Senior Field Reimbursement Manager – HIV Prevention

🕒 September 17

🤠 Texas – Remote

🤠 Texas – 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 • 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, optimize, and support scalable reimbursement processes • Support the internal patient support program team in enhancing HUB and FRM processes • Educate on prior authorizations, benefit verification, case management handoffs, and account-specific workflow optimization • Communicate changes in formulary, coverage, payer policy, or 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 bottlenecks in the patient journey and use technology tools, insights, and escalation pathways to respond to high-need account situations • Measure education delivery, implementation success, systemic issue/process resolution, coordination, and scalable access/reimbursement support • Create inclusion, develop talent, and empower teams under people leader accountabilities

🎯 Requirements

• Bachelor's Degree and Eight Years’ Experience, or Master's Degree and Six Years’ Experience, or Ph.D. • Preferred: 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 • Preferred: 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 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-level barriers into scalable process improvements • Strong executive presence and comfort engaging C-suite and other executive, pharmacy, revenue cycle, implementation, and system stakeholders • Willingness to travel 75% of the time across designated regions and strategic accounts • Must reside in or near the assigned geography • Ability to travel extensively and engage account stakeholders in person

🏖️ 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 • Reasonable accommodation support for applicants with disabilities