Senior Field Reimbursement Manager – HIV Prevention

🔥 1 minute 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

Founded 1987

🏥 Healthcare

💼 Consulting

🧬 Biotechnology

Healthcare • Consulting • Biotechnology

Gilead Sciences is a leading biopharmaceutical company that focuses on discovering, developing, and delivering innovative therapeutics for patients with life-threatening diseases. The company is highly recognized for its contributions in virology, particularly HIV and hepatitis, and is actively expanding its therapeutic reach into fields like oncology and inflammation. Gilead has a strong pipeline of medicines, with over 25 products available globally and 50 clinical programs. Known for its commitment to health equity, the company also actively funds HIV research and causes. Gilead's dedication to scientific innovation and health equity aims to tackle the world's most pressing health challenges, improving patient lives globally.

📋 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

🎯 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 in or near the assigned geography and be able to travel extensively to 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