Pricing/Reimbursement Manager (Field Reimbursement Manager) - Northern California

  • Company: GSK
  • Location: San Francisco, California
  • Posted: November 23, 2017
  • Reference ID: WD145632
Why You?

Basic qualifications:
• Bachelor's Degree
• Minimum of 5 years experience in pharmaceutical and/or health care industry including a specialty division, or experience in Provider Relations/Reimbursement Department of a third-party payer or insurance company.
• Ability to travel up to 75%
• Must be located near a major airport within the territory.
• Valid driver's license.

Preferred qualifications:
• MBA, MPH or other advanced degree
• Basic knowledge of the payer environment including state, federal, private third party reimbursement issues, methodologies and policies for physician- and self-administered drugs
• Strong customer focus with building relationships, issue identification and resolution, problem-solving and project management skills
• Ability to operate independently and handle multiple projects with a high degree of initiative and operate successfully in matrix environment reporting into reimbursement function while deployed in the field
• Highly organized, strategic thinker with excellent verbal, written and presentation communication skills
• Reimbursement experience for immunology, oncology or other specialty infused products in a buy and bill setting across all sites of care
• Strong knowledge of provider office and hospital outpatient department reimbursement environments, regulations, customers, and market dynamics.
• Comprehensive understanding of Medicare Parts A, B, C, D and knowledge of commercial insurance reimbursement.
• Understanding of the miscellaneous and permanent J code, Q code and possible issues surrounding appropriate billing.
• Experience working with reimbursement call centers for patient access

Why GSK?:
At GSK, our mission is to improve the quality of human life by enabling people to do more, feel better and live longer. Our three world-leading businesses research and deliver innovative medicines, vaccines and consumer healthcare products. We need a talented and motivated workforce to deliver against our strategy. To achieve this, we strive to attract the best people and to create an environment that empowers and inspires.

Contact information:

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