Senior Field Reimbursement Manager – HIV Prevention

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $153.9k - $199.2k / year

⏰ Full Time

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Gilead Sciences

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🧬 Biotechnology

💊 Pharmaceuticals

💰 $3.5M Post-IPO Debt - Gilead Sciences on 2024-11

Healthcare • Biotechnology • Pharmaceuticals

Gilead Sciences is a global biopharmaceutical company focused on researching, developing, and commercializing medicines primarily in virology, oncology, and inflammation. The company advances transformative therapies, runs extensive clinical programs and research collaborations, and supports access, global health, and community funding initiatives. Gilead also emphasizes corporate responsibility, sustainability, and inclusion while maintaining a broad pipeline of therapies and patient access programs.

📋 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 • 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 that reduce duplication and improve role clarity • 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 formulary, coverage, payer policy, and reimbursement process changes • 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, and Patient Support • 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 • Demonstrate cultural sensitivity and maintain a patient-centric focus

🎯 Requirements

• 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 in field reimbursement, access, patient services, market access, account management, or related work • 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 • Deep understanding of payers, providers, health systems, specialty pharmacies, and pharmaceutical companies in reimbursement and access • Experience 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 • Ability to influence without authority, align matrixed stakeholders, and translate account barriers into scalable process improvements • Strong executive presence and comfort engaging C-suite and 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

🏖️ Benefits

• 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