Senior Field Reimbursement Manager – Liver

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🔥 1 minute 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

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

• 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 identify and engage key customer accounts. • Assist the patient support program team with hub and FRM process improvements, 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 FRMs and case managers through coordination with the Gilead HUB. • Identify patient-journey bottlenecks and use technology tools to respond to high-need cases. • Travel across designated regions and strategic accounts.

🎯 Requirements

• Bachelor's Degree and eight years’ experience OR Master's Degree and six years’ experience OR Ph.D. • Candidates must reside within 10 miles of their region's borders. • 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 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. • 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.

🏖️ 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 • Benefits package