Senior Field Reimbursement Manager – HIV Prevention

Job not on LinkedIn

🔥 1 minute ago

🏄 California – Remote

🏄 California – Remote

💵 $153.9k - $199.2k / year

⏰ Full Time

🟠 Senior

👔 Manager

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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 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 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 to strategic accounts • Create 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, Gilead HUB, Marketing, Patient Support, and other cross-functional partners • Identify patient-journey bottlenecks and use technology, insights, and escalation pathways to address high-need account situations • Measure education delivery, implementation success, systemic issue resolution, coordination, and scalable access/reimbursement support

🎯 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 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 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 • In-person meetings with key stakeholders are crucial to success

🏖️ Benefits

• Discretionary annual bonus eligibility • Discretionary stock-based long-term incentives eligibility may vary based on role • Paid time off • Company-sponsored medical insurance • Company-sponsored dental insurance • Company-sponsored vision insurance • Company-sponsored life insurance • Equal employment opportunity and reasonable accommodation support