Reimbursement Services Director jobs in Raleigh, NC

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)

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ViiV (GSK) Director, Learning & Development, Field Reimbursement (FRM)
  • GlaxoSmithKline
  • Durham, NC FULL_TIME
  • Site Name: USA - North Carolina - Durham
    Posted Date: Apr 24 2024
    ViiV Healthcare is an independent, global specialist HIV company dedicated to delivering innovative new options for the care and treatment of people living with HIV/AIDS. HIV presents a serious global challenge. At ViiV Healthcare we are using our commitment, expertise and passion to help meet this challenge by dedicating ourselves to delivering advances in treatment and care for people living with HIV.

    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...

    • Develop and embed robust, industry-leading field reimbursement training curricula to support current promoted brands.
    • Partner across FRM team to develop and deliver training consistent with brand strategy that prepares the reimbursement team to deliver on appropriate needs of their customers and patients
    • Understand the intricacies of the customer experiences within different accounts to infuse field reimbursement training with healthcare provider needs and insights
    • Design customized training that connects reimbursement behaviors with application of knowledge and skills to optimize insights and maximize effectiveness of reimbursement team
    • Influence, connect, and lead across a matrix of stakeholders to ensure that the training is aligned, optimized, and reflects appropriate ways of working
    • Create training materials from initiation to approval, following the appropriate approval process
    • Optimize training across appropriate platforms (both virtual and face to face) utilizing adult learning principles
    • Manage external partner relationships
    • Maintain appropriate and accurate records of training

    Why you?Basic Qualifications:

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

    • Bachelor's Degree
    • Experience in Field Reimbursement within the Pharmaceutical Industry
    • Experience in Specialty Pharmaceutical account management principles and execution
    • Working knowledge of specialty pharmaceutical medicines, including long-acting injections

    Preferred Qualifications:

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

    • Training Experience
    • Demonstrated knowledge of adult learning principles and how best to design training plans to optimize learning, retention, and application
    • Leadership Experience
    • MBA or graduate degree
    • Experience in developing training plans to pull through reimbursement skills and concepts to maximize organizational and representative impact
    • Proven experience and acumen in coaching and motivating others
    • Experience developing and delivering training plans for injectable specialty products in the pharmaceutical industry
    • Proven success actively participating and leading in matrix team environments
    • Working knowledge of HIV disease state and products
    • High level demonstration of leadership behaviors, excellent strategic thinking and interpersonal skills
    • Proven formal and informal communication skills, with the ability to communicate and present effectively to large groups and leaders

    #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.


    GSK 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.

     

  • 13 Days Ago

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ViiV (GSK) Director, Learning & Development, Field Reimbursement (FRM)
  • GlaxoSmithKline
  • Durham, NC FULL_TIME
  • Site Name: USA - North Carolina - DurhamPosted Date: Apr 24 2024ViiV Healthcare is an independent, global specialist HIV company dedicated to delivering innovative new options for the care and treatme...
  • 13 Days Ago

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Director of Inpatient Nursing Services
  • Medinnova Technology Services
  • Sanford, NC FULL_TIME
  • Job Title: Director of Inpatient Nursing ServicesLocation: Sanford, NC 27330Salary: $90,000 to $125,000 Must-Haves: Minimum of 3-5 years nursing experience in a critical care unit required Minimum of ...
  • 11 Days Ago

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Director of Inpatient Nursing Services
  • Talent One Services
  • Sanford, NC FULL_TIME
  • Join us at the forefront of healthcare innovation, where every day presents new opportunities to make a meaningful impact on the lives of our patients and our community. As the Director of Inpatient N...
  • 16 Days Ago

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Urgent! Director of Inpatient Nursing Services
  • Medinnova Technology Services
  • Sanford, NC FULL_TIME
  • Job Title: Director of Inpatient Nursing ServicesLocation: Sanford, NC 27330Salary: $90,000 to $125,000 Must-Haves: Minimum of 3-5 years nursing experience in a critical care unit required Minimum of ...
  • 8 Days Ago

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Director - Commercial Services (US, Remote)
  • Commercial Services (US, Remote) - the Association Careers
  • Durham, NC FULL_TIME
  • About the Role: This position is responsible for all aspects of membership, commercial product performance and pricing constructs, including strategy, analysis, and execution. As the Director of Comme...
  • 26 Days Ago

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0 Reimbursement Services Director jobs found in Raleigh, NC area

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Director of Operations
  • ZP Group
  • Raleigh, NC
  • Piper Companies currently has an exciting Director of Operations opportunity with a growing InsureTech organization loca...
  • 5/11/2024 12:00:00 AM

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Director of Operations
  • Capital Investment Companies
  • Raleigh, NC
  • Job Description Job Description The Nautical Group is a retained executive search firm partnering with clients to identi...
  • 5/11/2024 12:00:00 AM

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Director of Operations
  • Piper Companies
  • Raleigh, NC
  • Piper Companies currently has an exciting Director of Operations opportunity with a growing InsureTech organization loca...
  • 5/11/2024 12:00:00 AM

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Development Director
  • Occoneechee Council; Boy Scouts of America
  • Raleigh, NC
  • Join our team at the Occoneechee Council, Boy Scouts of America, where we empower over 8,000 youth in North Carolina's T...
  • 5/9/2024 12:00:00 AM

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Program Director
  • eTeam, Inc.
  • Cary, NC
  • Job Description Provide leadership and oversight to a highly matrixed team comprised of IT and Business team members Pro...
  • 5/8/2024 12:00:00 AM

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Director of Operations
  • Condustrial, Inc.
  • Raleigh, NC
  • Job Description Job Description Job description Condustrial Inc. is a leading staffing company in the construction and i...
  • 5/8/2024 12:00:00 AM

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Executive Director
  • Singh Development Company
  • Raleigh, NC
  • Description The Executive Director (ED) serves as the leader of the community, overseeing all day-to-day operations and ...
  • 5/8/2024 12:00:00 AM

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Nursing Director
  • Sunrise Senior Living
  • Raleigh, NC
  • Overview MAKE A DIFFERENCE EVERY DAY IN A UNIQUELY SUPPORTIVE COMMUNITY AND IGNITE YOUR FULL POTENTIAL. We champion qual...
  • 9/6/2023 12:00:00 AM

According to the United States Census Bureau, Raleigh occupies a total area of 144.0 square miles (373.0 km2), of which 142 square miles (369 km2) is land and 0.97 square miles (2.5 km2), or 0.76%, is covered by water. The Neuse River flows through the northeast end of the city. Raleigh is located in the northeast central region of North Carolina, where the Piedmont and Atlantic Coastal Plain regions meet. This area is known as the "fall line" because it marks the elevation inland at which waterfalls begin to appear in creeks and rivers. As a result, most of Raleigh features gently rolling hil...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$147,188 to $209,602
Raleigh, North Carolina area prices
were up 1.5% from a year ago

Reimbursement Services Director in Albuquerque, NM
The Manager will be responsible for either audit or reimbursement functions, and can be responsible for one of four primary roles – desk review/audit, reopenings/appeals, interim rate review/reimbursement or acceptance/finalization for all provider types as both a preparer and reviewer of work product.
December 27, 2019
Reimbursement Services Director in Little Rock, AR
The Manager assigns annual workload budget, distributes assignments to the team, ensures timely and accurate completion and review of all work, and makes final reimbursement determinations for all work assigned to the team.
February 24, 2020
Reimbursement Services Director in Las Vegas, NV
The Director of Reimbursement will consistently improve processes and develop their teams to exceed established KPIs and raise collection revenue, while lowering the overall cost to deliver these services.
January 05, 2020