Reimbursement Services Director directs and supervises the activities of the claims and provider reimbursement personnel. Handles third-party reimbursement for services rendered to patients. Being a Reimbursement Services Director sets procedures for filing reimbursement claims and ensures timely and accurate claims payments. Monitors, evaluates and reviews all cost reporting in support of reimbursement claims. Additionally, Reimbursement Services Director develops policies and procedures compliant with fiscal and regulatory requirements. Oversees the collection of statistical and financial data needed for preparing annual and monthly health insurance reports. May require an advanced degree. Typically reports to top management. The Reimbursement Services Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Reimbursement Services Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)
ViiV Healthcare was created in 2009 with an ambition of launching a "best in class" integrase inhibitor, maximizing value of existing HIV products and allowing acute company focus on developing initiatives, compounds and access that would advance the care and treatment of HIV. Since that time, the successful launches of 4 Dolutegravir-based products have increased internal and external stakeholder demand for Medical Affairs support to ensure appropriate use of and access to our products as well as to serve as an educational resource.
In addition, there is consistent progression of research on ViiV Healthcare compounds to address data gaps that exist for Dolutegravir and our newer compounds, which includes advancing cabotegravir clinical development for both HIV treatment and prevention. The NA Medical Affairs team continues to play a significant role in ensuring capable sites are identified and selected, researchers are properly educated and informed, and studies progress in timely manner.
Additionally, HIV therapy is now being actively managed by many players and this has elevated the need to provide HIV clinical and research information to formulary decision makers and payers groups, increasing demand for Medical Affairs partnership.
There is a critical need now to enhance the medical and scientific leadership capability to effectively and credibly exchange high quality medical and scientific information about ViiV products and the disease area with our customers. Without this, we will not be able to deliver on our promises to patients or to our shareholders and become industry-leading.
As the ViiV Healthcare Director, Learning & Development, Field Reimbursement (FRM), you will lead training, including the development and execution of the training plan, for the FRM team in the US HIV market. This includes developing and leading an onboarding program for new FRMs/FRDs, developing and leading sustainment training for the existing FRM/FRD team, and consulting with brand trainers on implementation training processes as needed. This role represents an incredible opportunity to help ViiV Healthcare further reduce the impact of HIV on individuals and communities. Please note that this role is based out of ViiV's US Headquarters in Durham, NC & is eligible for a full relocation package.
This role will provide YOU the opportunity to lead key activities to progress YOUR career, these responsibilities include some of the following...
We are looking for professionals with these required skills to achieve our goals:
If you have the following characteristics, it would be a plus:
#LI-ViiiV
#LI-GSK
*This is a job description to aide in the job posting, but does not include all job evaluation details.
Please visit 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 and in 2009, with 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/ Agencies
ViiV 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 ViiV's Transparency Reporting site.
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