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20 Jan 2023

Full-Time Strategic Contracting and Reimbursement Manager

Shalonda39 – Posted by Shalonda39 Durham, North Carolina, United States

Job Description

Company Overview

ViiV 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 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 on 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.

While we have been improving lives of HIV patients for 30 years, this is an especially exciting time to be at ViiV Healthcare, as we evaluate novel approaches to treatment and prevention that could further reduce the impact of HIV on individuals and communities.

 

Position Overview

The Strategic Contracting and Reimbursement Manager is responsible for supporting the development of contracting & reimbursement strategies for institutional & provider customer channels (e.g., clinics, GPOs, institutions, 340B entities, etc) for the cabotegravir franchise. This position will span both future pipeline and inline responsibilities. Cabotegravir represents the first provider-administered line of products in the ViiV portfolio, with market access considerations that are substantially different from the rest of the ViiV products.  Pricing and reimbursement implications, payer benefit placement and coverage, as well customer experience and service delivery all differ from the current market access environment for oral anti-retrovirals (ARVs).

This position will work with the Director of Strategic Contracting and Reimbursement to develop strategies and tactics that support broad favorable access to the cabotegravir brands, and will have the following key responsibilities:

  • Develop contracting and reimbursement strategy recommendations across all institutional and provider customer channels, and contribute to development of gross-to-net financial forecasts
  • Support assessments of institutional and provider practice economics and determine strategy with relevant stakeholders (clinics, GPOs, institutions, 340B entities), including contracting if appropriate
  • Work closely with the Director to lead assessments of US payer environmental trends and healthcare policy changes to determine implications to provider administered injectable ARVs
  • Support development of product acquisition and reimbursement resources and tools for Field Reimbursement Manager (FRM) team.  In coordination with other commercial functions, integrate FRM strategy across other field functions (field sales and payer account teams)
  • Educate and influence commercial and medical leaders, and other internal stakeholder groups, in understanding the US payer environment, market access considerations, and impact of healthcare reform on provider administered injectable ARVs
  • Integrate payer value drivers and future payer landscape implications for provider administered injectable ARVs in pre-launch commercial planning, clinical development, and launch execution
  • Support ViiV Governance process for institutional and provider contracts, including cross-functional consultation and evaluation with brand, legal, and GSK contract operations
  • Collaborate with ViiV Contract Operations team to provide input into contract development, administration, and performance
  • Work closely with Director to partner with brand market access and marketing to ensure strategic and tactical alignment and help shape the annual business planning process for strategic customer engagement

 

Why you?

Basic Qualifications:

We are looking for professionals with these required skills to achieve our goals:

  • Bachelor’s degree or equivalent in Business, Marketing, or Finance areas
  • 5+ years of pharmaceutical industry experience in the market access area (payer marketing, payer contracting, Gross-to-Net finance, government pricing, etc)

Preferred Qualifications:

If you have the following characteristics, it would be a plus:

  • Demonstrated understanding of commercial and public payer customers (i.e. PBM, MCO, employer, Medicaid, Medicare) and the complex dynamics among key players affecting the payer customer (i.e. CMS, quality standards-setting organizations)
  • Demonstrated understanding in reimbursement methodologies & contract terms/structures that payers implement with providers for provider-administered injectables
  • Proven learning agility with a high-level of motivation and a strong ability to find creative solutions to challenging, unstructured situations
  • Demonstrated expertise in financial impact modelling
  • Familiarity with all major payer segments, coverage decision drivers, and payer formulary access management & utilization controls
  • Ability to lead and influence across various levels and within various functions – primarily policy, account teams, and brand marketing
  • CPA, MBA, or similar advanced degree in Finance area
  • Understanding of the HIV therapeutic area
  • Expertise in payer coverage drivers and implications for provider-administered injectables (benefit placement, coverage criteria, site of care, etc)
  • Experience developing institutional and provider contracting strategies (clinics, GPOs, institutions, 340B entities, etc)
  • Familiarity with payer claims adjudication for provider-administered injectables
  • Provider-administered injectable product launch experience
  • Proven ability to operate independently and handle multiple projects with a high degree of initiative, planning, and prioritization
  • Ability to combine data analysis with qualitative insights to identify and explain market access, brand and above-brand drivers of business performance
  • Demonstrated ability to develop recommendations through logical, fact-based presentations
  • Excellent communication (written & verbal), interpersonal influence and prioritization skills
  • Strong business acumen and demonstrated analytical skills

How to Apply

Apply via link below:   Strategic Contracting and Reimbursement Manager – Injectable Portfolio- Durham, NC (myworkdayjobs.com)

Job Categories: Equal Opportunities. Job Types: Full-Time. Job Tags: payer marketing and reimbursement a. Salaries: Not Disclosed.

Job expires in 16 days.

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