Senior Field Reimbursement Manager – Liver

🔥 0 minutes ago

🏈 Ohio, Michigan – Remote

🏈 Ohio – Remote 🚗 Michigan – Remote

⏰ Full Time

🟠 Senior

👔 Manager

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👻 Ghost score 10%

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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

• Stay 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 key account stakeholders • Serve as a regional reimbursement expert and use influence mapping to engage key customer accounts • Enhance hub and field reimbursement manager processes, including benefit verification and prior-authorization education • Communicate formulary and reimbursement-process changes and educate accounts on medical exceptions and prior authorization • Create instructional resources for providers and office staff on reimbursement best practices • Improve communication between Field Reimbursement Managers and HUB case managers • Identify patient-journey bottlenecks and use technology tools to respond to high-need cases • 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. • Preferred BA/BS/RN with 8+ years of experience in a major pharmaceutical organization on a field reimbursement, access, patient services, market access, account management, or related team • Preferred MA/MS/PharmD with 6+ years of experience in 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 managing large, complex provider accounts, multi-location health systems, IDNs, national/regional accounts, and/or multi-state or multi-region accounts • 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 effects 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 barriers into scalable process improvements • Strong executive presence and comfort engaging C-suite, pharmacy directors, revenue cycle leaders, implementation leaders, and system stakeholders • Willingness to travel 75% of the time across designated regions and strategic accounts • Must reside within 10 miles of the region’s borders • This is a field-based role requiring in-person meetings with key stakeholders

🏖️ Benefits

• Equal employment opportunity and inclusive work environment • Reasonable accommodation for applicants with disabilities • Environment free of harassment and prohibited conduct • Diversity and inclusion programs • Employee development, coaching, and career growth support