned geography and provide leadership support for case escalations to deliver an exceptional implementation experience
  • Prioritize and customize regional investments/resources (People and Implementation Solutions) in a manner which optimizes post prescribing growth of the local market based upon identified opportunities as a result of evolving business environment.
  • Understand and Integrate Regional healthcare ecosystem trends into business plans (payer - public and private, local economics, health-system & providers - including value and quality, and competition) to maximize success.
  • Deliver and adapt execution plans to achieve post prescribing performance goals and objectives utilizing; KPIs, scaling of successes, implementation problem solving, etc.
  • Develop and foster external relationships with key influential customers, thought leaders and decision makers.Managing a Post Prescribing Performance and Engagement Culture
    • Recruit, hire and develop a high performing team of Field Reimbursement Managers. Build team capability for current and future needs, including attracting, identifying and developing a diverse talent pool.
    • Create a coaching culture and demonstrate situational leadership to maximize performance and development of each individual and deliver exceptional results for the team.
    • Set the tone and culture of the team, role model ViiV Expectations and manage change by leading through transitions with inspiration and high engagement.
    • Implement corrective action as appropriate to meet business needs and improve performance.Compliance Accountabilities and Values Based Culture
      • Identify and manage risks, while allocating resources and executing on priorities.
      • Understand Regional (State level) regulatory environment and required changes for execution to stay compliant.
      • Escalate issues and risks and inform centrally when needed; create a 'speak up' culture.
      • Implement Compliance and ViiV Risk Framework as applicable at regional level.
      • Communicate SOPs and ensure ViiV policies are followed, e.g. recognition, reward, discipline, people policies, mandatory training.
      • Aligning to and exemplifying ViiV's core values with every interaction, both internal and external.Why you?Basic Qualifications: We are looking for professionals with these required skills to achieve our goals:
        • Bachelor's Degree & 5 plus years as a Customer Facing First Line Leader and Coach across 2 plus Business Units
        • 2 plus years transformational leadership experience
        • Experience working with key accounts in the CA market
        • Working with internal and external customers with rules and regulations that govern provision of reimbursement support services
        • Ability to travel up to 70%
        • Valid Driver's LicensePreferred Qualifications: If you have the following characteristics, it would be a plus:
          • 5 years' experience developing and/or providing coverage, coding and payment information to provider customers for specialty injectable/infusible medicines
          • Thorough understanding of the technical payer policy processes, systems and requirements for coverage, coding, and payment for specialty injectable/infusible medicines
          • Demonstrated understanding of the rules, regulation and risks associated with provision of reimbursement support services and how to monitor and mitigate for those risks
          • Experience training and developing others to understand the technical payer policy processes, systems and requirements for coverage, coding and payment for specialty injectable/infusible medicines
          • Strong understanding and ability to communicate technical elements of coding and billing requirements at the National and Regional level across all settings of care
          • Comprehensive understanding of Medicare (Parts A, B, C and D), Medicaid, ADAP, Commercial Insurance and their associated reimbursement dynamics
          • Strong understanding of drug acquisition and dispensing in the specialty injectable/infusible space (role of Buy and Bill, Specialty Pharmacies, Specialty Distributors, etc.)
          • Strong understanding of third-party reimbursement support service vendors and how to effectively interact in a compliant fashion#LI-Remote# LI-VIIV#LI-GSKPlease 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 39 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 diverse team and 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 ViiV, please contact the ViiV Service Centre at 1-877-694-7547 (US Toll Free) or +1 801 567 5155 (outside US).ViiV is an Equal Opportunity Employer and, in the US, we adhere to Affirmative Action principles. This ensures that all qualified applicants will receive equal consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, marital status, sexual orientation, gender identity/expression, age, disability, genetic information, military service, covered/protected veteran status or any other federal, state or local protected class.Important notice to Employment businesses/ AgenciesViiV 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/

Keywords: Disability Solutions, Durham , Field Reimbursement Director, SE (FL, GA, & SC) - Field Worker, Executive , Durham, North Carolina