Senior Field Reimbursement Manager – HIV Prevention

🕒 il y a 11 jours

🏄 California – Distant

🏄 California – Remote

💵 $153 935 - $199 210 / an

⏰ Temps Plein

🟠 Senior

👔 Manager

🦅 Parrain de Visa H1B

Cette entreprise a parrainé des visas H1B par le passé.

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Gilead Sciences

Site WebLinkedInTous les Emplois

10 000+ employés

Fondée en 1987

🏥 Santé

💼 Conseil

🧬 Biotechnologie

Healthcare • Consulting • Biotechnology

Gilead Sciences est une entreprise biopharmaceutique de premier plan, spécialisée dans la découverte, le développement et la mise à disposition de traitements innovants pour les patients atteints de maladies potentiellement mortelles. L'entreprise est largement reconnue pour ses contributions en virologie, notamment pour le VIH et l'hépatite, et étend activement son champ thérapeutique dans des domaines tels que l'oncologie et l'inflammation. Gilead possède un solide portefeuille de médicaments, avec plus de 25 produits disponibles à l'échelle mondiale et 50 programmes cliniques. Connue pour son engagement en faveur de l'équité en santé, l'entreprise finance activement la recherche sur le VIH. Le dévouement de Gilead à l'innovation scientifique et à l'équité en matière de santé vise à relever les défis sanitaires les plus urgents au monde, améliorant ainsi la vie des patients à l'échelle mondiale.

Description

• Develop and manage strategic business relationships with key account stakeholders across large health systems, IDNs, specialty pharmacies, national/regional accounts, and Priority/SWAT accounts to facilitate patient access to Gilead’s HIV Prevention products • Serve as an enterprise-level reimbursement and access expert using influence mapping to identify stakeholders across complex organizations • Lead coordinated, cross-regional account strategies that reduce duplication, improve role clarity, and enable consistent customer support across multi-site accounts • 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, optimize, and support scalable reimbursement processes • Support the internal patient support program team in enhancing HUB and FRM processes, including education on prior authorizations, benefit verification, case management handoffs, and account-specific workflow optimization • Communicate formulary, coverage, payer policy, and reimbursement process changes and provide strategic accounts with timely education and support • Create and deploy instructional resources, account implementation plans, and best-practice education for providers, office staff, billing teams, revenue cycle teams, and implementation stakeholders • 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 respond to high-need account situations • Measure success through education delivery, implementation success, systemic issue resolution, improved coordination, and scalable access/reimbursement support • Demonstrate cultural sensitivity and adapt support to varying account environments and practices • Maintain a patient-centric, collaborative approach focused on access and positive outcomes

🎯 Exigences

• 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 is strongly preferred • Deep understanding of the relationship between 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

🏖️ Avantages

• 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