Senior Field Reimbursement Manager – Liver

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🔥 0 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $153.9k - $199.2k / year

⏰ Full Time

🟠 Senior

👔 Manager

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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

• Remain informed about local and national payer policies and acquisition pathways • Proactively address coverage and reimbursement challenges to ensure timely treatment access • Collaborate with Therapeutic Specialists, Marketing, Patient Support, and other internal teams • Develop and manage relationships with providers, specialty pharmacies, and other key account stakeholders • Serve as a regional reimbursement expert and use influence mapping to identify and engage key customer accounts • Enhance hub and field reimbursement manager processes, including benefit verification and prior-authorization education • Communicate formulary and reimbursement-process changes for Gilead products • Create instructional resources for providers and office staff on reimbursement best practices • Improve communication between field reimbursement managers and HUB case managers • Identify patient-journey bottlenecks and use technology tools to respond to high-need cases • Travel across the Southeast region and strategic accounts

🎯 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 in field reimbursement, access, patient services, market access, account management, or related work • 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 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 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 • Must reside within 10 miles of the region's borders

🏖️ 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 for applicants with disabilities