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