Health Insurance Manager

About the role

Key responsibilities

• Health insurance access strategy and execution
• Support the development and execution of access strategies across health insurance funding systems, ensuring effective reimbursement pathways for the GSK portfolio.*
• Navigate reimbursement environments to support timely and sustainable access to innovative therapies.
• **Payer engagement and relationship management**
• Build and maintain relationships with insurers, third party administrators, employer funded schemes and other relevant stakeholders across funding systems.*
• Develop structured engagement frameworks and interaction models with payer organizations across medical, claims and policy functions.*
• Develop effective working relationships with insurance medical and claims departments to support access optimization.
• **Reimbursement facilitation and access optimization**
• Support formulary inclusion, coding and reimbursement processes across insurance systems.*
• Identify and help address access barriers, including rejected claims and reimbursement challenges, by coordinating with internal and external stakeholders.*
• Act as a point of contact for internal teams in resolving patient access and reimbursement issues with payers.*
• Liaise with relevant internal teams (for example patient support or affordability programs) to support appropriate patient access solutions where applicable.
• **Health financing expertise and system insights**
• Develop a strong understanding of healthcare financing models, payer and provider dynamics and reimbursement mechanisms.*
• Translate system level insights into practical access recommendations.
• **Market intelligence and insights**
• Monitor changes in insurance frameworks, reimbursement policies and funding models.*
• Assess the potential impact on the GSK portfolio and highlight risks and opportunities.*
• Provide regular updates and insights to internal stakeholders on health insurance market developments.
• **Strategic partnerships, education and capability building**
• Support identification of collaboration opportunities with payer organizations to enhance access pathways.*
• Deliver value based and scientific engagement with payer stakeholders in line with GSK compliance requirements.*
• Identify knowledge gaps within payer organizations and support appropriate educational engagement.*
• Contribute to building fit for purpose local capabilities and sharing good practices in health insurance access.
• **Cross functional collaboration**
• Provide input into brand plans, access strategies and launch readiness activities across therapy areas.*
• Work closely with Market Access, Government Affairs, Medical and Marketing to support aligned execution.
• **Analytics and insights translation**
• Analyze payer dynamics, reimbursement trends and access challenges.*
• Contribute to insights and recommendations that support access and business objectives.
• **Basic qualifications**
• Bachelor’s degree in pharmacy, Life Sciences, Economics, Business or a related field.*
• Minimum five to seven years of experience in health insurance, healthcare financing, payer organizations or related roles.

Experience

Experience

• within Gulf Cooperation Council healthcare and payer environments.
• **Preferred qualifications**
• Advanced degree such as Master of Business Administration, Master of Public Health, Health Economics or similar.*

Experience

Experience

• managing cross functional initiatives.
• **Key competencies**
• Strong health insurance system expertise.*
• Strategic thinking with focus on execution.*
• Stakeholder engagement and relationship management.*
• Analytical and data driven decision making.*
• Strong communication and cross functional collaboration.*
• High level of integrity and awareness of compliance requirements.
• *GSK is an Equal Opportunity Employer. This ensures that all qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), military service or any basis prohibited under federal, state or local law.*
• Why GSK?
• Uniting science, technology and talent to get ahead of disease together.
• GSK is a global biopharma company with a purpose to unite science, technology and talent to get ahead of disease together.
• We aim to positively impact the health of 2.5 billion people by the end of the decade, as a successful, growing company where people can thrive.
• We get ahead of disease by preventing and treating it with innovation in specialty medicines and vaccines.
• We focus on four therapeutic areas: respiratory, immunology and inflammation; oncology; HIV; and infectious diseases – to impact health at scale.
• People and patients around the world count on the medicines and vaccines we make, so we’re committed to creating an environment where our people can thrive and focus on what matters most.
• Our culture of being ambitious for patients, accountable for impact and doing the right thing is the foundation for how, together, we deliver for patients, shareholders and our people.
• Contact information:
• You may apply for this position online by selecting the **Apply now** button.
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