Senior Field Reimbursement Manager – HIV Prevention

🕒 vor 1 Tag

🎸 Tennessee – Remote

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💵 $177.905 - $230.230 / Jahr

⏰ Vollzeit

🟠 Senior

👔 Manager

🦅 H1B-Visum-Sponsor

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👻 Geisterscore 0%

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🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of Gilead Sciences

Gilead Sciences

10.000+ Mitarbeiter

Gegründet 1987

🏥 Gesundheitswesen

💼 Beratung

🧬 Biotechnologie

Healthcare • Consulting • Biotechnology

Gilead Sciences ist ein führendes biopharmazeutisches Unternehmen, das sich auf die Entdeckung, Entwicklung und Bereitstellung innovativer Therapien für Patienten mit lebensbedrohlichen Krankheiten konzentriert. Das Unternehmen ist hoch anerkannt für seine Beiträge in der Virologie, insbesondere bei HIV und Hepatitis, und erweitert aktiv seine therapeutische Reichweite in Bereiche wie Onkologie und Entzündungen. Gilead verfügt über eine starke Pipeline von Medikamenten mit über 25 weltweit verfügbaren Produkten und 50 klinischen Programmen. Bekannt für sein Engagement für Gesundheitsgerechtigkeit, finanziert das Unternehmen auch aktiv HIV-Forschung und -Projekte. Gileads Engagement für wissenschaftliche Innovation und Gesundheitsgerechtigkeit zielt darauf ab, die drängendsten Gesundheitsherausforderungen der Welt anzugehen und das Leben der Patienten weltweit zu verbessern.

Beschreibung

• Develop and manage strategic business relationships with key account stakeholders across large health systems, IDNs, specialty pharmacies, national/regional accounts, and Priority/SWAT accounts • Facilitate patient access to Gilead’s HIV Prevention products • Serve as an enterprise-level reimbursement and access expert • Use influence mapping to identify executive, pharmacy, billing, implementation, provider, and operational stakeholders • Lead coordinated, cross-regional account strategies • Reduce duplication of effort and improve role clarity across local FRMs and matrix partners • Assess systemic access and reimbursement barriers, including benefit verification, prior authorization, medical exception, claims, acquisition, specialty pharmacy, and LAI operational workflows • Partner with senior account stakeholders and internal matrix teams to establish and optimize scalable reimbursement processes • Support the internal patient support program team in enhancing HUB and FRM processes • Communicate changes in formulary, coverage, payer policy, and reimbursement processes • Create and deploy instructional resources, account implementation plans, and best-practice education • Coordinate FRMs, Long-Acting Implementation Directors, Strategic Account Managers, Prevention Specialists, Market Access, the Gilead HUB, Marketing, Patient Support, and other cross-functional partners • Identify patient-journey bottlenecks and use technology tools, insights, and escalation pathways to address high-need account situations • Measure education delivery, implementation success, systemic issue resolution, coordination, and scalable access/reimbursement support • Adapt support to varying account environments and practices • Maintain a patient-centric, collaborative approach

🎯 Anforderungen

• Bachelor's Degree and Eight Years’ Experience, or Master's Degree and Six Years’ Experience, or Ph.D. • BA/BS/RN with 8+ years of experience working for a major pharmaceutical organization on a field reimbursement, access, patient services, market access, account management, or related team • MA/MS/PharmD with 6+ years of experience working for a major pharmaceutical organization in field reimbursement, access, patient services, market access, account management, or related role • Prior leadership, enterprise account, IDN/health system, or cross-functional account strategy experience strongly preferred • Deep understanding of payers, providers, health systems, specialty pharmacies, and pharmaceutical companies in reimbursement and access • Experience engaging with and managing large, complex provider accounts, multi-location health systems, IDNs, national/regional accounts, and/or accounts spanning multiple states or regions • Familiarity with pharmacy benefits, medical benefits, specialty payer landscape, reimbursement pathways, and acquisition models across commercial, Medicare, Medicaid, and other payer segments • Understanding of local, state, and national policy changes and their effect on reimbursement, coverage, acquisition, and account workflows • Experience partnering with specialty pharmacies and HUB services to support account-specific workflow optimization and patient access processes • Ability to influence without authority, align matrixed stakeholders, and translate account-level barriers into scalable process improvements • Strong executive presence and comfort engaging C-suite or executive leadership, pharmacy directors, revenue cycle leaders, implementation leaders, and system stakeholders • Willingness to travel 75% of the time across designated regions and strategic accounts • Candidates must reside in or near the assigned geography and be able to travel extensively to engage account stakeholders in person

🏖️ Vorteile

• Discretionary annual bonus • Discretionary stock-based long-term incentives • Paid time off • Company-sponsored medical insurance • Company-sponsored dental insurance • Company-sponsored vision insurance • Company-sponsored life insurance

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