Senior Field Reimbursement Manager – HIV Prevention

🔥 2 minutes ago

🗽 New York – Remote

🗽 New York – 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 • 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 • 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 • 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 patient-journey bottlenecks and use technology tools, insights, and escalation pathways to address high-need account situations • Measure education delivery, implementation success, systemic issue resolution, improved coordination, and scalable access/reimbursement support • Create inclusion, develop talent, and empower teams as a people leader

🎯 Requirements

• Bachelor's Degree and Eight Years’ Experience OR Master's Degree and Six Years’ Experience OR Ph.D. • Experience working for a major pharmaceutical organization in field reimbursement, access, patient services, market access, account management, or related roles • 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 • Deep understanding of payers, providers, health systems, specialty pharmacies, and pharmaceutical companies in reimbursement and access • 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 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 • This is a field-based role requiring in-person meetings with key stakeholders

🏖️ 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

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