Senior Field Reimbursement Manager – Liver

🔥 6 minutes ago

⚜️ Louisiana, Texas – Remote

⚜️ Louisiana – 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

• 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 (Sales), Marketing, and Patient Support to align patient access strategies • Manage multiple projects and identify opportunities to improve workflows • Develop and manage relationships with providers and specialty pharmacies to facilitate patient access to Gilead products • Serve as a regional reimbursement expert and use influence mapping to identify and engage key customer accounts • Assist the internal patient support program team with benefit verification and prior authorization education • Communicate formulary and reimbursement process changes and educate accounts on medical exceptions and prior authorization requirements • Collaborate with internal and external stakeholders to create instructional reimbursement resources • Coordinate with the Gilead HUB to improve communication between FRMs and case managers • Identify patient-journey bottlenecks and use technology tools to respond to high-need cases • Attend in-person meetings with key stakeholders across designated regions and strategic accounts • Create inclusion, develop talent, and empower teams through people-leader accountabilities

🎯 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 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 within 10 miles of their 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