Reimbursement specialist Jobs in Phoenix, AZ

Central Region: TX, CO, AZ, UT, OK, AR, WY and portions of NM, NV, KS, WA, ID, IA

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 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 is seeking an experienced, strategic and execution-focused leader for a Field Reimbursement Director role in the Central Region of the country.

This first line leader will support our LAI brands by leading a team of Field Reimbursement Associate Directors aligned to the Central region. The role is accountable for advancing prioritized account strategies, accelerating customer implementation readiness, and driving measurable post-prescribing outcomes through strategic deployment of team resources and cross-functional collaboration. 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 Associate Directors 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 to support implementation and delivery of long acting injectable therapies across evolving acquisition, reimbursement, and site of care models.

Success in this role requires advancing prioritized account strategies, removing implementation barriers, deploying resources against the highest impact opportunities, and delivering measurable customer and business outcomes. The Field Reimbursement Director serves as a strategic leader within an integrated account management framework and influences performance through effective coaching, execution discipline, and cross-functional partnership.

Key Relationships to Drive Success (Internal & External)

• Market Access Leadership

• Associate Directors, Field Reimbursement (ADFR)

• Associate Directors, Field Reimbursement – Corporate Accounts (VCART)

• Payer Field Teams (National and Regional)

• Market Access Account Integration

• Trade & Distribution

• Corporate Account Directors

• Specialty Pharmacies

• Reimbursement Patient Support Services

• Alternate Sites of Care

• Brand and Payer Marketing

• Regional Sales Leaders and Territory Account Management Team

• Regional Medical Directors and Medical Science Liaison (MSL)

• Community Engagement Directors and Community Engagement Specialist (CES)

• C&D Suite Organized Customer Groups including IDN’s and large Medical Groups

Responsibilities

Managing the Business and Driving Post Prescribing Performance

• Lead execution of prioritized account strategies through coaching, inspection, and development of a team of Associate Directors, ensuring focused action against implementation barriers and measurable customer outcomes.

• Partner with key customer stakeholders to accelerate implementation readiness, optimize operational processes, and support sustainable adoption of long-acting injectable therapies.

• 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.

• Deliver and adapt execution plans to achieve post prescribing performance goals and objectives utilizing; KPIs, scaling of successes, implementation problem solving, etc.

• 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

• 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.

• Develop executive customer relationships that advance implementation readiness and strategic account objectives.

Managing a Post Prescribing Performance and Engagement Culture

• Recruit, hire and develop a high performing team of ADFRs. Build team capability for current and future needs, including attracting, identifying and developing a diverse talent pool.

• Create a coaching culture centered on accountability, execution excellence, and talent development. Coach leaders to identify customer barriers, prioritize opportunities, execute strategic moves, inspect progress, measure outcomes, and create accountability for sustained performance improvement.

• Set the tone and culture of the team, role model ViiV Expectations, and lead successfully through organizational change while maintaining engagement, accountability, and business performance.

• 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 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.

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

• Proven ability to drive results through cross-functional influence and matrix leadership.

• Strong coaching and talent development capabilities with a track record of building high-performing teams.

• Experience developing and executing strategic account plans that deliver measurable customer and business outcomes.

• 2 plus years transformational leadership experience

• Experience working with internal and external customers that requires knowledge of rules and regulations that govern provision of reimbursement support services

• Ability to travel up to 70%

• Valid Driver’s License

Preferred Qualifications

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

• Proven success leading through organizational transformation and change.

• 5 years' experience developing and/or providing coverage, coding and payment information to provider customers for specialty injectable/infusible medicines.

• Expertise in payer policy, coverage, coding, billing, and payment requirements for specialty injectable/infusible medicines, including the ability to train and communicate these concepts effectively across stakeholders.

• Knowledge of reimbursement support service regulations, compliance requirements, and risk mitigation practices.

#LI-ViiV